Office Hysteroscopy: King Hamad University Hospital Experience

Background & Objective: Office hysteroscopy (OH) is an efficient alternative for diagnosis and management of intrauterine pathology. The main goal of this study is to determine the usefulness and tolerability of OH in the patient population of a tertiary teaching hospital in the Kingdom of Bahrain. Methods: The total population consists of 101 patients who were prospectively included in the study from 2018 to 2020. The main indication for OH were abnormal uterine bleeding followed by post-menopausal bleeding. Results: The procedure was tolerable without analgesia in 93% of cases, analgesia was required in 3.96% of cases, and minor complications consisted of abdominal pain and dizziness (0.99%), as well as uterine bleeding (0.99 %). Given a success rate of 90% using a 1.8mm diameter hysteroscope, it can be concluded that OH with Etonox (N2O2) as an analgesic is a safe and feasible procedure for patients of varying ages and parities. Conclusion: OH is particularly useful in the workup of abnormal uterine bleeding, post-menopausal bleeding, assisted IUCD removal, endometrial biopsy, and the removal of small polyps.