Background: Hysteroscopy is used to visually examine the uterine cavity for structural defects, lesions, and other pathology. Pantaleoni conducted the first hysteroscopy in 1869, and subsequent advancements in technology have significantly expanded the capabilities of this procedure. Advancements in hysteroscopic equipment, including scopes, optics, distention media, and analgesics, have enhanced the practicality of office hysteroscopy (OH) and improved comfort for patients. The benefits of OH include the ability to forgo general anesthesia, increased convenience for both the patient and physician, quicker recovery time, and increased cost-effectiveness compared to the operating room (OR)