Effect of Cervical Lidocaine Gel for Pain Relief in Pipelle Endometrial Sampling

Abstract

Abstract

Objective: To evaluate the efficacy of cervical lidocaine gel in reducing patient discomfort during Pipelle endometrial sampling.

Materials and Methods: From September 2012 to January 2013, 137 patients were evaluated with Pipelle endometrial biopsy. For group 1 (77 women), 2% lidocaine gel was applied to the cervical canal 3 min before endometrial sampling. For group 2 (60 women), a placebo gel was applied. The pain experienced by the patients during biopsy was evaluated using a 100 mm visual analog scale.

Results: The pain score was significantly lower during suction curettage (T3) in the group 1 than in the group 2. There was no significant difference between the groups in terms of pain score in other stages of the procedure (2.6±1.3 and 4.5±1.4; p=0.03).

Conclusion: Cervical 2% lidocaine gel is simple and effective for decreasing pain associated with Pipelle endometrial biopsy.