Non-pharmacological pain control in outpatient hysteroscopies.

Juan J Amer-Cuenca, Alejandro Marín-Buck, Salvatore Giovanni Vitale, Valentina Lucia La Rosa, Salvatore Caruso, Antonio Cianci, Juan F Lisón

Journal: Minimally invasive therapy & allied technologies : MITAT : official journal of the Society for Minimally Invasive Therapy 2020;29(1):10-19

PMID: 30794005

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Abstract

Outpatient hysteroscopy has become the standard technique for gynaecological exploration of the uterine cavity. The most common reason for failure of the procedure is pain. During the last decade many studies were carried out to improve the equipment as well as the procedural technical aspects. Even so, hysteroscopy is still painful for many patients. Pharmacological pain control has been widely used for hysteroscopy, but these modalities can be invasive, have side effects and are contraindicated in many women. This review examines current literature on non-pharmacological interventions (pressure, stretching, heat, electricity, music and hypnosis) on the pain experienced during outpatient hysteroscopy.

Address: Department of Physiotherapy, Universidad Cardenal Herrera-CEU CEU Universities, Valencia, Spain.; Department of Surgery, Universidad Cardenal Herrera-CEU CEU Universities, Valencia, Spain.; Department of Gynecology, Hospital Provincial de Castellón, Castellón de la Plana, Spain.; Department of General Surgery and Medical Surgical Specialties, University of Catania, Catania, Italy.; Unit of Psychodiagnostics and Clinical Psychology, University of Catania, Catania, Italy.; Department of Medicine, Universidad Cardenal Herrera-CEU CEU Universities, Valencia, Spain.; CIBER of Physiopathology of Obesity and Nutrition CIBERobn, CB06/03 Carlos III Health Institute, Madrid, Spain.

DOI: 10.1080/13645706.2019.1576054

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MeSH Terms: Female, Humans, Hysteroscopy, Outpatients, Pain, Pain Management