Hello EllieJ, I'm so sorry you had to go through this. I had 3 hysteroscopies over a span of about 20 years. The first was under GA because they were doing laparoscopy & D&C at the same time. The 2nd was with local anaesthetic & light IV sedation, straightforward & by far the best of the 3 for me. The last was in mid 50s, I'm a small woman, no kids, with at the time inadequately treated GSM & increasingly difficult smear tests with cervix always hard to locate. I wasn't given any option but to have the hysteroscopy without sedation or pain relief, just advised to take 2 paracetamol beforehand which were totally inadequate for the degree of pain. The attendant nurses were very kind & clearly uncomfortable that women are put in this situation but the shock of the pain, the embarrassment of feeling like a wuss & their kindness combined to leave me in tears to my further mortification so that I actually found myself apologising. Luckily I've since had a hysterectomy (also not without difficult consequences), but would not have wanted a repeat of the 3rd hysteroscopy experience, which seemed to me little short of barbaric.
Adenomyosis & endometriosis were found on hysterectomy, so if already present at the time of the 3rd hysteroscopy, perhaps contributed to the degree of discomfort.
Imo women should always be given options for how they wish a hysteroscopy to be performed, with advice well beforehand that for some it can be shockingly painful & about what's involved with GA & its variable aftermath for anyone who's never been anaesthetised before. So, as fully prepared as possible with the outcome being properly informed consent.
I hope it helps a little to know you're not alone in feeling angry & as I was assured on the day - definitely not a wuss.
W
