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No touch' vaginoscopy should be the standard technique for outpatient hysteroscopy, especially where successful insertion of a vaginal speculum is anticipated to be difficult and where blind endometrial biopsy is not required Using this 'no touch' approach and not using a speculum is considered to partly reduce the uncomfortable or painful aspect of the procedure. However, traditionally at the end of the vaginoscopy and removal of the scope, a speculum is passed to allow the passage of an endometrial sampling device under direct visualisation through the external os and blindly into the uterine cavity [2]. This activity would appear to be at odds with the claims to a 'no touch' procedure.