The last few years in gynaecology have seen a major move from inpatient gynaecology to outpatient procedures. This obviously is far more convenient to the women as outpatient procedures disrupt life much less and does not take up hospital beds. It is the ideal management where an inpatient stay and a general anaesthetic are not needed.

The hysteroscopy clinic has been in existence for about three years. The women that come to this clinic are those who are being screened for lesions inside the uterus which cannot be identified any other way. Either using no anaesthetic or local anaesthetic a camera is introduced into the uterus and this gives clear vision of the cavity. The vast majority in this group are completely normal and therefore women can be reassured that despite the fact that they have symptoms there is no serious lesion causing these. It is hoped that this service will beextended in the future so that it will be accessible to more women.