Friday 20 March 2026
Internal Reference Number: FOI_9215
Date Request Received: 10/02/2026 00:00:00
Date Request Replied To: 23/02/2026 00:00:00
This response was sent via: By Email
Request Summary: Hysteroscopy Pain Management
Request Category: Private Individuals
| Question Number 1: I would be grateful if you could supply the information listed below: Please supply a graph of your most recent audit of pain scores for a. diagnostic hysteroscopy b. operative hysteroscopy | |
| Answer To Question 1: Our Data includes both operative and Diagnostic Hysteroscopy together. Audit not yet complete - only 38 patients surveyed so far. To accompany this answer to question 1 please also see the documents listed below:  FOI 9215 Q1.docx | |
| Question Number 2: In the last 2 years how many/and what percentage of your hysteroscopy patients had the service of an anaesthetist giving general or regional anaesthetic or IV sedation plus analgesia for : a. diagnostic hysteroscopy b. operative hysteroscopy | |
| Answer To Question 2: Please see our response to Q2, Q7 and Q8 in the spreadsheet attached. To accompany this answer to question 2 please also see the documents listed below:  13524 - FOI_9215 - Hysteroscopy Pain Management.xlsx | |
| Question Number 3: Is Entonox routinely available for your awake hysteroscopy procedures. | |
| Answer To Question 3: Yes | |
| Question Number 4: Is Penthrox available for your awake hysteroscopy procedures? If so is this available to all patients from the outset of the procedure or only at the onset of pain? | |
| Answer To Question 4: No. Not currently available in gynae outpatients. | |
| Question Number 5: Do you offer IV sedation with analgesia for hysteroscopy in a. outpatients and b. day case/theatre. | |
| Answer To Question 5: No | |
| Question Number 6: Are you considering offering IV sedation with analgesia for hysteroscopy. If so would this be a new/separate clinic? | |
| Answer To Question 6: No currently considered in Outpatients. potentially will be available in Day surgery in the future - timeline not determined. Only 3 trusts in the UK offer conscious sedation at present. 2 do this in outpatients and one in A day surgery setting. | |
| Question Number 7: What percentage of your patients received any kind of anaesthesia for a. diagnostic hysteroscopy b. operative hysteroscopy | |
| Answer To Question 7: Diagnostic: unable to access that data. Operative 100% | |
| Question Number 8: What percentage of all your hysteroscopy procedures couldn't be completed due to pain or distress in a. diagnostic hysteroscopy b. operative hysteroscopy | |
| Answer To Question 8: See response to Q2. | |
| Question Number 9: Is it true that local anaesthesia is only offered if the patient is showing signs of pain during a. diagnostic hysteroscopy b. operative hysteroscopy | |
| Answer To Question 9: No. It is offered at the point of consent for Diagnostic Hysteroscopy. and it is given routinely for Operative Hysteroscopy. | |
| Question Number 10: Are over-the-counter medicines patients take at home and distraction techniques the ONLY pain management used for a. diagnostic hysteroscopy b. See and Treat polypectomy/myomectomy c. scheduled polypectomy/myomectomy d. endometrial ablation. | |
| Answer To Question 10: No. it is first line for Diagnostic with others available on arrival. Operative and Nova sure always have a prescribed Pre-med prior to procedure and Local anaesthetic. We do not currently offer a see and treat service. | |
| Question Number 11: Would you please supply a copy of your consent forms for all types of hysteroscopy procedures (Outpatient and day case with anaesthetist.) | |
| Answer To Question 11: Please see attached - The Trust uses either a standard SDH consent form or one of the forms attached To accompany this answer to question 11 please also see the documents listed below: Consent Form for Daycase and Inpatient Hysteroscopy SDH July 2020 V1.0 A4.docx Consent Form for Outpatient Hysteroscopy SDH July 2020 V1.0 A4.docx | |
| Question Number 12: Would you please supply or tell me where I can see, a recent Hologic audit of your Myosure service. | |
| Answer To Question 12: The requestor would need to approach Hologic for this audit, the team are not aware of the audit | |
| Please see Attachments: | |
| To return to the list of all the FOI requests please click here | |
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