Comparative analysis of pain outcomes in operative versus diagnostic hysteroscopy: the role of menopausal status
Abstract
Objectives: The study investigates the differential pain outcomes associated with operative and diagnostic hysteroscopy, with a focus on the influence of menopausal status on pain perception. This research aims to refine pain management strategies tailored to patient demographics in gynecological practices.
Methods: A total of 200 patients undergoing hysteroscopy were systematically evaluated. Pain intensity was assessed using the Visual Analog Scale (VAS). The study distinguished between operative and diagnostic procedures, with particular attention to the effect of menopausal status on pain scores. Compliance with CONSORT guidelines was ensured, and relevant clinical trial registration numbers were included.
Results: Pain scores did not significantly differ between operative and diagnostic hysteroscopies, suggesting that the invasiveness of the procedure might not directly correlate with pain perception. However, menopausal women reported significantly higher pain scores, indicating a possible increased sensitivity or decreased pain tolerance related to hormonal changes.
Conclusions: The results affirm that existing pain management protocols effectively mitigate discomfort across different hysteroscopic procedures. Nonetheless, the distinct pain profiles of menopausal women warrant the development of customized pain management strategies. Enhancing analgesic approaches for this subgroup could improve patient care and outcomes in gynecological settings.
Keywords
References
- 1. Aas-Eng MK, Langebrekke A, Hudelist G. Complications in operative hysteroscopy - is prevention possible? Acta Obstet Gynecol Scand. 2017;96(12):1399-1403. doi: 10.1111/aogs.13209.
- 2. Al-Fozan H, Firwana B, Al Kadri H, Hassan S, Tulandi T. Preoperative ripening of the cervix before operative hysteroscopy. Cochrane Database Syst Rev. 2015;2015(4):CD005998. doi: 10.1002/14651858.CD005998.pub2.
- 3. Almeida ZM, Pontes R, Costa Hde L. [Evaluation of pain in diagnostic hysteroscopy by vaginoscopy using normal saline at body temperature as distension medium: a randomized controlled trial]. Rev Bras Ginecol Obstet. 2008;30(1):25-30. doi: 10.1590/s0100-72032008000100005. [Article in Portuguese]
- 4. De Angelis C, Santoro G, Re ME, Nofroni I. Office hysteroscopy and compliance: mini-hysteroscopy versus traditional hysteroscopy in a randomized trial. Hum Reprod. 2003;18(11):2441-2445. doi: 10.1093/humrep/deg463.
- 5. Bosteels J, Weyers S, Kasius J, Broekmans FJ, Mol BW, D'Hooghe TM. Anti-adhesion therapy following operative hysteroscopy for treatment of female subfertility. Cochrane Database Syst Rev. 2015;(11):CD011110. doi: 10.1002/14651858.CD011110.pub2.
- 6. Centini G, Troia L, Lazzeri L, Petraglia F, Luisi S. Modern operative hysteroscopy. Minerva Ginecol. 2016;68(2):126-132.
- 7. Campo R, Molinas CR, Rombauts L, et al. Prospective multicentre randomized controlled trial to evaluate factors influencing the success rate of office diagnostic hysteroscopy. Hum Reprod. 2005;20(1):258-263. doi: 10.1093/humrep/deh559.
- 8. Carta G, Palermo P, Marinangeli F, et al. Waiting time and pain during office hysteroscopy. J Minim Invasive Gynecol. 2012;19(3):360-364. doi: 10.1016/j.jmig.2012.01.017.
Details
Primary Language
English
Subjects
Obstetrics and Gynaecology
Journal Section
Research Article
Early Pub Date
December 2, 2024
Publication Date
May 4, 2025
Submission Date
July 29, 2024
Acceptance Date
October 14, 2024
Published in Issue
Year 2025 Volume: 11 Number: 3