When selecting candidates for office hysteroscopy, individual patient self-assessment of pain tolerance and anxiety can help determine who would benefit most from an office-based procedure
When selecting candidates for office hysteroscopy, individual patient self-assessment of pain tolerance and anxiety can help determine who would benefit most from an office-based procedure as opposed to an operating room procedure.1 Determinants of successful office-based hysteroscopy for polyp removal are polyp number, size, and location; patient characteristics such as body mass index (BMI) and other comorbidities; availability of an appropriate hysteroscopic system; and physician experience and comfort level with the procedure. Related: Endometrial polyps: In-office management
References:
1. Ireland LD, Allen RH. Pain management for gynecologic procedures in the office. Obstet Gynecol Surv. 2016 Feb;71(2):89-98.
Step 1: Patient selection
Counsel and educate the patient about the planned procedure
Discuss the patient's perceived pain tolerance and anxiety about the procedure