I attended a 2 week referral for post menapausal bleed stating I would require an out patient Hysteroscopy. I was not anxious despite knowing that it was to check for possible womb cancer. As the literature had described the procedure was like a smear test I had no concern. During the quick consultation I was informed biopsies were required but it would not be painful but may experience period like pain.
The procedure started and a nurse was chatting away, hairdresser like chat, I thought it quiet irritating. I later discovered it is a distraction technique!! The consultant inserted a speculum, he then announced that the cervix was very tight considering I was only 2 years post menapause. Then I experienced the worst pain I have ever experienced in my life!! I felt faint, the room was spinning. I found myself trying not to vomit & breathed slowly to try not to pass out. I heard the consultant say " are you still in the room" I could not reply. The pain had been caused by the hysterscope passing through the cervix.
He was now in the uterine cavity and was filling the womb with saline, this was uncomfortable but bearable. Then he announced he was planning to take biopsies. He took 3 and with each one I felt labour type pains, these continued for hours following the procedure and duller pains were experienced several days after requiring pain relief.
Following the procedure he instructed me to get dressed and join him at his desk. I felt extremely shaky and was struggling to believe what I had just experienced! I negotiated myself around a bowl below the chair that was filled with saline and blood. I was quite horrified by this, what on earth had happened to me. The nurse passed me a sanitary pad and left me to dress.
I joined the consultant behind the screen once dressed, I believe I was in shock. I have no idea what he said and could not wait to get out of that room. The nurse returned me to the waiting room & said I could leave when I was ready.
I walked to the hospital entrance in tears wondering how I was going to drive home?? I figured it not safe, I was in tears and in pain. So I called my partner from work. I got home, went to bed and cried for several days.
Two years later, I experienced another PMB. I went to my GP dreading that they would refer me for another Hysteroscopy. When the GP confirmed this I just broke down in tears.
However the GP referred me too an alternative hospital within the Trust. They completed a vaginal ultrasound first & confirmed I would require a hysteroscopy. I informed the consultant that I would not agree to this in a conscious state. It was agreed that I could have a GA. This procedure went ahead within the 2 week timescale. I obviously had no pain during the procedure they removed a polyp & I did not require any pain relief post op. Bleeding was also minimal.
The literature for the original hysteroscopy was seriously lacking as was the consultants information. I do not believe I gave my informed consent on that occassion. To be honest the info for the 2nd was no better, it is just I had managed to inform myself and know my rights to request a GA.
My trust has now adopted the RCOG patient info leaflet. However not all trust are offering the full information. Until they do they are wilfully in breach of montgomery consent.
This has to change.