Sarah Denton

Thank you Dr Sundir. I believe culture does have to change about talking about women's issues. It is not acceptable to play down the pain caused by a hysteroscopy, trivializing it to that of discomfort and period like pain and inferring that if it is bad then you are at fault and have a low pain threshold. Pain is too complex and I am very concerned at the tsunami of phsyco biophysical babble that is interfering with dealing with the serious issue of pain. I like your comment "everybody feels it". With the obvious pressures of finance within the NHS, I do think we need to put the breaks on and give more time to this procedure so that informed consent is obtained, that a calm caring supportive environment is created. That as you said, across the board the wide range of pain relief should be available to all. Your practice of using a local safety standards for invasive procedures check list would I think challenge a lot of staff to treat it with more respect if introduced nationally.