Salvatore Giovanni Vitale1, Salvatore Caruso2, Michal Ciebiera3, Péter Török4, Jan Tesarik5, George Angelos Vilos6, Aarathi Cholkeri-Singh7, Ferdinando Antonio Gulino2, Mohan Shashikant Kamath8, Antonio Cianci2. 1. Obstetrics and Gynecology Unit, Department of General Surgery and Medical Surgical Specialties, University of Catania, Catania, Italy. sgvitale@unict.it. 2. Obstetrics and Gynecology Unit, Department of General Surgery and Medical Surgical Specialties, University of Catania, Catania, Italy. 3. Second Department of Obstetrics and Gynecology, The Center of Postgraduate Medical Education, Warsaw, Poland. 4. Faculty of Medicine, Institute of Obstetrics and Gynaecology, University of Debrecen, Debrecen, Hungary. 5. MARGen Clinic, Granada, Spain. 6. Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada. 7. Department of Obstetrics and Gynecology, Advocate Lutheran General Hospital, Park Ridge, IL, USA. 8. Department of Reproductive Medicine, Christian Medical College, Vellore, India.
Abstract
PURPOSE: 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. METHODS: 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. RESULTS: 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. CONCLUSIONS: The utilization of office hysteroscopy is hampered by varying levels of anxiety and pain perceived by women who are candidates for the procedure. For these reasons, it is essential to identify effective pharmacological and non-pharmacological strategies to alleviate these factors. We recommend further studies especially focusing on non-pharmacological interventions to facilitate the dissemination of good clinical practices among hysteroscopists.
PURPOSE: 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. METHODS: 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. RESULTS: 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. CONCLUSIONS: The utilization of office hysteroscopy is hampered by varying levels of anxiety and pain perceived by women who are candidates for the procedure. For these reasons, it is essential to identify effective pharmacological and non-pharmacological strategies to alleviate these factors. We recommend further studies especially focusing on non-pharmacological interventions to facilitate the dissemination of good clinical practices among hysteroscopists.
Authors: Antonio Simone Laganà; Salvatore Giovanni Vitale; Vincenzo Muscia; Paola Rossetti; Massimo Buscema; Onofrio Triolo; Agnese Maria Chiara Rapisarda; Loretta Giunta; Vittorio Palmara; Roberta Granese; Helena Ban Frangež; Andrea Romano Journal: Arch Gynecol Obstet Date: 2016-11-30 Impact factor: 2.344
Authors: Salvatore Giovanni Vitale; Fabrizio Sapia; Agnese Maria Chiara Rapisarda; Gaetano Valenti; Fabrizia Santangelo; Diego Rossetti; Benito Chiofalo; Giuseppe Sarpietro; Valentina Lucia La Rosa; Onofrio Triolo; Marco Noventa; Salvatore Gizzo; Antonio Simone Laganà Journal: Biomed Res Int Date: 2017-08-29 Impact factor: 3.411
Authors: Giovanni Buzzaccarini; Luis Alonso Pacheco; Amerigo Vitagliano; Sergio Haimovich; Vito Chiantera; Péter Török; Salvatore Giovanni Vitale; Antonio Simone Laganà; Jose Carugno Journal: Medicina (Kaunas) Date: 2022-08-20 Impact factor: 2.948