Efficacy of Intrauterine Lidocaine Instillation in Reducing Pain during Endometrial Biopsy by Novak

Table 2

Comparison of pain score during endometrial aspiration (n=125 each).

Pain score at different stages	Lidocaine	Normal saline	p value
Before procedure			0.55
Mild	120 (96)	121 (96.8)
Moderate	2 (1.6)	3 (2.4)
Severe	3 (2.4)	1 (0.8)
Apply tenaculum			0.53
Mild	54 (43.2)	49 (39.2)
Moderate	40 (32)	37 (29.6)
Severe	31 (24.8)	39 (31.2)
During intrauterine infusion			0.01
Mild	29 (23.2)	14 (11.2)
Moderate	40 (32)	31 (24.8)
Severe	56 (44.8)	80 (64)
During aspiration			<0.001
Mild	16 (12.8)	6 (4.8)
Moderate	30 (24)	11 (8.8)
Severe	79 (63.2)	108 (86.4)
15 min after procedure			<0.001
Mild	117 (93.6)	93 (74.4)
Moderate	7 (5.6)	18 (14.4)
Severe	1 (0.8)	14 (11.2)
2 hours after procedure			0.01
Mild	125 (100)	116 (92.8)
Moderate	0	6 (4.8)
Severe	0	3 (2.4)

Before procedure: visual analogue scale (VAS) score before endometrial aspiration by Novak curette application; Apply tenaculum: VAS score during cervical grasping by tenaculum; During intrauterine infusion: VAS score during intrauterine lidocaine or normal saline infusion; During aspiration: VAS score during endometrial aspiration; 15 min after procedure: VAS score after 15 min of endometrial aspiration; 2 hours after procedure: VAS score after 2 hours of endometrial aspiration; : n (%); Mild: VAS score 0-4; Moderate: VAS score 5-6; Severe: VAS score 7-10.