ObjectiveThe aim of the study was to compare the efficacy of intracervical anesthesia with that of combined intracervical and paracervical anesthesia in women undergoing office hysteroscopy.
Study designThe current study was a randomized controlled trial. The study included women referred for office hysteroscopy. The included women were randomized into one of the three groups: group 1 included women who received no local anesthesia; group 2 included women who received intracervical local anesthesia; and group 3 included women who received both intracervical and paracervical local anesthesia. Pain was assessed [using a 10-cm visual analog scale (VAS)] during the procedure and 10, 30, and 60 min after the procedure.
ResultsA total of 84 women were recruited into the trial. The median VAS for pain was significantly lower in women who received cervical analgesia (groups 2 and 3) when compared with women who received no analgesia (group 1), during the procedure as well as 10, 30, and 60 min after the procedure. The median VAS for pain was significantly lower in women who received combined intracervical and paracervical analgesia (group 3) when compared with women who received only intracervical analgesia (group 2) during the procedure and 10 min after the procedure. However, the difference between the latter two groups with respect to the VAS for pain 30 and 60 min after the procedure was not significant.
ConclusionWhen compared with intracervical anesthesia, combined intracervical and paracervical anesthesia was associated with less pain perception during the procedure and 10 min after the procedure in women undergoing office hysteroscopy.