Pain Management In-Office Hysteroscopy in Postmenopausal Women
Office hysteroscopy without anesthesia allows diagnosis and treatment of endometrial pathology. Although generally well accepted by women, it can be associated with significant pain and anxiety, being the former the most important cause of failure. Parity, cervical synechiae, and longer waiting are some of the factors that have been more clearly associated with higher pain scores.
Over the last decade, researchers have been working to reduce pain, modifying hysteroscopy devices but also evaluating different pharmacological and nonpharmacological interventions. Some of these strategies are well known, and some needed to be improved.
KeywordsOffice hysteroscopy Endometrial pathology Outpatient hysteroscopy Pain Vaginoscopy Patient satisfaction
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