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01-03-2020 | Infertility | Original Article

Fallopian tubal obstruction is associated with increased pain experienced during office hysteroscopy: a retrospective study

Authors: Péter Török, Szabolcs Molnár, Tünde Herman, Singh Jashanjeet, Rudolf Lampé, Gaetano Riemma, Salvatore Giovanni Vitale

Published in: Updates in Surgery | Issue 1/2020

Abstract

This study aimed at evaluating the pain experienced during office hysteroscopy, with selective tubal cannulation and chromopertubation, by women with and without tubal obstruction in order to determine if such condition would be associated with increased pain during the examination. Women with a history of infertility underwent in-office hysteroscopy with selective chromopertubation using a continuous flow office hysteroscope with a 5 Fr operating channel fitted with a 4 Fr catheter for the injection of methylene blue dye. Experienced pain was recorded on a Visual Analog Scale (VAS) during diagnostic hysteroscopy after access to the uterine cavity. Of 90 women, 58 (66.4%) were found with at least one patent fallopian tube and inserted in the group “any”, meanwhile 32 (33.6%) were categorized into group “none” as both tubes were judged obstructed. There was no significant difference between groups in BMI and primary infertility rate, but the difference was significant concerning mean age (32.6 vs. 35.8; p < 0.001). The mean VAS score was 3.34 (± 1.07) in the group “any” and 4.25 (± 1.11) in “none”. Comparing the VAS score of the two groups, the difference was significant (p < 0.001). Tubal occlusion may have a potential role in the pain experienced by women undergoing in-office hysteroscopy. Women with bilateral tubal occlusion experienced a higher level of pain compared with patients with at least one patent fallopian tube. Operators may use milder intrauterine pressure of fluid distension medium when these patients are undergoing in-office hysteroscopy to reduce discomfort.

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Title: Fallopian tubal obstruction is associated with increased pain experienced during office hysteroscopy: a retrospective study
Authors: Péter Török
Szabolcs Molnár
Tünde Herman
Singh Jashanjeet
Rudolf Lampé
Gaetano Riemma
Salvatore Giovanni Vitale
Publication date: 01-03-2020
Publisher: Springer International Publishing
Keywords: Infertility
Infertility
Hysteroscopy
Published in: Updates in Surgery / Issue 1/2020
Print ISSN: 2038-131X
Electronic ISSN: 2038-3312
DOI: https://doi.org/10.1007/s13304-020-00712-x

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Fallopian tubal obstruction is associated with increased pain experienced during office hysteroscopy: a retrospective study

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