Pain, Procedure
Conditions
Brief summary
The purpose of this study is there difference between the effect of Tramadol orally and Diclofenac orally with respect to : analgesic efficacy during diagnostic hysteroscopy in nulliparous women.
Detailed description
This prospective double-blind, randomized, clinical trial, will be conducted at Ain Shams University Maternity Hospital- Early Cancer Detection Unite \[ECDU\]. Patients fulfilling inclusion and exclusion criteria will be divided into three groups. Group A (study group) Include 34 patients who will receive Tramadol 100mg orally 1 hour before the procedure. Group B (study group) Include 34 patients who will receive Diclofenac 100mg orally 1 hour before the procedure. Group C (control group) Include 34 patients who will receive a placebo. Pain will evaluate on two separate occasion: immediately after the procedure and 15 minutes after procedure using a 100mm line visual analog scale.
Interventions
Women will receive a oral Tramadol 100mg 1 hour before the procedure
Women will receive oral Diclofenac 100mg 1 hour before the procedure
Women will receive a Placebo 1 hour before the procedure
Sponsors
Study design
Eligibility
Inclusion criteria
* BMI raging between (18.5 - 30 ). * Scheduled for diagnostic hysteroscopy only. * All of them should have given informed written consent.
Exclusion criteria
* Any contraindication to hysteroscopy (e.g. suspected pregnancy, genital tract infection). * Receiving any other form of analgesia. * Patients with known cervical stenosis, polyps and ulcers. * Previous cervical surgery. * Patients who are planning to have invasive intrauterine therapeutic interventions during the hysteroscopy. * known sensitivity to non-steroidal anti-inflammatory and opioids drugs. * Known gastritis or peptic ulcer or cardiac disease or Respiratory dysfunction. * Unwilling to comply with the protocol, and Participation in another clinical trial in the last three months prior to the start of this study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain during the procedure | intraoperative | Pain will be assessed using a visual analogue scale immediatly after inserting the hysterscopy |
| pain after the procedure | 15 minutes after completing the procedure | 15 minutes after procedure using a 100mm line visual analog scale |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Adverse effect and difficulties | 24 hours | Recorded in Case Record Form |
Countries
Egypt