Abstract

Objective To evaluate the effectiveness of transcutaneous electrical nerve stimulation (TENS) as a pain control method during office hysteroscopy. Design A prospective, randomized study. Setting Centre for Minimally Invasive Surgery, Department of Gynecological Science and Perinatology, “La Sapienza” University, Rome, Italy. Patient(s) One hundred forty-two patients undergoing office hysteroscopy. Intervention(s) Application of a TENS device on the patient’s abdomen before and during office hysteroscopy. Main outcome measure(s) The level of pain experienced by the patients was assessed using a 10 cm visual analog scale; the side effects and changes in the hemodynamic parameters were evaluated. Result(s) The patients treated with TENS during hysteroscopy (group A, n = 71) were compared with a control group (group B, n = 71) on whom the TENS device was not used. The women in the TENS group experienced a significantly lower level of pain during hysteroscopy. No differences in side effects were observed between both group. Conclusion(s) TENS is a simple, efficient, and safe method of relieve pain during office hysteroscopy.

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