Does uterine position affect pain intensity during outpatient diagnostic hysteroscopy?

Objective: To assess the impact of uterine position on pain intensity during outpatient diagnostic hysteroscopy. Materials and Methods: Retrospective data from 312 diagnostic hysteroscopy patients were evaluated. Pain was measured using a 10-cm visual analog scale (VAS). Analyses were performed to determine associations between uterine position [anteverted-anteflexed (AA), anteverted-retroflexed (AR), retroverted-anteflexed (RA), retroverted-retroflexed (RR)], and pain intensity during the procedure (VAS > 3 vs. VAS ≤ 3). Patient characteristics and clinical variables were evaluated using univariate and multivariate analysis. Results: Logistic regression analysis revealed no association between uterine position and pain intensity during outpatient diagnostic hysteroscopy [AA uterus, adjusted odds ratio (AOR) = 0.82, confidence interval (CI): 0.39–1.72; AR uterus, AOR = 0.65, CI: 0.25–1.71; RA uterus, AOR = 1.37, CI: 0.38–4.84; RR uterus, AOR = 0.84, CI: 0.22–3.17]. Conclusion: The present data suggest that uterine position does not affect pain intensity during diagnostic hysteroscopy.