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Office Hysteroscopy And Pain

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Mar鱈a Rita Espejo
Mar鱈a Rita Espejo

This study evaluated the level of pelvic pain experienced during outpatient diagnostic hysteroscopy. 246 patients underwent office hysteroscopy using a 4mm traditional optic hysteroscope. Pain was rated on a visual analogue scale from 0-10. The mean pain score was 4.5. There was no significant difference in pain levels between pre-menopausal and post-menopausal women or between multiparous and nulliparous women, except nulliparous women experienced more pain. In conclusion, the pain during office hysteroscopy was generally mild to moderate.

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OFFICE HYSTEROSCOPY AND PAIN: OUR EXPERIENCE Espejo Catena, M.R.* Mart鱈nez Pay叩, M.J. Cruz Sim坦n, J.L. Rubio Valverde, A. Ramos Sanvalero, A. Naranjo de la Puerta, F.G. Hospital de La Ribera. Alzira. Valencia. Spain
STUDY OBJECTIVE To evaluate the level of pelvic pain in outpatient diagnostic hysteroscopy and the influence of menopause, nulliparity or the menstrual cycle phase.
MATERIAL AND METHODS Prospective study, performed from January to June, 2004 246 patients referred for diagnostic office hysteroscopy Technical procedure performed by a means of a 4 mm traditional optic Hamou I Storz with a 5 mm thick outer diagnostic sheath Level of pain rated according to a 0-10 visual analogue scale (0= no pain; 1-3=mild pain; 4-7= moderate pain; 8-10= severe pain)
MATERIAL AND METHODS Patient characteristics
MATERIAL AND METHODS Hysteroscopy indications
MATERIAL AND METHODS Hamou I hysteroscope
MATERIAL AND METHODS Visual analogue scale
MATERIAL AND METHODS STATISTICAL ANALYSIS Students t test X2-test p < 0.05 considered statistically significant.
RESULTS The mean + SD pain score was 4.5 + 2.9.
RESULTS Pelvic pain divided into four classes according to the VAS. A comparison between post menopausal and pre menopausal women (X2 p=0.742)
RESULTS Pelvic pain divided into four classes according to the VAS. A comparison between multiparous and nulliparous women (X2 p=0.287)
CONCLUSION The level of pain experienced by our patients during office hysteroscopy was mild-moderate with no differences between the groups studied excepting nulliparous women
M.R. Espejo-Catena, M.D. Department of Obstetrics and Gynaecology Thank you

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Office Hysteroscopy And Pain

  • 1. OFFICE HYSTEROSCOPY AND PAIN: OUR EXPERIENCE Espejo Catena, M.R.* Mart鱈nez Pay叩, M.J. Cruz Sim坦n, J.L. Rubio Valverde, A. Ramos Sanvalero, A. Naranjo de la Puerta, F.G. Hospital de La Ribera. Alzira. Valencia. Spain
  • 2. STUDY OBJECTIVE To evaluate the level of pelvic pain in outpatient diagnostic hysteroscopy and the influence of menopause, nulliparity or the menstrual cycle phase.
  • 3. MATERIAL AND METHODS Prospective study, performed from January to June, 2004 246 patients referred for diagnostic office hysteroscopy Technical procedure performed by a means of a 4 mm traditional optic Hamou I Storz with a 5 mm thick outer diagnostic sheath Level of pain rated according to a 0-10 visual analogue scale (0= no pain; 1-3=mild pain; 4-7= moderate pain; 8-10= severe pain)
  • 4. MATERIAL AND METHODS Patient characteristics
  • 5. MATERIAL AND METHODS Hysteroscopy indications
  • 6. MATERIAL AND METHODS Hamou I hysteroscope
  • 7. MATERIAL AND METHODS Visual analogue scale
  • 8. MATERIAL AND METHODS STATISTICAL ANALYSIS Students t test X2-test p < 0.05 considered statistically significant.
  • 9. RESULTS The mean + SD pain score was 4.5 + 2.9.
  • 10. RESULTS Pelvic pain divided into four classes according to the VAS. A comparison between post menopausal and pre menopausal women (X2 p=0.742)
  • 11. RESULTS Pelvic pain divided into four classes according to the VAS. A comparison between multiparous and nulliparous women (X2 p=0.287)
  • 12. CONCLUSION The level of pain experienced by our patients during office hysteroscopy was mild-moderate with no differences between the groups studied excepting nulliparous women
  • 13. M.R. Espejo-Catena, M.D. Department of Obstetrics and Gynaecology Thank you