The use of topical anesthesia in diagnostic hysteroscopy and endometrial biopsy.
OBJECTIVE
To show that intrauterine anesthesia is a reliable method for reducing pain associated with endocavitary procedures.


METHODS
A prospective, randomized, double-blind study.


METHODS
The Department of Obstetrics and Gynecology, Tor Vergata University of Rome, Rome, Italy.


METHODS
Forty-five patients undergoing diagnostic hysteroscopy (n = 27) or hysteroscopy and endometrial biopsy (n = 18).


METHODS
Five milliliters of 2% mepivacaine or saline solution were injected transcervically into the uterine cavity before performing the procedures.


METHODS
Evaluation of pain reduction on a visual analogue scale.


RESULTS
Pain expectation and pain reported were reduced during and after the procedures.


CONCLUSIONS
Topical anesthesia effectively reduces pain during hysteroscopy and endometrial biopsy.
Department of Obstetrics and Gynecology, Università di Roma Tor Vergata, Italy.
E
E
Zupi
A A
AA
Luciano
E
E
Valli
D
D
Marconi
F
F
Maneschi
C
C
Romanini
D000772:Anesthesia, Local; D001706:Biopsy; D004311:Double-Blind Method; D004717:Endometrium / Q000473:pathology*; D005260:Female; D006801:Humans; D015907:Hysteroscopy; D008619:Mepivacaine / Q000008:administration & dosage; D011446:Prospective Studies; D014599:Uterus
D008619:Mepivacaine