Management of anxiety and pain perception in women undergoing office hysteroscopy: a systematic review.

Archives of Gynecology and Obstetrics
Salvatore Giovanni VitaleAntonio Cianci

Abstract

The aim of this review is to provide an overview of the literature about the perception and management of anxiety and pain in women undergoing an office hysteroscopic procedure. We performed a systematic literature search in Embase, PubMed/MEDLINE, Cochrane Library and Web of Science for original studies written in English (registered in PROSPERO 2019-CRD42019132341), using the terms 'hysteroscopy' AND 'pain' AND 'anxiety' published up to January 2019. Only original articles (randomized, observational and retrospective studies) about management of anxiety and pain related to the hysteroscopic procedure were considered eligible. Our literature search produced 84 records. After exclusions, 11 studies including 2222 patients showed the following results: (a) pain experienced during hysteroscopy is negatively affected by preprocedural anxiety; (b) pharmacological interventions seem to be help in reducing pain during hysteroscopy; (c) waiting time before the procedure is a significant factor affecting patients' anxiety; (d) music during the procedure may be helpful in reducing anxiety. The utilization of office hysteroscopy is hampered by varying levels of anxiety and pain perceived by women who are candidates for the procedure. For...Continue Reading

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Citations

May 13, 2020·Climacteric : the Journal of the International Menopause Society·G RiemmaP De Franciscis
May 16, 2020·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Rahul ManchandaSalvatore Giovanni Vitale
Jan 9, 2021·Journal of Psychosomatic Obstetrics and Gynaecology·Sara TancmanLena Sagi-Dain
Nov 10, 2020·Journal of Gynecology Obstetrics and Human Reproduction·Salvatore Giovanni VitaleAttilio Di Spiezio Sardo
Nov 28, 2020·Journal of Minimally Invasive Gynecology·Salvatore Giovanni VitaleJohn Preston Parry
Oct 17, 2021·Journal of Clinical Pharmacy and Therapeutics·Shuoya ZhangYun Xiao

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