Need to do an office Hysteroscopy for any reason MedDRA version: 20.0 Level: PT Classification code 10050125 Term: Hysteroscopy System Organ Class: 10022891 - Investigations
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - To be women, over 18 years old, with an indication to perform an office hysteroscopy, either for diagnostic or therapeutic purposes - Having correctly taken the prescribed premedication consisting of 1 tablet of 10mg Buscopina, an Ibuprofen 600mg or Naproxen 500mg and a Diazepam of 5mg in women weighing less or equal to 70kg or 10mg in women weighing more than 70kg. - They must be legally competent and able to understand, sign and date the informed consent form. Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 96 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 10
Exclusion criteria
Exclusion criteria: - Women with a history of allergy or intolerance to Mepivacaine or other local anesthetics - Women with contraindication or inability to collaborate when performing an office hysteroscopy - Women with a history of chronic pelvic pain or deep endometriosis or carriers of the Essure® device - Women taking analgesia as a chronic treatment, that is, continuously daily for at least 6 months - Need to perform any procedure using the Myosure® device - Inability to understand the nature of the study and give written informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To evaluate pain reduction during an office hysteroscopy by applying paracervical Mepivacaína 2% prior to the procedure;Secondary Objective: To evaluate pain caused by the infiltration of Mepivacaína To evaluate pain during the entrance of the Hysteroscope to the endometrial cavity To describe the side effects caused by Mepivacaína and the adverse events occured during the office hysteroscopy To analyze the groups of patients with a higher pain risk and who would benefit more of the appliance of Mepivacaína;Primary end point(s): The overall pain of the patients will be evaluated during the hysteroscopy in the office using a visual analog pain scale (VAS) scoring from 1 to 10.;Timepoint(s) of evaluation of this end point: This scale will be passed on to the patients at the end of the intervention and the overall pain intensity will be asked. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): 1. Pain during administration of paracervical anesthesia. The overall pain of the patients will be evaluated using a visual analog pain scale (VAS) scoring from 1 to 10. 2. Pain during entry into the endometrial cavity with the hysteroscope. The global pain of the patients will be evaluated using a visual analogue pain scale (VAS) scoring from 1 to 10. 3. Patient demographic data. The following patient data will be recorded: age, parity (history of childbirth, caesarean section or abortion), if the patient is premenopausal or postmenopausal, previous treatments, surgical history especially curettage or surgeries on the uterine cervix, indication of hysteroscopy, type of hysteroscopy performed (diagnostic or surgical), the duration of the procedure as well as the average pressure needed during it. 4. Side effects derived from the administration of Mepivacaine 2% 5. Adverse events during hysteroscopy;Timepoint(s) of evaluation of this end point: 1. This scale will be passed on to the patients immediately after the administration of the anesthetic 2. This scale will be passed on to patients after the first entry to the endometrial cavity with the hysteroscope. 3. Before starting the procedure 4 and 5. After finishing the procedure. | — |
Countries
Spain
Contacts
University Hospital Puerta de Hierro Majadahonda, Madrid, Spain