Anxiety at outpatient hysteroscopy

Gambadauro, Pietro; Navaratnarajah, Ramesan; Carli, Vladimir

doi:10.1007/s10397-015-0895-3

Cited by 65 publications

(34 citation statements)

References 71 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This is particularly important because anxiety can have repercussions on success of the procedure, as well as on overall patient experience and satisfaction. 7 Implementation of non-pharmacological interventions, such as patient education, communication through traditional or multimedia approaches, music listening, interaction and support during the procedure are potential tools that can help reducing anxiety at hysteroscopy. Some evidence shows that nurses and nurse technicians play a relevant role in surgery-related anxiety reduction.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Prevalence and intensity of pain during diagnostic hysteroscopy in women attending an infertility clinic: analysis of 489 cases

Pegoraro

Santos

Takamori

et al. 2019

Einstein (São Paulo)

View full text Add to dashboard Cite

Objective To investigate the prevalence and intensity of pain perception during diagnostic hysteroscopy in women and potential related factors.Methods A total of 489 women were investigated at an infertility clinic. Fluid diagnostic hysteroscopy was performed without analgesia or anesthesia by gynecologists with different levels of experience in operative hysteroscopy, using a 2.9mm rigid scope. The Visual Analog Scale was used to score pain intensity after vaginal speculum insertion and after hysteroscopy. Data collected included age, ethnicity, body mass index, history of infertility and endometrial surgery (curettage and/or hysteroscopy), smoking habits, and hysteroscopy diagnosis. Only the state of anxiety was assessed by the State-Trait Anxiety Inventory given to each patient before the procedure.Results Hysteroscopy median (25th to 75th) Visual Analog Scale scored 3.3 (3 to 5), and 41.7% of the women referred Visual Analog Scale score ≥4. Median (25th to 75th) State-Trait Anxiety Inventory score was 42 (38 to 45), and 58.3% of the women referred State-Trait Anxiety Inventory score >40. Hysteroscopy Visual Analog Scale score was significantly correlated to surgeon experience and to vaginal speculum insertion but not to State-Trait Anxiety Inventory score, ethnicity or abnormal hysteroscopic findings.Conclusion Diagnostic hysteroscopy was mostly perceived as a mild discomfort procedure by most women. Nevertheless, in a considerable number of cases, women perceived hysteroscopy as painful. Pain perception was linked to individual pain threshold and surgeon experience, but not to pre-procedural anxiety state levels, ethnicity or abnormal hysteroscopic findings.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Nonetheless, the effect of anxiety on pain perception during diagnostic hysteroscopy has not been well defined yet. 7…”

Section: Introductionmentioning

confidence: 99%

Prevalence and intensity of pain during diagnostic hysteroscopy in women attending an infertility clinic: analysis of 489 cases

Pegoraro

Santos

Takamori

et al. 2019

Einstein (São Paulo)

View full text Add to dashboard Cite

show abstract

“…The findings of a meta‐analysis indicate that pain intensity is significantly associated with instrument size . Besides experienced pain, anxiety before and during procedure was evaluated and described as well . A number of factors (gender of the surgeon, indication of the procedure, etc) were analyzed, but neither these factors nor the experienced pain showed a direct correlation with anxiety.…”

Section: Discussionmentioning

confidence: 99%

Suprapubic pressure facilitates the procedure of office hysteroscopy: A randomized controlled trial

Török

Herman

Lőrincz

et al. 2018

J of Obstet and Gynaecol

View full text Add to dashboard Cite

Aim: To minimize the experienced pain during office hysteroscopy, a number of technical approaches and maneuvers are used. The aim of the study was to assess the effect of suprapubic pressure (SuPuP) applied during hysteroscopy. The impact of this maneuver on experienced pain (assessed by visual analog scale [VAS]) and duration of passage through the cervical canal was measured and compared to a reference group with no SuPuP. Methods: Hysteroscopy was performed in study subjects as part of their infertility work-up. Patients were randomized into two groups as part of a controlled trial. In group 1, SuPuP was applied while inserting the scope; in group 2, SuPuP was not applied. Pain experienced during the procedure was measured on a 0-10 VAS. Duration of passage through the cervical canal was measured by analyzing the video of the procedure. The effect of SuPuP was estimated by testing for between-groups differences in these outcomes. Results: The number of patients included the study was 60. Mean (SD) VAS score was 3.40 (1.276) in group 1 compared to 3.33 (0.802) in group 2 (P = 0.809). Mean (SD) time of passage through the cervical canal in group 1 was 30.5 (18.37) seconds compared to 43.0 (24.51) seconds in group 2 (P = 0.029). Conclusion: Applying suprapubic pressure could facilitate the procedure by significantly shortening the duration of the passage through the cervical canal, but significantly not reduces the pain experienced during hysteroscopy. Further studies are to be undertaken to investigate the advantages of suprapubic pressure during office hysteroscopy.

show abstract

“…The patients were followed up for 3-33 months. The two groups were compared in terms of pregnancy rates, abortion rates, postoperative satisfaction, the incidence of postoperative complications and degree of anxiety and depression using selfevaluation form (SAS) and depression self-assessment form (SDS) [7]. On a scale of 39 points, scores greater than 7 indicates no anxiety or depression; scores between 7 and 11 means mild anxiety or depression; scores greater than 11 indicates the presence of anxiety or depression [7].…”

Section: Patient Follow-upmentioning

confidence: 99%

Clinical efficacy of hysteroscopic surgery combined with extensive care by professional nursing teams in the treatment of patients with intrauterine adhesions

Liu¹,

Enlan²,

Xu³

2018

biomedicalresearch

View full text Add to dashboard Cite

Patients with intrauterine adhesions may exhibit serious medical problems such as infertility and miscarriage. In this study, we aimed to evaluate the clinical efficacy of hysteroscopic surgery combined with extensive care during the preoperative, intraoperative and postoperative phase of the procedure by professional nursing teams in the management of patients with intrauterine adhesions. 98 patients with intrauterine adhesions enrolled from October 2013 to June 2016 were randomly divided into a control group (49 cases) who received drug therapy and an observation group (49 cases) who underwent hysteroscopic surgery combined with extensive care during the preoperative, intraoperative and postoperative phase of the procedure. Our data showed that the conception rate in observation group (85.7%) was significantly higher than that of control group (59.2%) (P=0.033). Additionally, the abortion rate (0.0%) and the incidence of postoperative complications (8.2%) in the observation group was significantly lower than those in the control group (3.4% and 8.2%) (P<0.05). Moreover, satisfaction scores in observation group (100%) is significantly higher than that in the control group (81.6%) (P=0.026). Furthermore, there is significant less anxiety or depression in the observation group than in the control group (P<0.05). Together, we find that hysteroscopic surgery combined with extensive care during the preoperative, intraoperative and postoperative phase of the procedure by professional nursing teams considerably improve the clinical outcomes of patients with intrauterine adhesions.

show abstract

Anxiety at outpatient hysteroscopy

Cited by 65 publications

References 71 publications

Prevalence and intensity of pain during diagnostic hysteroscopy in women attending an infertility clinic: analysis of 489 cases

Prevalence and intensity of pain during diagnostic hysteroscopy in women attending an infertility clinic: analysis of 489 cases

Suprapubic pressure facilitates the procedure of office hysteroscopy: A randomized controlled trial

Clinical efficacy of hysteroscopic surgery combined with extensive care by professional nursing teams in the treatment of patients with intrauterine adhesions

Contact Info

Product

Resources

About