{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T08:15:51Z","timestamp":1791274551339,"version":"4.1.0"},"reference-count":17,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2012,12,11]],"date-time":"2012-12-11T00:00:00Z","timestamp":1355184000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Ultrasound in Obstet &amp;amp; Gyne"],"published-print":{"date-parts":[[2013,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p><jats:italic>To assess pain and overall experience of transvaginal sonography (<jats:styled-content style=\"fixed-case\">TVS<\/jats:styled-content>) in asymptomatic postmenopausal women<\/jats:italic>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p><jats:italic>In the United Kingdom Collaborative Trial of Ovarian Cancer Screening (<jats:styled-content style=\"fixed-case\">UKCTOCS<\/jats:styled-content>), 50\u2009639 postmenopausal women were randomized to undergo annual <jats:styled-content style=\"fixed-case\">TVS<\/jats:styled-content> at 13 trial centers in England, Wales and Northern Ireland. Together with the appointment letter for their annual scan, a random sample of 150 women per center was sent a detailed 48\u2010item postal questionnaire regarding the screening experience. It included a specific question about pain using a score of 0\u20135, where 5 was severe pain and 3 was discomfort. To assess factors that might affect a woman's reported pain experience, the pain score was regressed on age, hormone replacement therapy use, body mass index, a history of hysterectomy, prolonged scanning time, ovarian visualization, scan result, sonographer's visualization rates and opinion of the women regarding the sonographer who performed the scan<\/jats:italic>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p><jats:italic>Between 7 July and 9 September 2009, 1950 randomly chosen women (150 per regional center) were sent the questionnaire. Of the 800 (41.0%) who returned the questionnaire, 651 could be linked to their <jats:styled-content style=\"fixed-case\">TVS<\/jats:styled-content> appointment. One\u2010hundred and fifty\u2010two (23.3%) women reported pain\/discomfort (score 3\u20135) during <jats:styled-content style=\"fixed-case\">TVS<\/jats:styled-content> and 473 (72.7%) reported no discomfort (score 0\u20132). Only 23 (3.5%) women reported experiencing moderate\/severe pain. Increasing discomfort\/pain was independently associated with a history of hysterectomy and participant's reporting of prolonged scan time. Women who experienced pain on <jats:styled-content style=\"fixed-case\">TVS<\/jats:styled-content> were less compliant (odds ratio\u2009=\u20090.87) with the following year's scan compared with those who did not experience pain<\/jats:italic>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p><jats:italic>The majority of postmenopausal women found <jats:styled-content style=\"fixed-case\">TVS<\/jats:styled-content> acceptable. Pain influenced compliance and correlated with women's perception of increased scanning time and previous hysterectomy<\/jats:italic>.Copyright \u00a9 2012 ISUOG. Published by John Wiley &amp; Sons, Ltd.<\/jats:p><\/jats:sec>","DOI":"10.1002\/uog.12262","type":"journal-article","created":{"date-parts":[[2012,7,13]],"date-time":"2012-07-13T08:26:48Z","timestamp":1342168008000},"page":"73-79","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Acceptance of transvaginal sonography by postmenopausal women participating in the United Kingdom Collaborative Trial of Ovarian Cancer Screening"],"prefix":"10.1002","volume":"41","author":[{"given":"A.","family":"Gentry\u2010Maharaj","sequence":"first","affiliation":[{"name":"Gynaecological Cancer Research Centre, Women's Cancer UCL EGA Institute for Women's Health  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Sharma","sequence":"additional","affiliation":[{"name":"Gynaecological Cancer Research Centre, Women's Cancer UCL EGA Institute for Women's Health  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Burnell","sequence":"additional","affiliation":[{"name":"Gynaecological Cancer Research Centre, Women's Cancer UCL EGA Institute for Women's Health  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Ryan","sequence":"additional","affiliation":[{"name":"Gynaecological Cancer Research Centre, Women's Cancer UCL EGA Institute for Women's Health  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N. N.","family":"Amso","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Wales College of Medicine Cardiff University  Cardiff UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. W.","family":"Seif","sequence":"additional","affiliation":[{"name":"School of Cancer and Enabling Sciences St Mary's Hospital  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Turner","sequence":"additional","affiliation":[{"name":"Department of Gynaecological Oncology Derby City Hospital  Derby UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Brunell","sequence":"additional","affiliation":[{"name":"Department of Radiology University College London Hospitals  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Fletcher","sequence":"additional","affiliation":[{"name":"Gynaecological Cancer Research Centre, Women's Cancer UCL EGA Institute for Women's Health  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Rangar","sequence":"additional","affiliation":[{"name":"Northern Gynaecological Oncology Centre Queen Elizabeth Hospital  Gateshead UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Fallowfield","sequence":"additional","affiliation":[{"name":"Sussex Health Outcomes Research &amp; 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