"Outpatient Hysteroscopy, Pipelle Biopsy & Mirena Insertion"
About: St James's University Hospital / Gynaecology St James's University Hospital Gynaecology LS9 7TF
Posted by KC87 (as ),
Here is my account of today's appointment. I'll also use the same passage to submit to Patient Opinion.
My GP made a referral for a hysteroscopy as a transvaginal ultrasound indicated the presence of a polyp and abnormal endometrial thickness.
After about 8 weeks I made a call to the bookings department as I'd still not been given an appointment at St James' Hospital, Leeds. The administrator said there was a cancellation for two days time which I happily agreed to take. I was provided with no information about the procedure only that I'd be awake and that there was no need to fast (only because I asked).
On arrival to the department I was met by the consultant who briefly explained the procedure and the things that can go wrong eg damage, infection etc and asked whether I'd like to try having a Mirena coil inserted at the end of he procedure. I agreed to this and signed my consent form. I was also asked whether I'd taken any painkillers in preparation. I explained that I hadn't as I wasn't advised to and assumed I'd be offered some to take now. I wasn't and the consultant, although pleasant, seemed more concerned that I'd not eaten breakfast!
The procedure began with irrigating my insides with water as I was bleeding. From the off it proved to be very uncomfortable. The introduction of the scope was extremely painful and was coupled with an intense pressure - it honestly felt as though the scope was going to pierce through the top of my uterus into my stomach. The staff in the room - the Consultant, Staff Nurse
and HCA were all very nice and tried to keep me talking throughout. I was just repeatedly told to relax my legs and my bottom which I found quite difficult considering the pain I was in. I don't remember having the endometrial biopsy as it was all a mix of intense pain and constant, strong period- like cramping. The insertion of the Mirena coil was a breeze after everything else that was done!
At the beginning of December I had a Colposcopy where several cervical biopsies were taken due to an abnormal smear. I thought this was uncomfortable but the Hysteroscopy was by far the worst pain I've had to endure. I've never had children and I'd say that I have a moderate to high pain tolerance so I feel great concern that this procedure is provided to a majority of women minus any sort of pain relief. Surely the risk of damage to the patient should they shift position suddenly is high enough to warrant at least minimal intervention, never mind the mental trauma? My upset doesn't lie with the staff in this instance, but the underlying policy that dictates that this is allowed to happen to women across the country within an NHS that promotes 'patient-centred care'.