Assessment of the pain perception during the practice vaginohisteroscopy and cervical citology

Abstract

Introduction:  Currently the reasons for consultation in the area of gynecology are mainly abnormal uterine bleeding (AUB) and pre-invasive lesions of the cervix associated with human papillomavirus (HPV) infection. Vaginohysteroscopy is the Gold Standard in the study of SUA and postmenopausal bleeding. These studies are frequently used and where the main fear when performing one is the pain they can generate. From here comes the importance of evaluating pain perception during vaginohysteroscopy and cytology taking in patients who attended the hysteroscopy unit of the La Trinidad Teaching Medical Center from January 2021 to January 2023. Method: Longitudinal, descriptive, retrospective study. , a population made up of a total of 150 patients who attended the hysteroscopy unit of the gynecology service, Google Forms surveys were sent through the WhatsApp application, obtaining 68 responses Results: A notable difference is reported in the perception of pain, in In vaginohysteroscopy, 38.2% of patients reported “no pain,” while in cervical cytology, 45.6% reported “little pain.” Regarding the taking of analgesics, those who presented pain in vaginohysteroscopy required the use of analgesics, but not in cytology. Noting a statistical significance in that the older the age, the greater the perception of pain. Conclusion: The perception of pain is subjective, however, the majority of patients report that cytology is more annoying and painful due to the use of instruments such as a speculum.