There is a trend towards performing hysteroscopy and endometrial biopsy on
an outpatient basis, as this alleviates the need for both an inpatient stay
and a general anesthesia. Despite the wide acceptance by medical staff, th
ere are few publications on how patients actually tolerate and accept these
procedures. We performed a survey on 185 patients attending the outpatient
hysteroscopy clinic at a teaching hospital to assess the degree of pain an
d their acceptance to those procedures using a visual analogue scale. All p
rocedures were successfully performed under no anesthesia without complicat
ions. The mean age of the patients was 48 (range 24-78) and 9.4% were nulli
paras. The mean pain experienced was 4.7 (SD 2.7) during hysteroscopy and 5
.0 (SD 2.9) during endometrial biopsy. The overall preference scores for th
e procedure to be done under was 3.1 (SD 3.7). About 7% of patients express
ed a preference for an overnight stay in hospital after the procedure, but
the preference score was low (2.5, SD 3.6). The procedure was well accepted
(8.3, SD 2.4) and highly recommended by the patients (8.4, SD 2.9). Outpat
ient hysteroscopy is well accepted and tolerated by patients.