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Rectal indomethacin use in pain relief during hysterosalpingography: A randomized placebo controlled trial
Author(s) -
Karaman Erbil,
Çim Numan,
Alkış İsmet,
Yıldırım Abdullah,
Yıldızhan Recep
Publication year - 2016
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/jog.12863
Subject(s) - medicine , visual analogue scale , placebo , hysterosalpingography , randomized controlled trial , anesthesia , anxiety , surgery , pregnancy , infertility , alternative medicine , pathology , psychiatry , biology , genetics
Aim To evaluate the effectiveness of a rectal nonsteroidal anti‐inflammatory drug (indomethacin) for pain relief during a hysterosalpingography (HSG). Materials and Methods This prospective, randomized study included 82 women divided randomly into two groups. The study group received self‐administered rectal indomethacin, while the control group received a placebo before the procedure. Degrees of pain were evaluated using the visual analog scale (VAS) at four different steps during the procedure and 30 min afterwards. The anxiety‐depression status of the patients was evaluated using a validated Turkish version of the Beck anxiety‐depression form before the procedure. Results There were no statistically significant differences in the demographic characteristics of patients. The mean pain scores during tenaculum application (step 2), cervical traction (step 3), contrast injection (step 4) and 30 min after the procedure, were significantly lower in the study than the control group ( P < 0.05). Step 4 was the most painful in both groups (VAS scores 3.2 ± 0.6 study vs 5.3 ± 1.1 control). The mean pain score in step 4 for patients with abnormal HSG results was significantly higher than in patients with normal HSG results ( P < 0.05). The mean anxiety and depression scores immediately before the procedure were not statistically different between the groups ( P = 0.610 and P = 0.129, respectively). Conclusion Our study demonstrated a significant reduction in pain in patients who received a single rectal dose of indomethacin; therefore, we recommend the use of rectal indomethacin for reducing pain during a HSG procedure.