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Clinical and Experimental Obstetrics & Gynecology  2019, Vol. 46 Issue (5): 787-791    DOI: 10.12891/ceog4841.2019
Original Research Previous articles | Next articles
Does uterine position affect pain intensity during outpatient diagnostic hysteroscopy?
L. Giannella1, *(), K. Mfuta1, L. B. Cerami1, F. Boselli2
1Local Health Authority of Reggio Emilia-IRCCS, Obstetrics and Gynecology Unit, Cesare Magati Hospital, Scandiano, Italy
2Mother-Infant Department, Institute of Obstetrics and Gynecology, University of Modena and Reggio Emilia, Modena, Italy
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Abstract  

Objective: To assess the impact of uterine position on pain intensity during outpatient diagnostic hysteroscopy. Materials and Methods: Retrospective data from 312 diagnostic hysteroscopy patients were evaluated. Pain was measured using a 10-cm visual analog scale (VAS). Analyses were performed to determine associations between uterine position [anteverted-anteflexed (AA), anteverted-retroflexed (AR), retroverted-anteflexed (RA), retroverted-retroflexed (RR)], and pain intensity during the procedure (VAS > 3 vs. VAS ≤ 3). Patient characteristics and clinical variables were evaluated using univariate and multivariate analysis. Results: Logistic regression analysis revealed no association between uterine position and pain intensity during outpatient diagnostic hysteroscopy [AA uterus, adjusted odds ratio (AOR) = 0.82, confidence interval (CI): 0.39-1.72; AR uterus, AOR = 0.65, CI: 0.25-1.71; RA uterus, AOR = 1.37, CI: 0.38- 4.84; RR uterus, AOR = 0.84, CI: 0.22-3.17]. Conclusion: The present data suggest that uterine position does not affect pain intensity during diagnostic hysteroscopy.

Key words:  Uterine position      Hysteroscopy      Pain      Version angle      Flexion angle     
Published:  10 October 2019     
*Corresponding Author(s):  L. GIANNELLA     E-mail:  lucazeta1976@libero.it

Cite this article: 

L. Giannella, K. Mfuta, L. B. Cerami, F. Boselli. Does uterine position affect pain intensity during outpatient diagnostic hysteroscopy?. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(5): 787-791.

URL: 

https://ceog.imrpress.com/EN/10.12891/ceog4841.2019     OR     https://ceog.imrpress.com/EN/Y2019/V46/I5/787

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