Whether scraping hurts or hysteroscopy hurts depends on the specific case. Hysteroscopy is divided into hysteroscopy and hysteroscopic treatment. Hysteroscopy pain is milder, only the probe is placed inside the woman’s uterus for examination, and no corresponding uterine operations are performed, so scraping is a little more painful. Therefore, hysteroscopy requires anesthesia, neither local anesthesia nor intravenous anesthesia. Patients who are afraid of pain can choose to have their uterus scraped under anesthesia. In addition to using a probe to enter the woman’s uterine cavity for observation, hysteroscopy also requires the use of an electric cutting ring or cold knife to cut open adhesions or remove abnormal tissue, in which case hysteroscopy is more painful than curettage. Regardless of the patient’s fear of pain, the hysteroscopy must be performed under anesthesia, and it needs to be done under intravenous anesthesia, with the option of general anesthesia if it is longer.