Objective To assess the outcome of the vaginoscopic approach to out-patient
microhysteroscopy using a 2.5-mm semi-rigid hysteroscope without using a s
peculum, tenaculum or analgesia.
Design A prospective observational study.
Setting Outpatient hysteroscopy unit of a large district general hospital.
Subjects 24 women referred to the outpatient hysteroscopy unit with abnorma
l uterine bleeding.
Results A total of 24 women had vaginoscopic outpatient microhysteroscopy O
f the procedures, 20 (83.4%) were successful using the technique and four (
16.6%) failed procedures occurred. Pain was not encountered during the proc
edure.
Conclusion Outpatient hysteroscopy with a semi-rigid 2.5-mm microhysterosco
pe using the vaginoscopic approach is a well-tolerated and successful techn
ique for the evaluation of abnormal genital tract bleeding.