7536 Can Body Mass Index be a Predictor of Pain during Office Hysteroscopy? Findings from a Single-Center Study

Abstract

<h3>Study Objective</h3> Improved technology and miniaturization of the hysteroscopes has allowed for the implementation of office hysteroscopies. One of the most common factors resulting in failure to complete the procedure during office hysteroscopy is pain. Given a society with increasing rates of obesity, there is no available evidence as to whether there is an impact of obesity in a patient's pain tolerance, therefore we seek to determine the relationship between BMI and pain level during office hysteroscopy. <h3>Design</h3> Retrospective chart review of 115 office diagnostic hysteroscopies performed without anesthesia using vaginoscopy technique. <h3>Setting</h3> University-based clinic. <h3>Patients or Participants</h3> Patients older than 18 years old presenting for in-office hysteroscopy. <h3>Interventions</h3> In-office hysteroscopy without anesthesia performed using vaginoscopy technique with rigid 5 mm diagnostic hysteroscope with 30-degree optic lens. <h3>Measurements and Main Results</h3> VAS pain scale from 0-10 was used immediate after the procedure to quantify pain. <h3>Conclusion</h3> There is no association between BMI and pain during office hysteroscopy procedures, therefore BMI is not a predictor of pain. Further studies may consider using a larger sample. In a society with increasing rates of obesity, it is important to address potential barriers to care for our evolving population.