International Journal of Women's Health and Reproduction Sciences

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Mar 2014, Vol 2, Issue 2

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Original Article
Role of Local Anesthetics on Pain Relief in Endometrial Biopsy: Randomized Clinical Trial
Elaheh Ouladsahebmadarek¹, Parvin Mostafa Gharabaghi², Fatemeh Behjati³, Azadeh Azadi³, Mahin Seidhejazie⁴
¹Associate Professor of Ob & Gyn, Women's Reproductive Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran ²Professor of Ob & Gyn, Women's Reproductive Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran ³Resident of Ob & Gyn, Women's Reproductive Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran ⁴Associate Professor of Anesthesiology, Tabriz University of Medical Sciences, Tabriz, Iran
IJWHR 2014; 2: 058-066 DOI: 10.15296/ijwhr.2014.09 Viewed : 4278 times Downloaded : 5548 times. Keywords : Anesthesia, Biopsy, Curette, Lidocaine, Pain, Suction
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Abstract

Objectives: Endometrial biopsy is necessary for diagnosing the reason of abnormal uterine bleeding in perimenopausal women. Currently outpatient endometrial biopsy is used for evaluation of abnormal uterine bleeding which is associated with moderate to severe pain. Using lidocaine is one of the procedures which is used for pain relief while biopsy. This study is aimed at comparing the effect of different local anesthesia procedures on pain relief during endometrial biopsy. Materials and Methods: In this randomized clinical trial, 160 multiparous 40-55 years old women with AUB (Abnormal Uterine Bleeding), candidates for endometrial biopsy, were randomly assigned into four equal groups, to receive: 1-intrauterine lidocaine; 2-cervical spray lidocaine; 3- intrauterine lidocaine plus cervical spray lidocaine; or 4-intrauterine distilled water. Pain relief was measured at 3 different times: during endometrial biopsy, just after and 15 minutes after biopsy. Results: Pain intensity was reduced significantly at different times in intrauterine lidocaine and intrauterine lidocaine with cervical spray lidocaine receivers in compare with the groups which received cervical spray lidocaine and distilled water. The mean of difference pain relief during biopsy and 15 minutes after that was reduced significantly in the group which received intrauterine lidocaine and intrauterine lidocaine with cervical spray lidocaine in comparison with the other two groups. Conclusion: Intrauterine lidocaine was effective during endometrial biopsy, and using it with cervical spray lidocaine had no more beneficial effect.