Has anyone had a hysteroscopy?

Posted by rashida @rashida, Jan 22 4:36am

I am going to have a hysteroscopy tomorrow and I am feeling extremely anxious about it, because even a transvaginal ultrasound is very painful for me. I have asked if I would be given some sort of local anaesthetic to numb the vaginal area before the procedure and I was told I wouldn’t. How much pain is involved with this procedure?

My previous doctor had stopped doing Pap smears on me after I turned 70 because they were always extremely painful. Now at age 77 I am told that for this hysteroscopy the doctor will need to do a Pap smear first before the hysteroscopy which involves filling the uterus with water to do an ultrasound of the uterus.

Could anyone who has had a hysteroscopy done share their experience? What is the pain level, and what are the chances of having any complications during the procedure like the uterus rupturing, as my doctor mentioned to me that results of my transvaginal ultrasound indicated I have a very thin uterine lining.

The transvaginal ultrasound was not enough to get a good picture of the uterus, which is why I am being sent for this hysteroscopy.

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@naturegirl5 the doctor who tried to do this was, from what I understood, an ultrasound specialist experienced in performing hysteroscopies, not a gynaecologist. She said she would recommend that my GP refer me to a gynocologist who can do my hysteroscopy in a hospital. I told her that the reason I was referred here is because my doctor couldn’t find a hospital that did this procedure in a hospital as hospitals don’t do them now. Even my next door neighbour had a uterine biopsy done in her gynecologist’s office. She too went through a lot of pain because anesthesia is not allowed in office settings.

Hospitals are so backlogged in Canada - especially Ontario - procedures that once were done only in hospitals are now being performed in clinics and doctors’ offices.

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@rashida

@naturegirl5 the doctor who tried to do this was, from what I understood, an ultrasound specialist experienced in performing hysteroscopies, not a gynaecologist. She said she would recommend that my GP refer me to a gynocologist who can do my hysteroscopy in a hospital. I told her that the reason I was referred here is because my doctor couldn’t find a hospital that did this procedure in a hospital as hospitals don’t do them now. Even my next door neighbour had a uterine biopsy done in her gynecologist’s office. She too went through a lot of pain because anesthesia is not allowed in office settings.

Hospitals are so backlogged in Canada - especially Ontario - procedures that once were done only in hospitals are now being performed in clinics and doctors’ offices.

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@rashida I've been reading your helpful comments and questions on some of the other discussions. I'm wondering where you are with trying to get the hysteroscopy in Ontario. Would the hysteroscopy be accompanied by a D&C (dilation & curetage)? I had both of these. I ask this because I wonder if a D&C could be scheduled at a hospital in Ontario where you can have anesthesia. What other options are available to you?

I listen and/or read the CBC news most every day and there is often information about the lack of primary care providers and the backlogs in hospitals. This includes EDs that have to close during certain hours because they are understaffed.

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@naturegirl5

@rashida I've been reading your helpful comments and questions on some of the other discussions. I'm wondering where you are with trying to get the hysteroscopy in Ontario. Would the hysteroscopy be accompanied by a D&C (dilation & curetage)? I had both of these. I ask this because I wonder if a D&C could be scheduled at a hospital in Ontario where you can have anesthesia. What other options are available to you?

I listen and/or read the CBC news most every day and there is often information about the lack of primary care providers and the backlogs in hospitals. This includes EDs that have to close during certain hours because they are understaffed.

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@naturegirl5 I live in Kitchener, Ontario. My doctor tried every hospital in the Wellington County area and apparently hospitals here will not do hysteroscopies. I later found out that it was a Nurse Practitioner who attempted to do the hysteroscopy at an ultrasound clinic.

I have now been referred to a gynaecologist and have a consult with her on May 8. The reviews on her have been negative for the most part, but my doctor has tried several gynaecologists in Kitchener and none others are taking new patients, so it’s a case of either see her, or forego the hysteroscopy which she may attempt - possibly in office without anesthesia since hospitals have stopped doing them here. 🤷🏼‍♀️

I have had daily pelvic pain ever since the January 23 fails attempt by the Nurse Practitioner.

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@rashida

@naturegirl5 I live in Kitchener, Ontario. My doctor tried every hospital in the Wellington County area and apparently hospitals here will not do hysteroscopies. I later found out that it was a Nurse Practitioner who attempted to do the hysteroscopy at an ultrasound clinic.

I have now been referred to a gynaecologist and have a consult with her on May 8. The reviews on her have been negative for the most part, but my doctor has tried several gynaecologists in Kitchener and none others are taking new patients, so it’s a case of either see her, or forego the hysteroscopy which she may attempt - possibly in office without anesthesia since hospitals have stopped doing them here. 🤷🏼‍♀️

I have had daily pelvic pain ever since the January 23 fails attempt by the Nurse Practitioner.

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@rashida I hope that that the consult on May 8 will be OK for you. I've never certain what to think about online reviews and I reserve judgment until I've actually met with someone. I recall saying before that it's surprising to me that Kitchener, Ontario has such a lack of gynecologists. It's not as if you are in a rural area of Ontario where you'd have to drive hours to find a provider.

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@naturegirl5

@rashida I hope that that the consult on May 8 will be OK for you. I've never certain what to think about online reviews and I reserve judgment until I've actually met with someone. I recall saying before that it's surprising to me that Kitchener, Ontario has such a lack of gynecologists. It's not as if you are in a rural area of Ontario where you'd have to drive hours to find a provider.

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@naturegirl15 it’s not just a problem in Kitchener, but all over Ontario, including big cities like Toronto. The healthcare system across Canada leaves a lot to be desired. Things have gone worse since the pandemic. Many doctors have taken early retirement because of burnout during Covid lockdown, then there are boomer doctors retiring and not enough new doctors coming in. There are several specialists here - but few taking new patients.

I have a friend who is a nurse working at a hospital in Toronto whose doctor retired over a year ago and she still hasn’t found a doctor willing to take on new patients! I even tried to get my former doctor in Toronto to take her in my place since I had moved to Kitchener and she too said emphatically she is not taking any new patients. She said if anything, she has entertained thoughts of retiring, herself - and I think she is only in her fifties. She must be, because I started going to her just about thirty years ago when she started practicing as a new doctor at a clinic. She now has her own practice.

My husband and I moved here in October 2022 and we are among the fortunate few who managed to find a family doctor taking new patients, a year later in November 2023. We literally asked anybody and everybody we came across here if their doctor was taking new patients! Finally, my neighbour overheard the receptionist at her doctor’s clinic telling someone they were getting a new doctor in who would be taking new patients. We rushed over immediately and signed up, and were given an introductory appointment with her for November 6, 2023. After our visit with the doctor we went up to the receptionist to ask if our doctor is still taking new patients so we could pass the information on to others looking for a doctor and would you believe we were told she is not taking in any more new patients!? This was merely days after we registered and got accepted!

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