Pain
Conditions
Keywords
office hysteroscopy, pain measure
Brief summary
Will be perform a RCT to compare pain measure on office hysteroscopy after pre-medication with oral analgesic. Patients will be alocate to oral sodic diclofenac, scopolamin or placebo. We will compare visual analog score of pain after the procedure. Patients: patients with indication of office hysteroscopy to evaluate uterine intracavitary abnormality. Interventions Group 1 (control) The patients will receive about 2 h prior to the procedure 2 placebo tablets. Group 2 (diclofenac + scopolamine) The patients will receive about 2 h prior to the procedure 1 tablet of diclofenac sodium 50 mg and 1 tablet of scopolamine 2 mg. Group 3 (diclofenac only). Patients will receive approximately 2 h prior to the procedure 1 tablet of diclofenac sodium 50 mg and 1 tablet of placebo.
Detailed description
Pain during and 30 minutes after a hysteroscopy will be measured through the visual analog pain scale of 10 centimeters, considering 0 (no pain) and 10 (unbearable pain or the greatest pain ever experienced). Acceptance of the procedure and assessed through the Likert 5-point scale: 1) totally disagree; 2) disagree; 3) I do not agree or disagree; 4) I agree and 5) I totally agree.There will also be a need for analgesia after the procedure, the time spent in the observation room and the onset of vagal symptoms such as dizziness, malaise, nausea, vomiting or syncope
Interventions
Placebo Oral + Placebo Oral
Diclofenac oral + Placebo Oral
Diclofenac oral + scopolamina oral
Sponsors
Study design
Masking description
RCT, blind
Intervention model description
RCT
Eligibility
Inclusion criteria
1. indication of intrauterine evaluation 2. Abnormal uterine bleeding 3. post-menopause uterine bleeding 4. infertility 5. recurrent miscarriage
Exclusion criteria
1. stenosis of the external cervical orifice, 2. pelvic inflammatory disease, 3. suspected gestation or pregnancy, 4. active bleeding at the time of examination 5. contraindication to the use of the study medication, diclofenac sodium and scopolamine,
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain measure | until 1 hour after exam | Pain Visual analogue score |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Likert scale | until 1 hour after exam | Likert scale |
Countries
Brazil