Lower Abdominal Pain During Office Hysteroscopy Can Assess Tubal Patency in Infertile Women

Study Overview
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Brief Summary
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Office hysteroscopy through vaginoscopic approach was done in gynecology out-patient clinic with saline distension medium. The presence or absence of lower abdominal pain and the side of pain were recorded. Then, transvaginal sonography within 20 minutes was done to detect the presence of free fluid in the pouch of Douglas. Then, laparoscopy with tubal chromopertubation was done.

Detailed Description
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Office hysteroscopy through vaginoscopic approach was done in gynecology out-patient clinic using a 4 mm endoscopic sheath & 30 ᵒ endoscopic camera with saline distension medium using 90-100 mmHg pressure. Meanwhile, the presence or absence of lower abdominal pain and the side of pain were recorded. Then, transvaginal sonography within 20 minutes was done to detect the presence of free fluid in the pouch of Douglas.Then, laparoscopy with tubal chromopertubation was done.

Official Title
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Lower Abdominal Pain During Office Hysteroscopy As A Guide In The Assessment Of Tubal Patency In Infertile Women

Conditions
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Infertility

Intervention / Treatment
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* Procedure: office hystroscopy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Infertile women normal semen analysis Exclusion Criteria: Ladies with evidence of upper or lower genital tract infections, presence of free fluid in the pouch of Douglas before hysteroscopy or pelvic pathology or those with cervical stenosis that required cervical dilatation prior to hysteroscopy

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 30 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Diagnostic
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: women with pain<br>women who felt pain at time of office hystroscopy at time of saline infusion and for 15 minutes after end of procedure | Procedure: office hystroscopy<br>* Office hysteroscopythrough vaginoscopic approach was done in gynecology out-patient clinic using a 4 mm endoscopic sheath & 30 ᵒ endoscopic camera with saline distension medium using 90-100 mmHg pressure<br>|
| Active Comparator: women without pain<br>women who didn't feel pain at time of office hystroscopy at time of saline infusion and for 15 minutes after end of procedure | Procedure: office hystroscopy<br>* Office hysteroscopythrough vaginoscopic approach was done in gynecology out-patient clinic using a 4 mm endoscopic sheath & 30 ᵒ endoscopic camera with saline distension medium using 90-100 mmHg pressure<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| lower abdominal pain as measured by Visual Analog Scale | Pain, as measured by Visual Analog Scale | at time of hystroscopy till 15 minutes after end of procedure | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Office Hysteroscopy, tubal patency, infertility, Lower Abdominal Pain