Do Abnormal Findings on Hystero-Salphingographic Examination Correlate with Intensity of Procedure Associated Pain?

Omolola M. Atalabi, Babatunde B. Osinaike

Abstract

The aim of this study is to determine if the intensity and nature of pain during Hystero-Salphingography could give a clue to the presence of abnormal finding/s. Eighty-two patients were recruited over a six-month period. Procedural pain was assessed using the numeric rating scale. Mean age was 33.2 ± 4.9 years. The median pain score in patients with normal findings was 6.0 but7.0, 8.0, and 8.5 in those with right tubal blockade, uterine fibroids and left tubal blockade respectively. No statistical difference in the absolute pain score between patients with normal and abnormal findings. Pain scores in patients with 1 and 2 abnormalities were 7.0 and 7.5, and the number of abnormalities did not affect pain score (P = 0.3). The presence or absence of pain during HSG may not be a suitable way of determining the presence or absence of abnormal HSG finding/s. .Afr J Reprod Health 2014; 18[2]: 147-151).

   

Keywords: Hystero-salphingography; abnormal findings; Pain.

 

Résumé 

Le but de cette étude est de déterminer si l'intensité et la nature de la douleur pendant l’hystérosalpingographie pourraient donner une indication de la présence des constatation(s)  anormale(s). Quatre-vingt deux patients ont été recrutés au cours d’une période de six mois. La douleur de la procédure a été évaluée en utilisant l'échelle d'évaluation numérique. L'âge moyen était de 33,2 ± 4,9 ans. Le score de douleur médiane chez les patients qui présentaient des résultats normaux était de 6,0 but7.0, 8,0, et 8,5 chez ceux qui présentaient des blocages des trompes droites, les fibromes utérins et des blocages des trompes gauches respectivement.

Il n’y avait aucune différence statistique du score de douleur absolue entre les patients avec des résultats normaux et anormaux. Les scores de douleur chez les patients avec 1 et 2 anomalies étaient de 7,0 et 7,5, respectivement et le nombre d'anomalies n'ont pas de conséquence sur le score de douleur (p = 0,3). La présence ou l'absence de douleur pendant la HSG peut ne pas être un moyen approprié de déterminer la présence ou l'absence des constatations anormales de la HSG. Afr J Reprod Health 2014; 18[2]: 147-151).

 


Mots-clés : hystérosalpingographie, résultats anormaux, douleur.

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