title: Effectiveness of paracervical block for pain relief in women undergoing hysterosalpingography.
abstract: OBJECTIVE
  To evaluate the potential benefit, in terms of pain relief, of the paracervical block with 2% lignocaine in women undergoing hysterosalpingography (HSG).
  
  
  METHODS
  This study was a prospective randomized controlled study.
  
  
  METHODS
  This study was conducted in infertility clinic of a tertiary care center.
  
  
  METHODS
  Four hundred and six patients undergoing HSG as a part of infertility evaluation were included in the study. These women were randomized into two groups: Group I received paracervical block with 2% lignocaine at the time of HSG (n= 53) and Group II (n= 53) served as control. Hyoscine (10 mg) oral tablet was given to all the patients 30 min before the procedure. Pain perception during the procedure was analyzed by the patient between 0 and 10 on a numeric rating scale, immediately after HSG.
  
  
  RESULTS
  The baseline demographic characteristics of participants in two groups were similar. Mean pain score immediately after HSG in the study group and control group was 4.84 ± 2.56 and 5.21 ± 1.89, respectively (P= 0.21).
  
  
  CONCLUSIONS
  There is no benefit of paracervical block with 2% lignocaine, in terms of pain relief, in women undergoing HSG.
authors.affiliation: Centre of IVF and Human Reproduction, Sir Ganga Ram Hospital, New Delhi, India.
authors.forename: Shikha
authors.initials: S
authors.lastname: Jain
authors.affiliation: Centre of IVF and Human Reproduction, Sir Ganga Ram Hospital, New Delhi, India.
authors.forename: Dattaprasad B
authors.initials: DB
authors.lastname: Inamdar
authors.affiliation: Centre of IVF and Human Reproduction, Sir Ganga Ram Hospital, New Delhi, India.
authors.forename: Abha
authors.initials: A
authors.lastname: Majumdar
authors.affiliation: Senior Resident, Department of Surgical Oncology, TATA Memorial Hospital, Mumbai, Maharashtra, India.
authors.forename: Deepak K
authors.initials: DK
authors.lastname: Jain
keywords: Hysterosalpingography; lignocaine; pain score; paracervical block