This study evaluates the efficacy and the safety of local anaesthesia with lidocaine spray to avoid the need for additional or general anaesthesia and reducing pain during out-patient hysteroscopy. This study evaluates also the efficacy and the safety of local anaesthesia with paracervical injection of lidocaine and giving of midazolam intravenously during out-patient culdoscopy. Design: Prospective study between 01.03.1999 and 30.06.1999. Patients: 62 patients underwent out-patient hysteroscopy clinic between 01.03.1999 and 30.06.1999. Culdoscopy performed in 10 of them as infertility-workup. Setting: Out-patient hysteroscopy clinic in the University Hospital of Vienna.