Investigation of the relationship between preoperative anxiety and painful sensations during office hysteroscopy


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Abstract

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.

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About the authors

Igor V. Klyucharov

Kazan Federal University

Email: klyucharoff@yandex.ru

Vadim V. Morozov

Georgetown University

Email: vadim.morozov@medstar.net

Ivan A. Kiyasov

Kazan Federal University

Email: ivan_kiyasov@mail.ru

Kausar K. Yakhin

Kazan State Medical University

Email: yakhin@bk.ru

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