Document Detail

Pain experienced during transvaginal ultrasound, saline contrast sonohysterography, hysteroscopy and office sampling: a comparative study.
MedLine Citation:
PMID:  18307203     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To evaluate and compare the pain experienced by women during transvaginal ultrasound, saline contrast sonohysterography (SCSH), diagnostic hysteroscopy and office sampling. METHODS: This was a descriptive study of 402 consecutive patients presenting at a 'one-stop' Bleeding Clinic between October 2004 and November 2006. Thirty-nine percent of the patients were postmenopausal. The patients underwent the following examinations transvaginally: first ultrasound with color Doppler, second SCSH, third diagnostic hysteroscopy and fourth endometrial biopsy. After completion of the examinations the patients were asked to complete a questionnaire including a visual analog scale (VAS) about their subjective appreciation of all four examinations. Two-hundred and ninety-three (72%) patients returned the questionnaire. RESULTS: The median (range) VAS scores for transvaginal ultrasound, SCSH, diagnostic hysteroscopy and endometrial sampling were 1.0 (0-8.1), 2.2 (0-10), 2.7 (0-10) and 5.1 (0-10), respectively (P < 0.0001). The patients' answers to the other questions about the pain experienced, including comparison with other minor procedures such as venous blood sampling, were all concordant with the VAS scores. CONCLUSIONS: Transvaginal ultrasound was the procedure best accepted, followed by SCSH, hysteroscopy and endometrial sampling. These results suggest that patients would prefer SCSH over hysteroscopy as an initial diagnostic approach in the evaluation of abnormal uterine bleeding.
T Van den Bosch; J Verguts; A Daemen; O Gevaert; E Domali; F Claerhout; V Vandenbroucke; B De Moor; J Deprest; D Timmerman
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology     Volume:  31     ISSN:  1469-0705     ISO Abbreviation:  Ultrasound Obstet Gynecol     Publication Date:  2008 Mar 
Date Detail:
Created Date:  2008-03-05     Completed Date:  2008-08-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9108340     Medline TA:  Ultrasound Obstet Gynecol     Country:  England    
Other Details:
Languages:  eng     Pagination:  346-51     Citation Subset:  IM    
Copyright Information:
(c) 2008 ISUOG. Published by John Wiley & Sons, Ltd.
Department of Obstetrics & Gynaecology, University Hospitals, K.U.Leuven, Leuven, Belgium.
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MeSH Terms
Analysis of Variance
Contrast Media
Hysteroscopy / methods*
Middle Aged
Pain / etiology*,  psychology
Pain Measurement
Patient Satisfaction
Prospective Studies
Sodium Chloride / diagnostic use
Uterine Hemorrhage / diagnosis*,  psychology
Uterus / pathology,  ultrasonography*
Reg. No./Substance:
0/Contrast Media; 7647-14-5/Sodium Chloride
Comment In:
Ultrasound Obstet Gynecol. 2008 Jul;32(1):118-9; author reply 119   [PMID:  18570222 ]

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