Effectiveness of vaginal misoprostol and rectal nonsteroidal anti-inflammatory drug in vaginoscopic diagnostic outpatient hysteroscopy in primarily infertile women: Double-blind, randomized, controlled trial

Journal of Minimally Invasive Gynecology

Volumn 20, Issue 6, 2013, Pages 880-885

  Hassa, Hikmet ^a   Aydin, Yunus ^a   Oge, Tufan ^a   Cicek, Kiymet ^a  

^a OSMANGAZI UNIVERSITY MEDICAL FACULTY   (Turkey)

Author keywords

Misoprostol; Nonsteroidal anti inflammatory drug; Outpatient hysteroscopy; Visual analog scale

Indexed keywords

ANALGESIC AGENT; DICLOFENAC; MISOPROSTOL; PLACEBO;

ADULT; ANALGESIA; ARTICLE; CONTROLLED STUDY; DOUBLE BLIND PROCEDURE; FAINTNESS; FEMALE; FEMALE INFERTILITY; HUMAN; HYSTEROSCOPY; LIKERT SCALE; MAJOR CLINICAL STUDY; OUTPATIENT CARE; PAIN ASSESSMENT; PROSPECTIVE STUDY; RANDOMIZED CONTROLLED TRIAL; TREATMENT OUTCOME; UTERUS CAVITY; VAGINOSCOPE; VISUAL ANALOG SCALE;

MISOPROSTOL; NONSTEROIDAL ANTI-INFLAMMATORY DRUG; OUTPATIENT HYSTEROSCOPY; VISUAL ANALOG SCALE;

ADMINISTRATION, INTRAVAGINAL; ADMINISTRATION, RECTAL; ADULT; ANALGESIA; ANALGESICS; ANTI-INFLAMMATORY AGENTS, NON-STEROIDAL; DOUBLE-BLIND METHOD; FEMALE; HUMANS; HYSTEROSCOPY; INFERTILITY, FEMALE; MISOPROSTOL; PAIN; PAIN MEASUREMENT; PREGNANCY; TREATMENT OUTCOME;

EID: 84886949006     PISSN: 15534650     EISSN: 15534669     Source Type: Journal    
DOI: 10.1016/j.jmig.2013.07.002     Document Type: Article

References (20)

1. Golan A., Ron-El R., Herman A., Soffer Y., Bukovsky I., Caspi E. Diagnostic hysteroscopy: its value in an in-vitro fertilization/embryo transfer unit. Hum Reprod 1992, 7:1433-1434.
2. Clinical Gynecologic Endocrinology and Infertility 2011, 1137-1191. Lippincott, Williams & Wilkins, Philadelphia, PA. 8th ed. L. Speroff, M.A. Fritz (Eds.).
3. Crosignani P.G., Rubin B.L. Optimal use of infertility diagnostic tests and treatments. Hum Reprod 2000, 15:723-732. The ESHRE Capri Workshop Group.
4. Karayalcin R., Ozcan S., Moraloglu O., Ozyer S., Mollamahmutoglu L., Batioglu S. Results of 2500 office-based diagnostic hysteroscopies before IVF. Reprod Biomed Online 2010, 20:689-695.
5. Garbin O., Kutnahorsky R., Göllner J.L., Vayssiere C. Vaginoscopic versus conventional approaches to outpatient diagnostic hysteroscopy: a two-center randomized prospective study. Hum Reprod 2006, 21:2996-3000.
6. Cooper N.A., Smith P., Khan K.S., Clark T.J. Vaginoscopic approach to outpatient hysteroscopy: a systematic review of the effect on pain. BJOG 2010, 117:532-539.
7. El-Mazny A., Abou-Salem N. A double-blind randomized controlled trial of vaginal misoprostol for cervical priming before outpatient hysteroscopy. Fertil Steril 2011, 96:962-965.
8. Polyzos N.P., Zavos A., Valachis A., et al. Misoprostol prior to hysteroscopy in premenopausal and post-menopausal women: a systematic review and meta-analysis. Hum Reprod Update 2012, 18:393-404.
9. Api O., Ergen B., Api M., Ugurel V., Emeksiz M.B., Unal O. Comparison of oral nonsteroidal analgesic and intrauterine local anesthetic for pain relief in uterine fractional curettage: a randomized, double-blind, placebo-controlled trial. Am J Obstet Gynecol 2010, 203:28.e1-28.e7.
10. Marjoribanks J., Proctor M., Farquhar C., Derks R.S. Nonsteroidal anti-inflammatory drugs for dysmenorrhoea. Cochrane Database Syst Rev 2010, (20):CD001751.
11. Lethaby A., Duckitt K., Farquhar C. Non-steroidal anti-inflammatory drugs for heavy menstrual bleeding. Cochrane Database Syst Rev 2013, (31):CD000400.
12. Nagele F., Lockwood G., Magos A.L. Randomized placebo controlled trial of mefenamic acid for premedication at outpatient hysteroscopy: a pilot study. Br J Obstet Gynaecol 1997, 104:842-844.
13. Sharma J.B., Aruna J., Kumar P., Roy K.K., Malhotra N., Kumar S. Comparison of efficacy of oral drotaverine plus mefenamic acid with paracervical block and with intravenous sedation for pain relief during hysteroscopy and endometrial biopsy. Indian J Med Sci 2009, 63:244-252.
14. Sordia-Hernandez L.H., Rosales-Tristan E., Vazquez-Mendez J., et al. Effectiveness of misoprostol for office hysteroscopy without anesthesia in infertile patients. Fertil Steril 2011, 95:759-761.
15. Fernandez H., Alby J.D., Tournoux C., et al. Vaginal misoprostol for cervical ripening before operative hysteroscopy in pre-menopausal women: a double-blind, placebo-controlled trial with three dose regimens. Hum Reprod 2004, 19:1618-1621.
16. Valente E.P., de Amorim M.M., Costa A.A., de Miranda D.V. Vaginal misoprostol prior to diagnostic hysteroscopy in patients of reproductive age: a randomized clinical trial. J Minim Invasive Gynecol 2008, 15:452-458.
17. Fung T.M., Lam M.H., Wong S.F., Ho L.C. A randomized placebo-controlled trial of vaginal misoprostol for cervical priming before hysteroscopy in postmenopausal women. Br J Obstet Gynaecol 2002, 109:561-565.
18. Li Y.T., Chen T.H., Kuo T.C. Cervical softening with vaginal misoprostol before hysterosalpingography. Eur J Obstet Gynecol Reprod Biol 2006, 134:130-131.
19. Tam W.H., Yuen P.M. Use of diclofenac as an analgesic in outpatient hysteroscopy: a randomized, double-blind, placebo- controlled study. Fertil Steril 2001, 75:1070-1072.
20. Ahmad G., O'Flynn H., Attarbashi S., Duffy J.M., Watson A. Pain relief for outpatient hysteroscopy. Cochrane Database Syst Rev 2010, (10):CD007710.