Hi , this is my personal experience , the procedure was carried out at John Radcliffe Women’s department Oxford , outpatient.
Been on current Hrt for around 4 years , I am 56 , use 50mg patches Estradiol change twice a week , 100mg Utrogeston tablet one a day orally , Estradiol 10mg pessaries and Tostran Gel twice a week below prescribed dosage as I had to fiddle with this to suit me.
Following bleeding , first time in over 5 years got referred to have scans , ultrasound and trans vaginal both of those fine but lining was 8.4mm so got referred for a hysteroscopy .
Scared myself silly ready all the women’s horror stories of this , I haven’t had kids so that made it worse.
Anyway just got back literally , from start to finish staff were absolutely amazing , talked me through it , asked my if I had any questions ? Said I was worried as not had children . They said I could request a GA if need be . I said I’m here now let’s give it a go , if it got too uncomfortable they said they would stop I could return for a GA.
So , I got ready on the chair and it started, all ok , then they use water pressure to open the cervix ok not nice but ok. I had a trainee doing it she was really nice , couldn’t get through the second part of cervix was tightly shut , she asked the head consultant to come and see . She came in and took over at request of trainee , started again, was ok just cramping and pressure from the water going into uterus like period pain . She got through “second door “ as they called it.

I was ok just bit uncomfortable . They found a polyp , everything else was fine . Took biopsy which was a sharp quick pain , then removed polyp bit more painful but not unbearable .
Whole thing took a little while as it was difficult to access my womb but not traumatising or unbearable , had taken paracetamol and ibuprofen before hand as that’s my go to pain relief that works for me.
Everyone is different but truly it was ok, would I have it done again that way ? Yes no problem bit Of cramping and bleeding but am ok.
I’m not trying to disprove other people’s experiences just I think it’s hard to find experiences that aren’t horrendous , as I found when looking , before my appointment .
As I said staff were amazing , trainee did nothing wrong , as I probably wasn’t the easiest patient having not had kids , they asked many times if I was ok to continue , not the most comfortable procedure but truly not as bad as I had thought it would be.
Hope this makes some other ladies build up to the appointment a little less traumatic than mine.