title: Acceptance of outpatient flexible hysteroscopy by premenopausal and postmenopausal women.
abstract: OBJECTIVE
  To compare tolerance for and feasibility of outpatient flexible hysteroscopy in premenopausal and postmenopausal women.
  
  
  METHODS
  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).
  
  
  CONCLUSIONS
  Outpatient flexible hysteroscopy was feasible and well tolerated; local anesthesia should be reserved for postmenopausal women.
authors.affiliation: Department of Obstetrics and Gynecology B, La Conception Hospital, 147 Boulevard Baille, 13385 Marseille, France. aagostini@mail.ap-hm.fr
authors.forename: Aubert
authors.initials: A
authors.lastname: Agostini
authors.forename: Florence
authors.initials: F
authors.lastname: Bretelle
authors.forename: Ludovic
authors.initials: L
authors.lastname: Cravello
authors.forename: Anne S
authors.initials: AS
authors.lastname: Maisonneuve
authors.forename: Valérie
authors.initials: V
authors.lastname: Roger
authors.forename: Bernard
authors.initials: B
authors.lastname: Blanc
mesh_terms: D000328:Adult; D000772:Anesthesia, Local; D005260:Female; D006801:Humans; D020702:Hysteroscopes / Q000009:adverse effects*; D015907:Hysteroscopy / Q000009:adverse effects* / Q000379:methods*; D008875:Middle Aged; D010045:Outpatients; D010146:Pain / Q000209:etiology*; D017060:Patient Satisfaction; D017698:Postmenopause; D017697:Premenopause