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.
Zupi
E
E
Department of Obstetrics and Gynecology, Università di Roma Tor Vergata, Italy.
Luciano
A A
AA
Valli
E
E
Marconi
D
D
Maneschi
F
F
Romanini
C
C
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