Author/Authors :
Kalantari, Mojgan shahid beheshti university of medical sciences - Infertility and Reproductive Health Research Center (IRHRC) , Mahdieh Hospital, - Department of Radiology, تهران, ايران , Zadeh Modares, Shahrzad shahid beheshti university of medical sciences - Infertility and Reproductive Health Research Center (IRHRC), تهران, ايران , Ahmadi, Firoozeh Academic Center for Education, Culture and Research(ACECR) - Reproductive Biomedicine Research Center, Royan Institute for Reproductive Biomedicine - Department of Reproductive Imaging, ايران , Hazari, Vajihe shahid beheshti university of medical sciences - Mahdieh Hospital, تهران, ايران , Haghighi, Hadieh Academic Center for Education, Culture and Research(ACECR) - Reproductive Biomedicine Research Center, Royan Institute for Reproductive Biomedicine - Department of Reproductive Imaging, ايران , Chehrazi, Mohammad Academic Center for Education, Culture and Research(ACECR) - Reproductive Epidemiology Research Center, Royan Institute for Reproductive Biomedicine - Department of Epidemiology and Reproductive Health, ايران , Razaghi, Melika shahed university - Department of Endodontics, تهران, ايران
Abstract :
Background: Hysterosalpingography (HSG) is considered as a primary test in infertility work up worldwide due to its reliability in evaluating abnormalities related to the uterus and fallopian tubes.Objectives: To assess the efficacy of applying eutectic mixture of local anesthetics (lidocaine-prilocaine cream) (EMLA) on the uterine cervix in reducing pain during HSG. Patients and Methods: Eighty patients undergoing HSG as part of infertility evaluation were randomly allocated to groups receiving either EMLA (N = 40) or placebo cream (N = 40) in a double-blinded prospective study. Fifteen minutes before HSG, 5 grams of 5% cream was applied to the uterine cervix using a cervical applicator. The degree of pain experienced by the patient was evaluated during and after HSG at five predefined steps on a visual analogue scale (VAS). Results: There was no significant difference in the efficacy between EMLA and placebo creams in pain perception during the entire procedure. There was no significant difference in long term pain perception half an hour after the HSG performance. Conclusions: This study does not support the use of EMLA for HSG.
Keywords :
Hysterosalpingography , Eutectic Lidocaine , Prilocaine , Pain , Visual Analog Scale
