کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3957597 1255378 2007 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Predictive factors for pain experienced at office fluid minihysteroscopy
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی زنان، زایمان و بهداشت زنان
پیش نمایش صفحه اول مقاله
Predictive factors for pain experienced at office fluid minihysteroscopy
چکیده انگلیسی

Study objectiveFluid minihysteroscopy is in most cases a painless procedure. However, rarely, severe pain and side effects are reported. The goal of this study was to identify predictive factors of pain at minihysteroscopy.DesignProspective study (Canadian Task Force classification II-2).SettingAcademic environment.PatientsFive hundred thirty-three women undergoing fluid minihysteroscopy.InterventionsDiagnostic fluid minihysteroscopy.Measurements and main resultsThe women were asked to score pain perception on a visual analog scale from zero (no pain) to 5 (unbearable pain). Correlation between pain at procedure and parity, previous cesarean section (PCS), menopausal status, anxiety, and chronic pelvic pain (CPP) was evaluated. Four hundred thirteen women (78%) reported no pain or discomfort (0–1 pain score, group A), while 120 (22%) experienced mild to unbearable pain (2–5 pain score, group B). Instances of PCS, CPP, anxiety, and menopause were significantly lower in group A than in group B (4% vs 82%, 0% vs 29%, 62% vs 72%, 25% vs 72%, respectively), whereas menopausal status was less frequent in group A (25.2%) than in group B (72.5%). At binary logistic regression, all the variables were independent risk factors for pain; however, when CPP was stratified for intensity, no correlation between pain at procedure and intensity of CPP was found.ConclusionPrevious cesarean section, CPP, anxiety, and menopause are predictive factors for pain perception during fluid minihysteroscopy, and history of CPP even of low intensity is predictive of pain at hysteroscopy. These patients may benefit from local anesthesia.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Minimally Invasive Gynecology - Volume 14, Issue 4, July 2007, Pages 485–488
نویسندگان
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