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Acceptance of outpatient flexible hysteroscopy by premenopausal and postmenopausal women
Aubert Agostini1, Florence Bretelle, Ludovic Cravello
1Department of Obstetrics and Gynecology B, La Conception Hospital, 147 Boulevard Baille, 13385 Marseille, France. aagostini@mail.ap-hm.fr
Objective:
To compare tolerance for and feasibility of outpatient flexible hysteroscopy in premenopausal and postmenopausal women.
Study Design:
A comparative, prospective study including 475 premenopausal and 216 postmenopausal women who underwent outpatient hysteroscopy without analgesia.
Results:
Mean pain score was higher in postmenopausal patients (1.55 +/- 0.56 vs. 1.27 +/- 0.38 [P < .0001]). Outpatient flexible hysteroscopy was feasible without analgesia in 471/475 premenopausal (99.2%) and 210/216 postmenopausal women (97.2%) (P = .07).
Conclusion:
Outpatient flexible hysteroscopy was feasible and well tolerated; local anesthesia should be reserved for postmenopausal women.
