Firstly, I want to say, that I did not want to write this with everything that is going on. I did not want to criticise the NHS. But when a gynaecologist posts on twitter asking whether it is safe to do outpatient hysteroscopy and say they are concerned at this because hysteroscopies are aerosol generating procedures and there will always be some blood in some cases, I felt I needed to comment.
A lot of this could be solved by using CO2. CO2 was abandoned, not solely but mainly because of the cost. It also endangers staff as close patient contact is necessary. A recent, large trial sh