IMR Press / CEOG / Volume 46 / Issue 5 / DOI: 10.12891/ceog4841.2019

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on as a courtesy and upon agreement with S.O.G.

Open Access Original Research
Does uterine position affect pain intensity during outpatient diagnostic hysteroscopy?
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1 Local Health Authority of Reggio Emilia-IRCCS, Obstetrics and Gynecology Unit, Cesare Magati Hospital, Scandiano, Italy
2 Mother-Infant Department, Institute of Obstetrics and Gynecology, University of Modena and Reggio Emilia, Modena, Italy
*Correspondence: (L. GIANNELLA)
Clin. Exp. Obstet. Gynecol. 2019, 46(5), 787–791;
Published: 10 October 2019

Objective: To assess the impact of uterine position on pain intensity during outpatient diagnostic hysteroscopy. Materials and Methods: Retrospective data from 312 diagnostic hysteroscopy patients were evaluated. Pain was measured using a 10-cm visual analog scale (VAS). Analyses were performed to determine associations between uterine position [anteverted-anteflexed (AA), anteverted-retroflexed (AR), retroverted-anteflexed (RA), retroverted-retroflexed (RR)], and pain intensity during the procedure (VAS > 3 vs. VAS ≤ 3). Patient characteristics and clinical variables were evaluated using univariate and multivariate analysis. Results: Logistic regression analysis revealed no association between uterine position and pain intensity during outpatient diagnostic hysteroscopy [AA uterus, adjusted odds ratio (AOR) = 0.82, confidence interval (CI): 0.39-1.72; AR uterus, AOR = 0.65, CI: 0.25-1.71; RA uterus, AOR = 1.37, CI: 0.38- 4.84; RR uterus, AOR = 0.84, CI: 0.22-3.17]. Conclusion: The present data suggest that uterine position does not affect pain intensity during diagnostic hysteroscopy.

Uterine position
Version angle
Flexion angle
Figure 1.
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