FACTORS INFLUENCING ON PAIN IN PATIENTS UNDERGOING PIPELLE ENDOMETRIAL BIOPSY FOR ABNORMAL UTERINE BLEEDING: WHY A PERSONALIZED APPROACH SHOULD BE APPLIED?
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Date
2022
Authors
Terzic, Milan
Aimagambetova, Gulzhanat
Ukybassova, Talshyn
Bapayeva, Gauri
Kaiyrlykyzy, Aiym
Foster, Faye
Linkov, Faina
Journal Title
Journal ISSN
Volume Title
Publisher
Journal of Personalized Medicine
Abstract
Objectives. Abnormal uterine bleeding (AUB) is a common complaint of women in different
age groups, and endometrial biopsy is widely used to investigate the underlying causes. The aim of
this observational study was to assess factors influencing pain in patients undergoing endometrial
biopsy for AUB. Methods. Pain intensity before, during, and after Pipelle sampling was evaluated
using the numerical rating scale (NRS), where “0” represents no pain at all, “10”—the worst pain ever
possible. Pain rating was categorized as 1–6—mild to moderate, 7 and above as severe pain. Results.
The study included 160 women who underwent Pipelle biopsy. The median age in the cohort was
42 (34–48) years, 18.1% of women were postmenopausal, 56.3% were either overweight or obese, 30%
were nulliparous and 80% reported urban residency. The median pain score during the procedure
was 2 (0–4). Pain scores of 5 (4–7) were reported with the junior gynecologist and 2 (0–4) in the senior
gynecologist (p < 0.0001). Conclusion. The pain was found to have a strong association with the
type of provider performing the endometrial sampling procedure. This fact suggests the need for a
personalized approach and that psychological or informational interventions should be scheduled
before the procedure to decrease pain and increase satisfaction.
Description
Keywords
Type of access: Open Access, abnormal uterine bleeding, Pipelle, endometrial biopsy, pain
Citation
Terzic, M., Aimagambetova, G., Ukybassova, T., Bapayeva, G., Kaiyrlykyzy, A., Foster, F., & Linkov, F. (2022). Factors Influencing on Pain in Patients Undergoing Pipelle Endometrial Biopsy for Abnormal Uterine Bleeding: Why a Personalized Approach Should Be Applied? Journal of Personalized Medicine, 12(3), 431. https://doi.org/10.3390/jpm12030431