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November 2007 · Vol. 19, No. 11

How to overcome a resistant cervix for hysteroscopy and endometrial biopsy

A cervix that impedes access to the uterus can lead to severe pain, cervical laceration, and other ills


Fast Track

Mefenamic acid reduced pain at 30 and 60 minutes after—but not during—diagnostic hysteroscopy

Misoprostol lacked clear benefit among postmenopausal women and those receiving a GnRH agonist

Almost 50% of women experience moderate or severe pain during endometrial biopsy

Pain scores appear to be significantly lower with the Pipelle biopsy catheter than with the larger Novak biopsy curette

IN THIS ARTICLE

Joan  M.G.  Crane,  MD, MSc

Dr. Crane is Associate Professor of Obstetrics and Gynecology at Memorial University, St. John’s, Newfoundland.

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