الفهرس 
Panoramic HysteroscopyOnly 14 pages are availabe for public view
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Abstract
This study was double blind placebo-controlled to evaluate the efficacy of a topical anesthetic cream EMLA. In reducing pain and discomfort associating outpatient hysteroscopy when applied on the uterine cervix. Sixty Patients were included, randomly were allocated into two groups equal in size, premeditation counseling was performed in the waiting room before the procedure so that the patients would be cooperative with the researcher. Full medical history and clinical examination were carried out before the procedure, so that no item of the exclusion criteria could be missed.
There was no significant difference in pain score associated with endometrial samplings. An explanation to this observation probably related to the different innervation of the uterine body and the cervix; that the sensory nerve supply of the uterus is derived from Frankenhauser’s plexus which supplies the cervix and the lower portion of the uterus; however, the fundal region derives its sensory innervation from the ovarian nerve plexus.
There was no significant difference in the whole procedure time between both groups, although the mean time in EMLA group is slightly shorter this could be attributed to the cervical entrance time was shorter, and the uterine evaluation time was longer than in the placebo group. The differences in acceptance score after 1 & 5 minute, and that in the preference score were highly significant between both groups.
No procedure complication was detected in both groups