Anxiety and pain at office hysteroscopy

Klyucharov I.V., Morozov V.V., Kiyasov I.A., Yakhin K.K.

1) Institute of Fundamental Medicine and Biology, Kazan Federal University; 2) Georgetown University School of Medicine, Washington, USA; 3) Kazan State Medical University, Ministry of Health of Russia, Kazan, Russia
Objective. To investigate the relationship between preoperative anxiety (PA) and pain intensity during office hysteroscopy (OH).
Subjects and methods. PA was investigated in 138 patients before OH, by applying the Spielberger-Khanin, Sheehan, and Yakhin-Mendelevich questionnaires. The level of tenderness during menstruation and diagnostic and surgical OH stages was estimated using a visual analogue scale.
Results. 79.1% of the patients had moderate and high situational anxiety; 81.9% had moderate and high trait anxiety; and 16.4% had clinical anxiety. The pre-painful pattern of neurotic disorders was 10.4–20.9%; their painful pattern was 7.5–17.2%. A direct statistically significant correlation was observed between different anxiety states and the level of pain during menstruation and surgery.
Conclusion. The level of PA before OH is significant and correlates with the level of pain during surgery.

Keywords

office hysteroscopy
anxiety
uneasiness
tenderness

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Received 22.03.2019

Accepted 19.04.2019

About the Authors

Igor V. Klyucharov, candidate of medical sciences, associate professor of the Institute of Fundamental Medicine and Biology of Kazan Federal University Republican Clinical Hospital of the Ministry of Health of the Republic of Tatarstan, tel .: +7 (917) 282 44 74, e-mail: klyucharoff@yandex.ru orcid.org / 0000-0002-2895-3722
420012, Kazan, st. Karl Marx, d. 74; 420064, Kazan, Orenburg tract, d.138.
Vadim V. Morozov, Associate Professor, Department of Obstetrics, Gynecology, Department of Minimally Invasive Gynecology, Georgetown University,
Washington, USA, e-mail: vadim.morozov@medstar.net
105 Irving Street NW, Suite 405 South, Washington DC 20010,
Ivan A. Kiyasov, candidate of medical sciences, researcher Virtual OpenLab Genetic and cellular technologies of the Institute of Fundamental Medicine and Biology
of Kazan Federal University, e-mail: ivan_kiyasov@mail.ru. 420012, Kazan, st. Karl Marx, d. 76, building 1.
Kausar K. Yakhin, MD, professor, head of the department of psychiatry with a course of narcology, FSBEI HE Kazan State Medical University, Ministry of Health of Russia, 420012, Kazan, ul. Butlerova, 49, e-mail: yakhin@bk.ru.

For citation: Klyucharov I.V., Morozov V.V., Kiyasov I.A., Yakhin K.K. Investigation of the relationship between preoperative anxiety and painful sensations during office hysteroscopy.
Akusherstvo i Ginekologiya / Obstetrics and gynecology. 2019; 12: 140-7.(In Russian).
https://dx.doi.org/10.18565/aig.2019.12.140-147

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