Pre-Operative Assessment for Hysteroscopy

Essential Medical History Questions

The American Society of Anesthesiologists recommends assessing general health status, including rating overall health and recent changes in health, to determine the risk of anesthesia and surgery 1, 2
The American Heart Association suggests asking about cardiovascular history, including heart attack, heart failure, and high blood pressure, to identify patients who may need to postpone elective surgery 3
Patients should be asked about pulmonary conditions, such as asthma and chronic lung disease, to assess their risk for anesthesia and surgery 1, 2
The American Diabetes Association recommends documenting metabolic disorders, including diabetes mellitus and liver disease, to determine the risk of anesthesia and surgery 1, 2
The American College of Cardiology suggests assessing hematologic issues, including bleeding disorders and anemia, to identify patients who may need to postpone elective surgery 1, 2
Patients should be asked about neurologic history, including seizure disorders, to assess their risk for anesthesia and surgery 1, 2
The American Academy of Neurology recommends screening for history of rheumatic fever to determine the risk of anesthesia and surgery 1, 2

The American College of Obstetricians and Gynecologists recommends asking about pregnancy status using non-gendered language to determine the risk of anesthesia and surgery 4, 5
Patients should be asked about menstrual pattern, including bleeding patterns and postmenopausal bleeding, to assess their risk for anesthesia and surgery 6, 7
The American Society for Reproductive Medicine suggests assessing previous uterine procedures, including dilation and curettage and endometrial biopsy, to determine the risk of anesthesia and surgery 8
Patients should be asked about history of uterine fibroids, polyps, or endometrial pathology to assess their risk for anesthesia and surgery 9

The American Society of Anesthesiologists recommends assessing functional capacity, including ability to perform 4 METs of activity, to determine the risk of anesthesia and surgery 3
Patients should be classified according to the American Society of Anesthesiologists physical status classification to determine the risk of anesthesia and surgery 1, 2

The American College of Radiology recommends reviewing transvaginal ultrasound findings, including uterine size and endometrial thickness, to assess the risk of anesthesia and surgery 6, 9
Patients should have their complete blood count assessed to determine the risk of anesthesia and surgery 6, 10
The American Society of Clinical Oncology suggests reviewing liver and renal function tests to determine the risk of anesthesia and surgery 6, 10

The American Medical Association recommends documenting patient's preferred name and pronouns to ensure respectful care 4, 5
Patients should have specific perioperative recommendations documented, including monitoring and medication adjustments, to ensure safe care 3
The American Academy of Ambulatory Surgical Facilities suggests arranging for responsible adult escort home for day cases with written discharge instructions 1, 2