Psychosocial and Clinical Characteristics Predicting Women's Acceptance of Office Hysteroscopy
Condition: Pelvic Girdle Pain
MeSH terms: Pelvic Girdle Pain
Study type: Observational [Patient Registry]

Summary: 
      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
    

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).
    

Intervention name(s): office hysteroscopy
Intervention type(s): Procedure
Intervention description(s): diagnostic procedure
Other intervention name(s): hysteroscopy,; mini-hysteroscopy
Observational model: Cohort
Time perspective: Prospective
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
      
Keywords: following hysteroscopy