Pain Associated Office Hysteroscopy Clinical Trial
Official title:
Comparison of Pain Accompanying the Use of 3.7 mm and 4 mm Office Hysteroscopy in Nullipara: A Randomized Clinical Trial
The purpose of the investigators'study was To compare 2 different diameter rigid hysteroscopy
in vaginoscopic approach regarding pain during and after the procedure.
And to evaluate patient acceptability and tolerability in order to determine the best way to
perform hysteroscopy in an outpatient setting.
Office hysteroscopy is used as diagnostic tool to investigate abnormal uterine bleeding and
other diseases involving the uterine cavity one of The main limitation to its widespread use
is feared from pain and low patient tolerability Narrower diameter hysteroscopy and
endometrial biopsy devices are being developed to improve the acceptability of office
hysteroscopy. Miniature optical systems allow performance of most diagnostic and operative
hysteroscopy (after proper patient selection) in an outpatient or office setting .Flexible
hysteroscopy seem to be less painful at the beginning and during the procedure ,but the
optical qualities are poor Hysteroscopy is safe, feasible and accurate procedure for
diagnosing intrauterine pathology.
Provision of outpatient based diagnostic and operative services are gaining prominence as a
standard of cure but the experience of pain can be off-putting for patients having outpatient
diagnostic hysteroscopy.
saline solution is an excellent alternative to carbon dioxide in women undergoing outpatient
hysteroscopy, and there are fewer complications
;