November 26th, 2014

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Title:
Acceptance of Outpatient Flexible Hysteroscopy by Premenopausal and Postmenopausal Women
Authors:  Aubert Agostini, M.D., Florence Bretelle, M.D., Ludovic Cravello, M.D., Anne S. Maisonneuve, M.D., Valérie Roger, M.D., and Bernard Blanc, Ph.D.
  OBJECTIVE : To compare tolerance for and feasibility of outpatient flexible hysteroscopy in premenopausal and postmenopausal women.

STUDY DESIGN: 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).

CONCLUSION: Outpatient flexible hysteroscopy was feasible and well tolerated; local anesthesia should be reserved for postmenopausal women. (J Reprod Med 2003;48:441-443)
Keywords:  hysteroscopy, premenopause, postmenopause
   
   
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