Abstract

PINTO, Ana Patrícia; SOUSA, Vera; MARTINO, Patrícia Di  and  MAIROS, João. Perception of pain in office hysteroscopy. Acta Obstet Ginecol Port [online]. 2016, vol.10, n.4, pp.286-291. ISSN 1646-5830.

Overview and Aims: The aim of our study was to evaluate which variables are able to influence the perception of pain during office hysteroscopy. Study Design: A prospective observational study was carried out. Population: Two hundred and sixty six women who underwent a total of 288 office hysteroscopies between February 2012 and August 2014. Methods: After the procedure, all patients were asked to complete a questionnaire using a 0-10 pain scale. Results: The mean pain level was 4.04 and the mean duration of the procedure was 24.88 minutes. Hysteroscopic anesthesia was used in 74 out of a total of 288 procedures. The duration of the procedure was directly related to the pain levels recorded by the patients (p<0.01). The presence of cervical stenosis also contributed for higher levels of pain (p<0.05) and a prior vaginal delivery was a protective factor. The postmenopausal status, use of misoprostol and the histeroscopist experience didn't influence the level of pain. Conclusion: The duration of procedure and the presence of cervical stenosis were significantly related to higher levels of pain during office hysteroscopy.

Keywords : Hysteroscopy; Pain; Time.

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