Minor & bedside proceduresFree in the app
Hysteroscopy
PMB, abnormal bleeding, polyps, fibroids, lost coil, subfertility.
Source: BSGE/ESGE fluid guidelineOutpatient (vaginoscopic)
- No speculum; ≤3.5 mm scope with saline flowing.
- Steer through the cervix under vision.
- Lowest pressure giving a clear view (usually 70–100 mmHg, below MAP).
- Inspect cavity, both ostia and canal; biopsy or treat.
- Measure fluid in and out continuously.
Stop at fluid deficit
| Glycine | 1000 ml (750 ml if elderly / comorbid) — hyponatraemia risk |
|---|---|
| Saline | 2500 ml (1500 ml if elderly / comorbid) |
Risks
| Perforation | ~1 per 1000 (higher if operative) |
|---|---|
| Infection | ~1 per 100 |
| Bleeding | ~1 per 100 |
A summary for trained clinicians. Always check the full guideline, the patient in front of you and your hospital's protocol. Spotted an error? Tell us.