Hysteroscopy is a reliable technique which is highly useful for the evaluation and management of intrauterine pathology. Recently, the widespread nature of in-office procedures without the need for anaesthesia has been requesting validation of practical approach in order to reduce procedure-related pain. In this regard, authors performed a comprehensive review of literature regarding pain management in office hysteroscopic procedures.
The authors conclude:
"Accumulating evidence support the use of pharmacological and other pharmacological-free strategies for reducing pain during office hysteroscopy. Nevertheless, future research priorities should aim to identify the recommended approach (or combined approaches) according to the characteristics of the patient and difficulty of the procedure."