The goal of this study is to find out whether a small amount of lidocaine (a common local anesthetic) can reduce pain during office hysteroscopy - a procedure used to look inside the uterus. The study will compare lidocaine to saline (salt water) to see which one helps more with pain relief.

Participants will:

1. Receive either lidocaine or saline gently applied inside the cervix right before the procedure
2. Undergo the hysteroscopy as planned
3. Be asked to rate their pain and satisfaction after the procedure

Lidocaine is commonly and safely used in dental and gynecological procedures. Participation is voluntary, and the procedure itself will not change.

Inclusion Criteria:

• Age > 18
• Referred for outpatient diagnostic or operative (see-and-treat) hysteroscopy
• Able and willing to provide written informed consent

Exclusion Criteria:

• Pregnancy
• Active pelvic inflammatory disease or cervicitis
• Inability to consent
• Anti-psychotic drugs usage
• Previews cervical surgery (i.e., conization).
• Any contraindication for office hysteroscopy- cervical malignancy, profuse uterine bleeding, invisible external os, recent uterine perforation.
• Known allergy or hypersensitivity to Lidocaine

IPD that underlie the results of the primary and secondary outcomes reported in any publication will be shared in anonymized format. Data will include coded patient level information and the data dictionary. Identifiable information will not be shared. Data will be available to qualified researchers upon request following publication of study results.

Data will be available starting 6 months after publication and for a period of 5 years

Access will be granted to researchers with approved scientific proposals. Requests will be reviewed by the principal investigator and institutional review board. Data will be shared through secure institutional channels.