Letters Pain control in hysteroscopy

Finesse, not local anaesthesia

BMJ 2010; 340 doi: https://doi.org/10.1136/bmj.c2097 (Published 20 April 2010) Cite this as: BMJ 2010;340:c2097
  1. Pietro Gambadauro, consultant in gynaecology and reproductive medicine1,
  2. Adam Magos, consultant gynaecologist2
  1. 1Centre for Reproduction, Department of Obstetrics and Gynaecology, Uppsala University Hospital, 751 85 Uppsala, Sweden
  2. 2University Department of Obstetrics and Gynaecology, Royal Free Hospital, London NW3 2QG
  1. gambadauro{at}gmail.com

    The take home message of the systematic review and meta-analysis on local anaesthesia during outpatient hysteroscopy is misleading.1

    The conclusion, “Injectable, preferably paracervical, administration of local anaesthetic should be used for women undergoing hysteroscopy as outpatients to reduce the amount of pain experienced,” is based on five randomised trials, two of which found paracervical blocks to be ineffective. …

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