Should It Hurt?-Experiences of Out-Patient Clinic-Based Hysteroscopy

Hysteroscopy is a common minor gynaecological procedure that is increasingly being performed in an outpatient setting. There is currently no effective evidence-based strategy for managing pain in women undergoing hysteroscopy. It is anticipated that most people will experience mild to moderate pain; however, the literature reports varying numbers of women, up to 40%, who experience severe pain during outpatient hysteroscopy.

This paper reports the qualitative results of interviews with 10 participants in a single-centre mixed-methods cohort study in New Zealand to understand women's experiences of hysteroscopy.

Data from semi-structured interviews were analysed using Qualitative Description.

Three themes describe the participants' experiences of hysteroscopy. Should it hurt? Expectations of the procedure; I did not realize that was an option: control of pain; and right information, at the right time.

Although women experience varying levels of pain during hysteroscopy, their experience of the procedure may be influenced by their expectations of pain, their perception of control over their pain management, and how and when they receive information. Providing information in a range of formats prior, during, and after the procedure may help reduce anxiety and set more accurate expectations. Considering a range of pain relief options during hysteroscopy, including non-pharmacological methods, and ensuring they are readily available in the procedure room may help women better manage their pain or actively participate in pain management and distraction strategies, ultimately enhancing their sense of control.