Abstract
One hundred seventy-seven women aged 41 ± 8 (mean ± SD) years, referred for evaluation of excessive uterine bleeding, were enrolled in an open-label randomized trial to evaluate the efficacy of local anesthesia before hysteroscopy in an outpatient population. The patients underwent hysteroscopy and endometrial biopsy with paracervical block by 10 mL of 1% mepivacaine hydrochloride solution (n = 87) or no local anesthesia (n = 90) and assessed lower abdominal and pelvic pain according to a 10-point linear analog scale. The mean ± SD pain score was 4.5 ± 2.0 at hysteroscopy and 5.2 ± 2.1 at endometrial biopsy in the 87 subjects given a paracervical block versus 4.9 ± 2.2 and 5.7 ± 2.4 in the 90 women not given local anesthesia, without statistically significant differences. Paracervical anesthesia for routine outpatient hysteroscopy in premenopausal women may be superfluous.
Original language | English |
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Pages (from-to) | 1083-1085 |
Number of pages | 3 |
Journal | Fertility and Sterility |
Volume | 62 |
Issue number | 5 |
Publication status | Published - 1994 |
Keywords
- endometrium
- Hysteroscopy
- local anesthesia
- menorrhagia
ASJC Scopus subject areas
- Obstetrics and Gynaecology