title: [Influence of the level of training of the specialist in intra and post operative pain in patients who undergo officinal hysteroscopy ].
abstract: BACKGROUND
  There are variable results regarding the risk factors associated with levels of pain during office hysteroscopy.
  
  
  OBJECTIVE
  Describe levels of pain in Colombian patients who undergo office hysteroscopy performed by doctors in training.
  
  
  METHODS
  Case series study. Conducted in patients who undergo office hysteroscopy without anesthesia in outpatient clinic in May 2012. The procedure was performed by Gynecologists in training and under supervision of the specialist. The Obstetric and Gynecological history was obtained through questionnaire. The pain perception, according to visual analog scale (VAS), was taken at three moments during the study: (1) 5 minutes before the procedure, (2) At the end of the procedure, (3) 10 minutes after the procedure.The major outcomes were: VAS 0-4, considered as absent or mild pain and VAS 5-10 considered as moderate or severe pain.
  
  
  RESULTS
  We studied 44 patients, aged between 29 and 65 years. The group of patients with a VAS score >5 was mainly compose by: (1) Patients older than 50 years (58.8%), (2) with positive history of C-section (66.7%), (3) with positive history of abortion (75%) and menopausal (56.3%).
  
  
  CONCLUSIONS
  47.7% of our patients presentVAS score > 5. The majority of this group was composed by patients with risk factors to have pain during office hysteroscopy. Then we can't conclude that the level of pain experimented by our patients was due to the level of training of the doctors.
authors.forename: Byron
authors.initials: B
authors.lastname: Cardoso-Medina
authors.forename: Jairo
authors.initials: J
authors.lastname: Moyano-Acevedo
authors.forename: R Alfonso
authors.initials: RA
authors.lastname: Arias-Alvarez
authors.forename: María Mónica
authors.initials: MM
authors.lastname: Rey-Atehortúa
authors.forename: Diana
authors.initials: D
authors.lastname: Diaz-Barreros
authors.forename: María Conchita
authors.initials: MC
authors.lastname: Solórzano-Aldana
mesh_terms: D000328:Adult; D000368:Aged; D000556:Ambulatory Surgical Procedures; D002983:Clinical Competence; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000193:education / Q000592:standards; D007431:Intraoperative Complications / Q000453:epidemiology*; D008875:Middle Aged; D009819:Office Visits; D010146:Pain / Q000453:epidemiology; D010147:Pain Measurement; D010149:Postoperative Pain / Q000453:epidemiology*