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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| Veröffentlicht in: | Journal of obstetrics and gynaecology of India 2023-10, Vol.73 (5), p.434-439 |
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| container_title | Journal of obstetrics and gynaecology of India |
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| creator | Malu, Avisha Patvekar, Meenal Kolate, Dipak Laxmi, Kale Dhana |
| description | 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 |
| doi_str_mv | 10.1007/s13224-023-01811-6 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10616044</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2885538338</sourcerecordid><originalsourceid>FETCH-LOGICAL-c354t-1dac414e31f105e7f42965d7c1029abbc9b32eaa291cac8899c1c241af5320963</originalsourceid><addsrcrecordid>eNp9kMtOwzAQRS0E4lH4ARYoSzYBjx9JzAYqXkVCggWsrYnrlFSJU-ykUv8elwKCDZIlW3Pv3BkfQo6BngGl-XkAzphIKeMphQIgzbbIPlW5TDPBxfbnG1LFKNsjByHMKZU5ZWKX7PFcQUYl3ydX47YcGuw7v0omq9Bb3wXTLVYXye0SmwH72s2SZ6xdgm6a3NhoaGu3Lt6hiV3hkOxU2AR79HWPyOvd7cv1JH18un-4Hj-mhkvRpzBFI0BYDhVQafNKMJXJaW6AMoVlaVTJmUVkCgyaolDKgGECsJKcUZXxEbnc5C6GsrVTY13vsdELX7foV7rDWv9VXP2mZ91SA83iX4WICadfCb57H2zodVsHY5sGne2GoFlRSMkLHs-IsI3VRBzB2-pnDlC9Zq837HVkrz_Z6_WGJ783_Gn5hh0NfGMIUXIz6_W8G7yL1P6L_QDLtZAH</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2885538338</pqid></control><display><type>article</type><title>Ambulatory Hysteroscopy: Evaluating Pain and Determining Factors</title><source>SpringerLink (Online service)</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Malu, Avisha ; Patvekar, Meenal ; Kolate, Dipak ; Laxmi, Kale Dhana</creator><creatorcontrib>Malu, Avisha ; Patvekar, Meenal ; Kolate, Dipak ; Laxmi, Kale Dhana</creatorcontrib><description>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 < 0.001), cervical pathology (< 0.001), and duration of procedure (0.001) and in multivariate analysis nulliparity (0.001) and menopausal status (0.001) were the significant determining factors.
In severe pain group, the bivariate analysis was statistically significant for cervical pathology (
P
value = 0.001) and in multivariate analysis cervical pathology (0.003) and uterine pathology (0.002) were the significant determining factors.
Conclusion
Hysteroscopy is a safe, painless and a gold standard procedure. Pain experienced during AH was significantly influenced by cervical pathology. Gynaecologists in practise should receive training and start using AH to assess the endometrial cavity.</description><identifier>ISSN: 0971-9202</identifier><identifier>EISSN: 0975-6434</identifier><identifier>DOI: 10.1007/s13224-023-01811-6</identifier><identifier>PMID: 37916053</identifier><language>eng</language><publisher>New Delhi: Springer India</publisher><subject>Gynecology ; Medicine ; Medicine & Public Health ; Obstetrics/Perinatology/Midwifery ; Original ; Original Article</subject><ispartof>Journal of obstetrics and gynaecology of India, 2023-10, Vol.73 (5), p.434-439</ispartof><rights>Federation of Obstetric & Gynecological Societies of India 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c354t-1dac414e31f105e7f42965d7c1029abbc9b32eaa291cac8899c1c241af5320963</cites><orcidid>0000-0002-8371-5559</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10616044/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10616044/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,41488,42557,51319,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37916053$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Malu, Avisha</creatorcontrib><creatorcontrib>Patvekar, Meenal</creatorcontrib><creatorcontrib>Kolate, Dipak</creatorcontrib><creatorcontrib>Laxmi, Kale Dhana</creatorcontrib><title>Ambulatory Hysteroscopy: Evaluating Pain and Determining Factors</title><title>Journal of obstetrics and gynaecology of India</title><addtitle>J Obstet Gynecol India</addtitle><addtitle>J Obstet Gynaecol India</addtitle><description>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 < 0.001), cervical pathology (< 0.001), and duration of procedure (0.001) and in multivariate analysis nulliparity (0.001) and menopausal status (0.001) were the significant determining factors.
In severe pain group, the bivariate analysis was statistically significant for cervical pathology (
P
value = 0.001) and in multivariate analysis cervical pathology (0.003) and uterine pathology (0.002) were the significant determining factors.
Conclusion
Hysteroscopy is a safe, painless and a gold standard procedure. Pain experienced during AH was significantly influenced by cervical pathology. Gynaecologists in practise should receive training and start using AH to assess the endometrial cavity.</description><subject>Gynecology</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Obstetrics/Perinatology/Midwifery</subject><subject>Original</subject><subject>Original Article</subject><issn>0971-9202</issn><issn>0975-6434</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp9kMtOwzAQRS0E4lH4ARYoSzYBjx9JzAYqXkVCggWsrYnrlFSJU-ykUv8elwKCDZIlW3Pv3BkfQo6BngGl-XkAzphIKeMphQIgzbbIPlW5TDPBxfbnG1LFKNsjByHMKZU5ZWKX7PFcQUYl3ydX47YcGuw7v0omq9Bb3wXTLVYXye0SmwH72s2SZ6xdgm6a3NhoaGu3Lt6hiV3hkOxU2AR79HWPyOvd7cv1JH18un-4Hj-mhkvRpzBFI0BYDhVQafNKMJXJaW6AMoVlaVTJmUVkCgyaolDKgGECsJKcUZXxEbnc5C6GsrVTY13vsdELX7foV7rDWv9VXP2mZ91SA83iX4WICadfCb57H2zodVsHY5sGne2GoFlRSMkLHs-IsI3VRBzB2-pnDlC9Zq837HVkrz_Z6_WGJ783_Gn5hh0NfGMIUXIz6_W8G7yL1P6L_QDLtZAH</recordid><startdate>20231001</startdate><enddate>20231001</enddate><creator>Malu, Avisha</creator><creator>Patvekar, Meenal</creator><creator>Kolate, Dipak</creator><creator>Laxmi, Kale Dhana</creator><general>Springer India</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-8371-5559</orcidid></search><sort><creationdate>20231001</creationdate><title>Ambulatory Hysteroscopy: Evaluating Pain and Determining Factors</title><author>Malu, Avisha ; Patvekar, Meenal ; Kolate, Dipak ; Laxmi, Kale Dhana</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c354t-1dac414e31f105e7f42965d7c1029abbc9b32eaa291cac8899c1c241af5320963</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Gynecology</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Obstetrics/Perinatology/Midwifery</topic><topic>Original</topic><topic>Original Article</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Malu, Avisha</creatorcontrib><creatorcontrib>Patvekar, Meenal</creatorcontrib><creatorcontrib>Kolate, Dipak</creatorcontrib><creatorcontrib>Laxmi, Kale Dhana</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of obstetrics and gynaecology of India</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Malu, Avisha</au><au>Patvekar, Meenal</au><au>Kolate, Dipak</au><au>Laxmi, Kale Dhana</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ambulatory Hysteroscopy: Evaluating Pain and Determining Factors</atitle><jtitle>Journal of obstetrics and gynaecology of India</jtitle><stitle>J Obstet Gynecol India</stitle><addtitle>J Obstet Gynaecol India</addtitle><date>2023-10-01</date><risdate>2023</risdate><volume>73</volume><issue>5</issue><spage>434</spage><epage>439</epage><pages>434-439</pages><issn>0971-9202</issn><eissn>0975-6434</eissn><abstract>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 < 0.001), cervical pathology (< 0.001), and duration of procedure (0.001) and in multivariate analysis nulliparity (0.001) and menopausal status (0.001) were the significant determining factors.
In severe pain group, the bivariate analysis was statistically significant for cervical pathology (
P
value = 0.001) and in multivariate analysis cervical pathology (0.003) and uterine pathology (0.002) were the significant determining factors.
Conclusion
Hysteroscopy is a safe, painless and a gold standard procedure. Pain experienced during AH was significantly influenced by cervical pathology. Gynaecologists in practise should receive training and start using AH to assess the endometrial cavity.</abstract><cop>New Delhi</cop><pub>Springer India</pub><pmid>37916053</pmid><doi>10.1007/s13224-023-01811-6</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-8371-5559</orcidid></addata></record> |
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| subjects | Gynecology Medicine Medicine & Public Health Obstetrics/Perinatology/Midwifery Original Original Article |
| title | Ambulatory Hysteroscopy: Evaluating Pain and Determining Factors |
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