Psychosocial and Clinical Characteristics Predicting Women's Acceptance of Office Hysteroscopy

Psychosocial and Clinical Characteristics Predicting Women's Acceptance of Office Hysteroscopy: An Observational Study

Study type:

Observational, prospective.

Objectives:

Primary:

Identify psychosocial and clinical factors that predispose to the occurrence of pain following office hysteroscopy

Secondary:

Stratify risk factors for pain previous Cesarean section and pain score repeat C section and pain score post-menopausal and pain score type of delivery and pain score body mass index and pain score history of dysmenorrhea and pain score, abnormal uterine bleeding and pain score previous surgery upon uterine cervix and pain score Characterize women's psychosocial profile and pain score Establish anxiety as a factor influencing pain perception using (State-Trait Anxiety Inventory for Adults).

Determine if there is a specified population who would benefit from procedure under anaesthesia

Study Overview

• Status: Completed
• Conditions: Pelvic Girdle Pain
• Intervention / Treatment: Procedure: office hysteroscopy

Detailed Description

Authors tend to compare pain in hysteroscopy in groups by scope size and variation in technique (e.g. 3mm versus 5mm scopes; vaginoscopic versus traditional speculum insertion approach), so score results reflect relative improvement in tolerability between groups, and they do not have as control an examination expected to be free of suffering.

To the investigators' knowledge there has to date never been an adequate judgement of the proportion of women in the group where pain is felt and should therefore be expected. Focus has always been put on the group of patients who are pain free (or where it is deemed acceptable).

Stating office hysteroscopy is painless because VAS score is halved by miniaturization seems an arbitrary statement for a small, but never the less important group of women.

It should be interesting to investigate factors which might contribute to pain in office hysteroscopy despite the fact the majority of the group will bear mild or no pain. The investigator believes that although reduction of scope size has brought about significant reduction in distress, it remains a painful procedure for some patients and therefore subjecting them to this ordeal may be regarded as an aggression; pain control interventions to reduce suffering might be considered (anxiolytic drugs, local, para-cervical or even general anaesthesia could be of interest in selected cases).

• Study Type: Observational
• Enrollment (Actual): 100

Contacts and Locations

Study Locations

• Portugal
  • Viseu, Portugal, 3500
    • Centro Hospitalar Tondela Viseu

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 90 years (Adult, Older Adult)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: Female

• Sampling Method: Non-Probability Sample

Study Population

All adult women scheduled for office hysteroscopy.

Eligibility criteria and informed consent:

Written informed consent; diagnosis of uterine abnormal bleeding, sonographic evidence of thickened endometrium, sterility workup, endometrial polyps or sub mucous myoma, foreign body extraction or insertion (i.e. sterilization) or other condition with indication for procedure and who meet study eligibility criteria; ability to fill in the study questionnaires

Description

Inclusion Criteria:

• women scheduled for office hysteroscopy Written informed consent; diagnosis of uterine abnormal bleeding, sonographic evidence of thickened endometrium, sterility workup, endometrial polyps or sub mucous myoma, foreign body extraction or insertion (i.e. sterilization) or other condition with indication for procedure and who meet study eligibility criteria; ability to fill in the study questionnaires.

Exclusion Criteria:

• refusal to participate in study innability to fill in the study questionnaires

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
office hysteroscopy in Nuligest	Pain score evaluated on a 10cm visual analogue scale	five to ten minutes after hystersocopy
office hysteroscopy in parous women	Pain score evaluated on a 10cm visual analogue scale	five to ten minutes after hystersocopy
office hysteroscopy in previous C section and repeat C section	Pain score evaluated on a 10cm visual analogue scale	five to ten minutes after hystersocopy

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
office hysteroscopy in post-menopausal women	Pain evaluated on a 10cm visual analogue scale	five to ten minutes after hystersocopy
office hysteroscopy and body mass index	Pain evaluated on a 10cm visual analogue scale	five to ten minutes after hystersocopy
office hysteroscopy and psychosocial profile (State-Trait Anxiety Inventory for Adults)	Pain evaluated on a 10cm visual analogue scale	five to ten minutes after hystersocopy
Women's Satisfaction with office hysteroscopy according to pain perceived	Pain evaluated on a 10cm visual analogue scale and satisfaction questionnaires	five to ten minutes after hystersocopy
office hysteroscopy in women with history of dysmenorrhea	Pain evaluated on a 10cm visual analogue scale	five to ten minutes after hystersocopy
office hysteroscopy in women with abnormal uterine bleeding	Pain evaluated on a 10cm visual analogue scale	five to ten minutes after hystersocopy
office hysteroscopy in women with previous surgery upon uterine cervix	Pain evaluated on a 10cm visual analogue scale	five to ten minutes after hystersocopy

Collaborators and Investigators

• Sponsor: Centro Hospitalar Tondela-Viseu
• Collaborators: Marta Fernandes, M.D. MSc; Sonia Gonçalves, M.D; José Damasceno Costa, M.D.; Antonio Pipa, M.D.; Raquel Oliveira, MSc.; nurse Catarina Mota; nurse Carla Santos
• Investigators: Principal Investigator: Antonio Paulo, MD, Centro Hospitalar Tondela-Viseu

Study record dates

Study Major Dates

• Study Start: March 1, 2015
• Primary Completion (Actual): September 1, 2015
• Study Completion (Actual): November 1, 2015

Study Registration Dates

• First Submitted: August 29, 2015
• First Submitted That Met QC Criteria: September 4, 2015
• First Posted (Estimate): September 7, 2015

Study Record Updates

• Last Update Posted (Estimate): February 2, 2017
• Last Update Submitted That Met QC Criteria: January 31, 2017
• Last Verified: January 1, 2017

More Information

Terms related to this study

• Keywords: following hysteroscopy
• Additional Relevant MeSH Terms: Pain; Neurologic Manifestations; Musculoskeletal Pain; Pelvic Pain; Pelvic Girdle Pain
• Other Study ID Numbers: ASP/asp