Acceptance of outpatient flexible hysteroscopy by premenopausal and postmenopausal women.
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.
Agostini
Aubert
A
Department of Obstetrics and Gynecology B, La Conception Hospital, 147 Boulevard Baille, 13385 Marseille, France. aagostini@mail.ap-hm.fr
Bretelle
Florence
F
Cravello
Ludovic
L
Maisonneuve
Anne S
AS
Roger
Valérie
V
Blanc
Bernard
B
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