What to Expect
Hysteroscopy is a safe procedure. Problems such as injury to the cervix or the uterus, infection, heavy bleeding, or side effects of the anesthesia occur in less than 1% of cases.

Before Surgery
Hysteroscopy is best done during the first week or so after a menstrual period. This allows a better view of the inside of the uterus. If you are having a hysteroscopy in a hospital, you may be asked not to eat or drink for a certain time before the procedure. Some routine lab tests may be done. You will be asked to empty your bladder. Then your vaginal area will be cleansed with an antiseptic.

Anesthesia
Hysteroscopy may be performed with local, regional, or general anesthesia. The type used depends on a number of factors. This includes whether other procedures are being done at the same time. Where you have your surgery-in your doctor's office or in the hospital-also may affect the kind of pain relief used. You will want to discuss your options with your doctor. Before the procedure, your doctor may prescribe a medication to help you relax (a sedative) before the anesthetic is injected. When a local anesthetic is used, it is injected around the cervix to numb it. You will remain awake during the procedure. You may feel some cramping. With regional anesthesia, a drug will be injected to block the nerves that receive feeling from the pelvic region. You will be awake but will not feel any pain. The anesthetic will be given through a needle or tube in your lower back. This is called a spinal or epidural. With general anesthesia, you breathe a mixture of gases through a mask. You will not be conscious during the surgery. After the anesthetic takes ef-fect, a tube may be put down your throat to help you breathe.