Abstract
This study was conducted to assess whether women would prefer to undergo saline infusion sonography (SIS) or office hysteroscopy for the investigation of the uterine cavity. In a randomised controlled trial, 100 patients underwent SIS or office hysteroscopy for assessing patients' pain scores. After the investigation, 92 of them were asked to fill out an anonymous questionnaire addressing their preference regarding the method of evaluation and treatment of the uterine cavity. A control group, consisting of 50 women who never underwent SIS or office hysteroscopy, was also asked to complete an identical questionnaire. The questionnaire was completed by 113 women (83.7%). Twenty-four (21.2%) women would opt for SIS, whereas 52 (46.0%) would opt for office hysteroscopy, and 37 (32.7%) had no preference. If therapy would be necessary, 48.7% of the women would opt for an outpatient treatment, whereas 33.0% of the women would prefer treatment under general anaesthesia. Despite the fact that SIS is less painful, the majority of the women prefer office hysteroscopy. Additionally, therapy in an outpatient setting is preferred to a day case setting.
Highlights
Hysteroscopy is widely accepted to be the accurate standard for investigation of the uterine cavity [1, 2]
Because preferences were strongly related to previous investigation, we present them by group as well (Fig. 2)
We found that, given a choice, the majority of women would prefer to undergo office hysteroscopy for further investigation of the uterine cavity
Summary
Hysteroscopy is widely accepted to be the accurate standard for investigation of the uterine cavity [1, 2]. With the introduction of SIS, several authors showed that SIS provided less discomfort for patients compared to office hysteroscopy [4, 5]. Since the development of smaller diameter hysteroscopic systems and the introduction of a ‘vaginoscopic’ approach to hysteroscopy (without speculum and tenaculum), patient compliance has improved considerably [6]. We recently showed in a randomised comparison of outpatient vaginoscopic hysteroscopy and SIS that the latter still is significantly less discomforting [9]. To follow up on this, we undertook a survey to determine which form of investigation (SIS or office hysteroscopy) women prefer and for what reasons
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
