Severe Pain and Postoperative Effects during Hysterosalpingography: A Meta-Analysis

Area of Science:

• Reproductive medicine
• Diagnostic imaging
• Gynecology

Background:

• Hysterosalpingography (HSG) is a common diagnostic procedure.
• Patient pain perception during HSG requires further evaluation.
• Understanding pain impact is crucial for patient care and procedural acceptance.

Purpose of the Study:

• To evaluate the impact of pain on patients undergoing Hysterosalpingography (HSG).
• To assess the effectiveness of HSG in managing pain perception.
• To compare HSG outcomes with conventional diagnostic methods.

Main Methods:

• Systematic literature search of PubMed, PMC, and other journals for randomized controlled trials (RCTs) on HSG.
• Inclusion and exclusion criteria applied for article selection.
• Meta-analysis conducted using RevMan 5.4.1 software, with risk of bias assessment.

Main Results:

• Twelve studies (1530 experimental, 1545 control) were included.
• HSG significantly reduced visual analog scale (VAS) pain scores (95%CI -4.73 to -1.51, P=0.0001).
• HSG shortened pregnancy duration (95%CI -18.84 to -3.58, P=0.004) and increased pain-free patients (95%CI 1.80 to 10.43, P=0.001).

Conclusions:

• Hysterosalpingography (HSG) is associated with acceptable and time-limited pain.
• HSG offers benefits in reducing pain and improving pregnancy outcomes compared to conventional methods.
• Patient cooperation is essential for managing discomfort during HSG.