Percepção da dor em histeroscopia no consultório

• Autor(a) principal: Pinto,Ana Patrícia
• Data de Publicação: 2016
• Outros Autores: Sousa,Vera, Martino,Patrícia Di, Mairos,João
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: http://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-58302016000400003
• topic: Hysteroscopy; Pain; Time

Overview and Aims: The aim of our study was to evaluate which variables are able to influence the perception of pain during office hysteroscopy. Study Design: A prospective observational study was carried out. Population: Two hundred and sixty six women who underwent a total of 288 office hysteroscopies between February 2012 and August 2014. Methods: After the procedure, all patients were asked to complete a questionnaire using a 0-10 pain scale. Results: The mean pain level was 4.04 and the mean duration of the procedure was 24.88 minutes. Hysteroscopic anesthesia was used in 74 out of a total of 288 procedures. The duration of the procedure was directly related to the pain levels recorded by the patients (p<0.01). The presence of cervical stenosis also contributed for higher levels of pain (p<0.05) and a prior vaginal delivery was a protective factor. The postmenopausal status, use of misoprostol and the histeroscopist experience didn't influence the level of pain. Conclusion: The duration of procedure and the presence of cervical stenosis were significantly related to higher levels of pain during office hysteroscopy.