Ambulatory Hysteroscopy: Evaluating Pain and Determining Factors

Study objective To measure pain using a visual analogue scale (VAS) and analyse its relationships with variables such as menopausal status, parity, uterine and cervical pathology, procedure length, and anxiety in patients undergoing ambulatory hysteroscopy (AH). Design Prospective observational stud...

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Published in:Journal of obstetrics and gynaecology of India 2023-10, Vol.73 (5), p.434-439
Main Authors: Malu, Avisha, Patvekar, Meenal, Kolate, Dipak, Laxmi, Kale Dhana
Format: Article
Language:English
Subjects:
Gynecology
Medicine
Medicine & Public Health
Obstetrics/Perinatology/Midwifery
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Summary:Study objective To measure pain using a visual analogue scale (VAS) and analyse its relationships with variables such as menopausal status, parity, uterine and cervical pathology, procedure length, and anxiety in patients undergoing ambulatory hysteroscopy (AH). Design Prospective observational study. Setting Dr DY Patil Medical Hospital and Research Centre, Dr.D.Y. Patil Vidyapeeth, Pimpri, Pune. Patients Seventy-five women. Intervention Ambulatory hysteroscopy(AH). Methodology AH was performed in seventy-five patients using vaginoscopic approach. At the end of the procedure, the intensity of pain was assessed using the visual analogue scale (VAS), from the score of 0 (no pain) to 10 (intolerable pain). The factors determining pain were assessed. Results Patients who underwent AH reported mild pain in 66% of cases, moderate pain in 22%, and severe pain in 12% of cases. The most frequent reason for referral was abnormal uterine bleeding (AUB). In the moderate pain group, the bivariate analysis was statistically significant for menopausal status ( P values 
ISSN:0971-9202
0975-6434
DOI:10.1007/s13224-023-01811-6