Office Hysteroscopy And Pain

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Office Hysteroscopy And Pain

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Office Hysteroscopy And Pain

  1. 1. OFFICE HYSTEROSCOPY AND PAIN: OUR EXPERIENCE Espejo Catena, M.R.* Martínez Payá, M.J. Cruz Simón, J.L. Rubio Valverde, A. Ramos Sanvalero, A. Naranjo de la Puerta, F.G. Hospital de La Ribera. Alzira. Valencia. Spain
  2. 2. STUDY OBJECTIVE <ul><li>To evaluate the level of pelvic pain in outpatient diagnostic hysteroscopy and the influence of menopause, nulliparity or the menstrual cycle phase. </li></ul>
  3. 3. MATERIAL AND METHODS <ul><li>Prospective study, performed from January to June, 2004 </li></ul><ul><li>246 patients referred for diagnostic office hysteroscopy </li></ul><ul><li>Technical procedure performed by a means of a 4 mm traditional optic Hamou I Storz with a 5 mm thick outer diagnostic sheath </li></ul><ul><li>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) </li></ul>
  4. 4. MATERIAL AND METHODS <ul><li>Patient characteristics </li></ul>
  5. 5. MATERIAL AND METHODS <ul><li>Hysteroscopy indications </li></ul>
  6. 6. MATERIAL AND METHODS <ul><li>Hamou I hysteroscope </li></ul>
  7. 7. MATERIAL AND METHODS <ul><li>Visual analogue scale </li></ul>
  8. 8. MATERIAL AND METHODS <ul><li>STATISTICAL ANALYSIS </li></ul><ul><ul><li>Student’s t test </li></ul></ul><ul><ul><li>X2-test </li></ul></ul><ul><ul><li>p < 0.05 considered statistically significant. </li></ul></ul>
  9. 9. RESULTS <ul><li>The mean + SD pain score was 4.5 + 2.9. </li></ul>
  10. 10. RESULTS <ul><li>Pelvic pain divided into four classes according to the VAS. A comparison between post menopausal and pre menopausal women (X2 p=0.742) </li></ul>
  11. 11. RESULTS <ul><li>Pelvic pain divided into four classes according to the VAS. A comparison between multiparous and nulliparous women (X2 p=0.287) </li></ul>
  12. 12. CONCLUSION <ul><li>The level of pain experienced by our patients during office hysteroscopy was mild-moderate with no differences between the groups studied excepting nulliparous women </li></ul>
  13. 13. M.R. Espejo-Catena, M.D. Department of Obstetrics and Gynaecology Thank you

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