Quantitative assessment of patient pain perception with Hysterosalpingo-foam sonography (HyFoSy)

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  • 超音波子宮卵管造影検査に伴う痛みに関する検討－患者アンケート結果より－
  • チョウオンパ シキュウランカンゾウエイ ケンサ ニ トモナウ イタミ ニ カンスル ケントウ : カンジャ アンケート ケッカ ヨリ

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Tubal pathology contributes to 25-30% of all infertility among women. Hysterosalpingo-foam sonography (HyFoSy) is used in our clinic as one of the initial workups, however some women may hesitate to undergo due to anxiety or discomfort. This questionnaire-based survey was undertaken to assess patients’ pain perception during and after HyFoSy and compare with self-anticipated pain before examinations. Numerical rating scale (NRS), which describes zero = no pain and 10 = possible worst pain respectively, was used to measure pain intensity. Self-anticipated pain scores were significantly higher than actual pain. Patients who experienced moderate to severe pain (NRS=four or more) during examinations revealed higher number in medical history of chlamydia infection. The difference in pain perception was statistically significant during procedure when patients were grouped by tubal patency, however no difference was seen after examinations. When patients were assigned into three groups according to their pain tolerance, the group with lower pain tolerance showed significant difference between self-anticipated and actual pain during procedure. Out of 62 cases with assistance of nurses, 57 patients (92%) reported it as helpful. These results suggested that sufficient pre-test information, preparation of analgesics and psychological support are key factors for women to overcome pain and anxiety. [Adv Obstet Gynecol, 75(3) : 230-240, 2023 (R5.8)]

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