Suzysunday - that sounds very interesting - had no idea it existed. In retrospect, I did feel my last hysteroscopy & biopsy, without the option of either pain relief (other than the recommended paracetamol beforehand) or sedation, was a bit much to expect a 5 years postmenopausal woman with inadequately controlled VA to endure. The nursing staff were clearly uncomfortable that I had to have it done that way too, but I think it was hospital policy. The biopsy was OK but the cramps were intense. They apologised for the discomfort & the shock of it, combined with their kindness, made me cry, which was embarrassing! I was not especially anxious about it beforehand, so hadn't been terribly tense to cause access to be more difficult.
KateJ - with any luck it won't be necessary for you to have the investigation, but if so, do push for either local or if you're happier with the idea - general anaesthetic. I prefer to avoid the latter if I can, as it usually doesn't agree with me, so feels like overkill for a short day case procedure. This is a quick procedure & I know some women find it OK without any medication, but I think better to be cautious & get whatever help is on offer & that way you go in feeling less anxious. Good luck, whatever happens.
Sorry - our posts crossed!