What is an outpatient hysteroscopy?
An outpatient hysteroscopy is a procedure that allows a doctor or specialist nurse to look inside your womb (uterus). It is done using a thin telescope called a hysteroscope, which is gently passed through the vagina and cervix.
The procedure is usually carried out in a clinic setting and does not require a general anaesthetic. Most people are able to go home shortly afterwards.
Why might I need an outpatient hysteroscopy?
You may be offered an outpatient hysteroscopy to:
- Investigate heavy, irregular, or unusual bleeding
- Check bleeding after the menopause
- Look for causes of fertility problems
- Investigate abnormalities seen on an ultrasound scan
- Check or remove polyps
Your healthcare professional will explain why the test has been recommended for you.
A trauma-informed approach to your care
We understand that gynaecological procedures can be physically and emotionally difficult, and that some people may have experienced previous trauma.
Our staff aim to provide trauma-informed, respectful, and compassionate care. This means:
- You will be fully informed about what will happen before the procedure starts
- Your consent will be checked throughout the appointment
- You can ask to pause or stop at any time
- You can request a female clinician, where possible
- Your comfort, dignity, and privacy are priorities
Please feel free to inform us in advance or on the day if you:
- Feel anxious or distressed
- Have had previous trauma
- Need extra time, explanations, or breaks
You do not need to share personal details unless you want to.
Teaching and Training
NHS Fife works alongside the universities of Edinburgh, St Andrew’s and Dundee. There may be medical, nursing and midwifery students on placement and you may be asked if they can be involved in your care. You may decline to be involved if you wish.
There may also be rotating specialty resident doctors in clinics and involved in your care. Again, you can decline to be involved in training.
FAQs (Frequently asked questions)
Can I drive afterwards?
You can drive home afterwards but some people prefer to have someone else drive them home.
Can I bring someone with me?
You may bring a support person, if this helps you feel more comfortable.
What should I do before my appointment?
If you are aged under 55 and you haven’t been through the menopause, please use contraception for at least 21 days prior to your appointment.
Please be prepared to provide a urine sample for a pregnancy test when you arrive
Will it be painful?
Everyone has a different experience of hysteroscopy based on many factors. Most people describe it like a ‘painful period’ or ‘cramping pain’. The alternative to outpatient hysteroscopy is to have your procedure done in theatre with either general anaesthetic, sedation or regional anaesthetic, such as a spinal (this will numb your lower body)
Please take a pain killer, such as paracetamol +/- ibuprofen one hour before your appointment. Local anaesthetic is also available to help make the procedure more comfortable.
Staff
Ashley Stewart – Lead nurse
Dr Vanishree Rao – Consultant gynaecologist
Dr Rachael Black – Consultant gynaecologist
Dr Dominique Baker – Consultant gynaecologist
Dr Mohamed Elmoursi – Consultant gynaecologist
Dr Ahmed Eissa – Consultant gynaecologist
Dr Steven Monaghan – Consultant gynaecologist
Dr Punukollu Durgadevi – Consultant gynaecologist
NHS Fife is committed to providing respectful, person-centred care.
Please let staff know if you need additional support, interpretation, or adjustments.
Gynaecology clinic
3rd Floor
Queen Margaret Hospital
Whitefield Road
Dunfermline
KY12 0SU
01383 623623 extension 20934
Questions or concerns
If you have questions before or after your appointment, please contact:
Ashley Stewart – Lead nurse
