Analysis of pain and satisfaction with office-based hysteroscopic sterilization

• Published in: Fertility and sterility Vol. 94; no. 4; pp. 1189 - 1194
• Main Authors: Levie, Mark, M.D, Weiss, Gil, M.D, Kaiser, Bente, M.D, Daif, Jennifer, M.D, Chudnoff, Scott G., M.D., M.S
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.09.2010; Elsevier
• Subjects: Adult; Biological and medical sciences; Contraceptive Devices, Female - adverse effects; Essure; Female; Follow-Up Studies; Gynecology. Andrology. Obstetrics; Humans; Hysteroscopy - adverse effects; Hysteroscopy - statistics & numerical data; Internal Medicine; Medical sciences; Obstetrics and Gynecology; office hysteroscopic sterilization; Office Visits; Pain Measurement; Pain, Postoperative - diagnosis; Patient Satisfaction - statistics & numerical data; Perception; Research Design; Sterilization, Reproductive - adverse effects; Sterilization, Reproductive - methods; Sterilization, Reproductive - rehabilitation; Sterilization, Reproductive - statistics & numerical data; office hysteroscopic sterilization; Essure; Hysteroscopy; Pain; Gynecology; Satisfaction; Sterilization; Obstetrics
• ISSN: 0015-0282; 1556-5653
• DOI: 10.1016/j.fertnstert.2009.07.994

Objective To assess pain and patient satisfaction with office-based hysteroscopic sterilization. Design This prospective, observational study was designed to assess patient pain perception and satisfaction with office-based hysteroscopic sterilization using the Essure device (Conceptus, Mountain View, CA). Setting Faculty practice office at an inner-city urban medical center. Patient(s) Women seeking hysteroscopic sterilization. Intervention(s) Office hysteroscopic sterilization under local anesthesia. Main Outcome Measure(s) Pain assessed at the time of the procedure by a 0–10 visual scale and satisfaction by a 1–5 scale. Result(s) From June 2003 to June 2006, 209 patients were recruited. The mean scores for average procedural pain, most procedural pain, and average menstrual pain were 2.6 ± 2.1, 3.3 ± 2.5, and 3.6 ± 2.6, respectively. Standardized pain scores revealed that 149 subjects (70%) experienced average pain that was less than or equal to the pain experienced with their menses. Mean satisfaction rating for the procedure was 4.7 ± 0.71. Conclusion(s) Office-based hysteroscopic sterilization performed with local anesthesia alone is well tolerated, and patients are satisfied with this method for permanent sterilization.