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The use of topical anesthesia in diagnostic hysteroscopy and endometrial biopsy
1Department of Obstetrics and Gynecology, Università di Roma Tor Vergata, Italy.
Objective:
To show that intrauterine anesthesia is a reliable method for reducing pain associated with endocavitary procedures.
Design:
A prospective, randomized, double-blind study.
Setting:
The Department of Obstetrics and Gynecology, Tor Vergata University of Rome, Rome, Italy.
Patients:
Forty-five patients undergoing diagnostic hysteroscopy (n = 27) or hysteroscopy and endometrial biopsy (n = 18).
Interventions:
Five milliliters of 2% mepivacaine or saline solution were injected transcervically into the uterine cavity before performing the procedures.
Main Outcome Measures:
Evaluation of pain reduction on a visual analogue scale.
Results:
Pain expectation and pain reported were reduced during and after the procedures.
Conclusion:
Topical anesthesia effectively reduces pain during hysteroscopy and endometrial biopsy.