I had a hysteroscopy under general anaesthetic 2 weeks ago. I had one WITHOUT anaesthetic the week before that and it wasn’t successful as I have fibroids and there was a large fibroid in the way so the doctor said a general anaesthetic was called for. I went in as a day case for the general anaesthetic, had a pre-op the week before (blood tests, blood pressure, ECG, Covid swab, perineal swab, long questionnaire by a nurse). I also had another Covid test 3 or 4 days before the op and then had to shield at home until the day. Quite a palaver, but it had to be done that way. The hysteroscopy without anaesthetic was quite painful (and the doctor couldn’t reach the area she needed to) but maybe it was painful because I’d got the fibroid(s) blocking the entrance! I had 2 paracetamols before the hysteroscopy without anaesthetic as advised. Hope all goes well with your hysteroscopy, whether you decide on anaesthetic or not.