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Hysteroscopy: Pain

Asked by Will StoneLabourDepartment of Health and Social CareTabled Answered 8 May 2025UIN 49494

The question

To ask the Secretary of State for Health and Social Care, if he will take steps with NHS England to publish guidance on (a) safe and (b) effective pain relief for outpatient hysteroscopy procedures.

Answered by Karin Smyth

The Government recognises that some procedures, such as a hysteroscopy, can result in pain, and the level of pain experienced will vary between individual women. It is important that healthcare professionals provide women with information prior to their procedure so that women can make an informed decisions about the procedure and pain relief options, including the option of local or general anaesthetic.

Clinical guidelines support healthcare professionals to provide evidence-based care. The Royal College of Obstetricians and Gynaecologists published an updated guideline on outpatient hysteroscopy in September 2024. The updated guideline has particular reference to minimising pain and discomfort during hysteroscopy procedures. While the Royal College of Obstetricians and Gynaecologists’ guidelines are not mandatory, they are designed to support high-quality care, and the Department and the National Health Service encourage local implementation tailored to patient needs. This guidance is available at the following link:

https://www.rcog.org.uk/guidance/browse-all-guidance/green-top-guidelines/outpatient-hysteroscopy-green-top-guideline-no-59/

The NHS website also provides information for patients. The page on hysteroscopy provides information on preparing for and recovering from a hysteroscopy, including pain relief options.

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