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Acceptance of outpatient flexible hysteroscopy by premenopausal and postmenopausal women

Agostini, A.; Bretelle, F.; Cravello, L.; Maisonneuve, A.S.; Roger, Vérie.; Blanc, B.

Journal of Reproductive Medicine 48(6): 441-443

2003

ISSN/ISBN: 0024-7758
PMID: 12856515
Document Number: 560812
OBJECTIVE: To compare tolerance for and feasibility of outpatient flexible hysteroscopy in premenopausal and postmenopausal women. STUDY DESIGN: A comparative, prospective study including 475 premenopausal and 216 postmenopausal women who underwent outpatient hysteroscopy without analgesia. RESULTS: Mean pain score was higher in postmenopausal patients (1.55+-0.56 vs. 1.27+-0.38 (P<.0001)). Outpatient flexible hysteroscopy was feasible without analgesia in 471/475 premenopausal (99.2%) and 210/216 postmenopausal women (97.2%) (P=.07). CONCLUSION: Outpatient flexible hysteroscopy was feasible and well tolerated; local anesthesia should be reserved for postmenopausal women.

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