“…Raymundo 20 found body mass index (BMI) and history of previous curettage to lower pain perception, while menopause and dysmenorrhea would predict higher pain score; association as a determinant however was low. Fonseca in 2009 21 evaluated uterine retroversion as pain predictor and concluded there was no association with pain at hysteroscopy. Finally Mazzon 22 found a protective role in parity, while cervical synechiae and duration of procedure correlated with higher visual analogue score (VAS) for pain.…”