{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T23:06:52Z","timestamp":1792537612700,"version":"4.5.0"},"reference-count":35,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T00:00:00Z","timestamp":1740787200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T00:00:00Z","timestamp":1740787200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T00:00:00Z","timestamp":1740787200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T00:00:00Z","timestamp":1740787200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T00:00:00Z","timestamp":1740787200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T00:00:00Z","timestamp":1740787200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T00:00:00Z","timestamp":1740787200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"funder":[{"DOI":"10.13039\/501100001634","name":"University of Galway","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001634","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.fr","clinicalkey.jp","clinicalkey.es","clinicalkey.com.au","clinicalkey.com","ejog.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Obstetrics &amp; Gynecology and Reproductive Biology"],"published-print":{"date-parts":[[2025,3]]},"DOI":"10.1016\/j.ejogrb.2025.01.004","type":"journal-article","created":{"date-parts":[[2025,1,5]],"date-time":"2025-01-05T17:36:15Z","timestamp":1736098575000},"page":"35-46","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":7,"special_numbering":"C","title":["Pharmacological and non-pharmacological interventions for pain control in outpatient hysteroscopy: A systematic review"],"prefix":"10.1016","volume":"306","author":[{"given":"Orla","family":"Bracken","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Woodsmith","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miche\u00e1l","family":"Newell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"3","key":"10.1016\/j.ejogrb.2025.01.004_b0005","first-page":"115","article-title":"Outpatient hysteroscopy","volume":"10","author":"Campo","year":"2018","journal-title":"Facts Views Vis Obgyn"},{"issue":"7230","key":"10.1016\/j.ejogrb.2025.01.004_b0010","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1136\/bmj.320.7230.279","article-title":"Patient satisfaction with outpatient hysteroscopy versus day case hysteroscopy: randomised controlled trial","volume":"320","author":"Kremer","year":"2000","journal-title":"BMJ"},{"issue":"5","key":"10.1016\/j.ejogrb.2025.01.004_b0015","doi-asserted-by":"crossref","first-page":"e16","DOI":"10.1016\/j.fertnstert.2016.01.030","article-title":"Challenging the cervix: strategies to overcome the anatomic impediments to hysteroscopy: analysis of 31,052 office hysteroscopies","volume":"105","author":"Bettocchi","year":"2016","journal-title":"Fertil Steril"},{"issue":"3","key":"10.1016\/j.ejogrb.2025.01.004_b0020","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1007\/s10397-015-0895-3","article-title":"Anxiety at outpatient hysteroscopy","volume":"12","author":"Gambadauro","year":"2015","journal-title":"Gynecol Surg"},{"issue":"5","key":"10.1016\/j.ejogrb.2025.01.004_b0025","doi-asserted-by":"crossref","first-page":"987","DOI":"10.1007\/s00404-015-3731-0","article-title":"Is pain better tolerated with mini-hysteroscopy than with conventional device? A systematic review and meta-analysis","volume":"292","author":"Paulo","year":"2015","journal-title":"Arch Gynecol Obstet"},{"issue":"5","key":"10.1016\/j.ejogrb.2025.01.004_b0030","doi-asserted-by":"crossref","first-page":"532","DOI":"10.1111\/j.1471-0528.2010.02503.x","article-title":"Vaginoscopic approach to outpatient hysteroscopy: a systematic review of the effect on pain","volume":"117","author":"Cooper","year":"2010","journal-title":"BJOG"},{"key":"10.1016\/j.ejogrb.2025.01.004_b0035","series-title":"National Clinical Practice Guideline: Assessment and Management of Postmenopausal Bleeding","author":"Duffy","year":"2022"},{"key":"10.1016\/j.ejogrb.2025.01.004_b0040","unstructured":"(RCOG) RCoOaG. Green-top Guideline No. 59: Best Practice in Outpatient Hysteroscopy. 2011."},{"key":"10.1016\/j.ejogrb.2025.01.004_b0045","unstructured":"(ACOG) ACoOaG. The Use of Hysteroscopy for the Diagnosis and Treatment of Intrauterine Pathology. 2020;Number 800."},{"issue":"10","key":"10.1016\/j.ejogrb.2025.01.004_b0050","article-title":"Pain relief for outpatient hysteroscopy","volume":"10","author":"Ahmad","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"issue":"6","key":"10.1016\/j.ejogrb.2025.01.004_b0055","doi-asserted-by":"crossref","first-page":"1422","DOI":"10.1016\/S0015-0282(03)00363-7","article-title":"Suppression of pelvic pain during hysteroscopy with a transcutaneous electrical nerve stimulation device","volume":"79","author":"De Angelis","year":"2003","journal-title":"Fertil Steril"},{"issue":"3","key":"10.1016\/j.ejogrb.2025.01.004_b0060","doi-asserted-by":"crossref","first-page":"904","DOI":"10.1111\/jog.14608","article-title":"Use of music in reducing pain during outpatient hysteroscopy: prospective randomized trial","volume":"47","author":"Law","year":"2021","journal-title":"J Obstet Gynaecol Res"},{"issue":"4","key":"10.1016\/j.ejogrb.2025.01.004_b0065","doi-asserted-by":"crossref","first-page":"302","DOI":"10.36129\/jog.2022.24","article-title":"Role of vocal distraction analgesia on pain management in the office hysteroscopy procedure: a randomized controlled study","volume":"34","author":"Palermo","year":"2022","journal-title":"Ital J Gynaecol Obstetr"},{"issue":"3","key":"10.1016\/j.ejogrb.2025.01.004_b0070","doi-asserted-by":"crossref","first-page":"135","DOI":"10.5144\/0256-4947.2021.135","article-title":"Warm distension fluid reduces pain severity in office hysteroscopy: a randomized controlled trial","volume":"41","author":"Gulucu","year":"2021","journal-title":"Ann Saudi Med"},{"issue":"4","key":"10.1016\/j.ejogrb.2025.01.004_b0075","doi-asserted-by":"crossref","first-page":"1267","DOI":"10.1007\/s00404-023-07319-8","article-title":"The effect of virtual reality on pain and anxiety management during outpatient hysteroscopy: a systematic review and meta-analysis of randomized controlled trials","volume":"309","author":"Baradwan","year":"2024","journal-title":"Arch Gynecol Obstet"},{"issue":"4","key":"10.1016\/j.ejogrb.2025.01.004_b0080","doi-asserted-by":"crossref","first-page":"865","DOI":"10.1016\/j.jmig.2020.08.003","article-title":"Addition of lidocaine to the distension medium in hysteroscopy decreases pain during the procedure\u2013a randomized double-blind, placebo-controlled trial","volume":"28","author":"Barel","year":"2021","journal-title":"J Minim Invasive Gynecol"},{"issue":"5","key":"10.1016\/j.ejogrb.2025.01.004_b0085","doi-asserted-by":"crossref","first-page":"678","DOI":"10.1080\/01443615.2019.1647525","article-title":"Efficacy and safety of Tramadol as an analgesic in women undergoing vaginoscopic hysteroscopy: a randomized placebo-controlled trial","volume":"40","author":"Bharathi","year":"2020","journal-title":"J Obstet Gynaecol"},{"issue":"9","key":"10.1016\/j.ejogrb.2025.01.004_b0090","doi-asserted-by":"crossref","first-page":"2387","DOI":"10.1111\/jog.15738","article-title":"The effect of informing the patient about the procedure with video imaging before office hysteroscopy on pain","volume":"49","author":"Callioglu","year":"2023","journal-title":"J Obstet Gynaecol Res"},{"issue":"3","key":"10.1016\/j.ejogrb.2025.01.004_b0095","first-page":"600","article-title":"A virtual reality system for pain and anxiety management during outpatient hysteroscopy\u2014a randomized control trial","volume":"26","author":"Fouks","year":"2022","journal-title":"Eur J Pain (United Kingdom)"},{"issue":"3","key":"10.1016\/j.ejogrb.2025.01.004_b0100","doi-asserted-by":"crossref","first-page":"359","DOI":"10.12891\/ceog3486.2017","article-title":"Pain assessment during outpatient hysteroscopy using room temperature versus warm normal saline solution as a distention medium - a prospective randomized study","volume":"44","author":"Issat","year":"2017","journal-title":"Clin Exp Obstet Gynecol"},{"issue":"2","key":"10.1016\/j.ejogrb.2025.01.004_b0105","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1097\/AOG.0000000000001842","article-title":"Transcutaneous nerve stimulation for pain relief during office hysteroscopy: a randomized controlled trial","volume":"129","author":"Lis\u00f3n","year":"2017","journal-title":"Obstet Gynecol"},{"issue":"2","key":"10.1016\/j.ejogrb.2025.01.004_b0110","doi-asserted-by":"crossref","first-page":"104","DOI":"10.4103\/jhrs.JHRS_149_19","article-title":"Effectiveness of misoprostol in office hysteroscopy in premenopausal nulliparous women: a prospective randomized double-blind placebo-controlled trial","volume":"13","author":"Nair","year":"2020","journal-title":"J Hum Reprod Sci"},{"issue":"4","key":"10.1016\/j.ejogrb.2025.01.004_b0115","doi-asserted-by":"crossref","first-page":"302","DOI":"10.36129\/jog.2022.24","article-title":"Role of vocal distraction analgesia on pain management in the office hysteroscopy procedure: a randomized controlled study","volume":"34","author":"Palermo","year":"2022","journal-title":"Ital J Gynaecol Obstetr"},{"issue":"11","key":"10.1016\/j.ejogrb.2025.01.004_b0120","doi-asserted-by":"crossref","DOI":"10.3390\/jcm12113645","article-title":"The effect of virtual reality on the reduction of pain in women with an indication for outpatient diagnostic hysteroscopy: a randomized controlled trial","volume":"12","author":"Pelazas-Hernandez","year":"2023","journal-title":"J Clin Med"},{"issue":"Suppl 1","key":"10.1016\/j.ejogrb.2025.01.004_b0125","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1007\/s13224-022-01648-5","article-title":"Diclofenac potassium alone versus diclofenac potassium with hyoscine-N-butyl bromide (HBB) in reduction of pain in women undergoing office hysteroscopy: a double blind randomized, placebo-controlled trial","volume":"72","author":"Rashwan","year":"2022","journal-title":"J Obstet Gynaecol India"},{"issue":"4","key":"10.1016\/j.ejogrb.2025.01.004_b0130","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1080\/13697137.2020.1742685","article-title":"Pain management during diagnostic office hysteroscopy in postmenopausal women: a randomized study","volume":"23","author":"Samy","year":"2020","journal-title":"Climacteric"},{"issue":"1","key":"10.1016\/j.ejogrb.2025.01.004_b0135","doi-asserted-by":"crossref","first-page":"41","DOI":"10.4103\/GMIT.GMIT_5_21","article-title":"Assessment of pain at different steps of diagnostic hysteroscopy using room temperature normal saline versus warmed normal saline solution as distension medium: a randomized controlled trial","volume":"11","author":"Sharma","year":"2022","journal-title":"Gynecol Minimally Invasive Therapy"},{"issue":"1","key":"10.1016\/j.ejogrb.2025.01.004_b0140","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1002\/ijgo.12992","article-title":"The value of endocervical and endometrial lidocaine flushing before office hysteroscopy: a randomized controlled trial","volume":"148","author":"Shoab","year":"2020","journal-title":"Int J Gynaecol Obstet"},{"key":"10.1016\/j.ejogrb.2025.01.004_b0145","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.ejogrb.2020.01.030","article-title":"Diclofenac versus a combination of hyoscine and diclofenac for outpatient hysteroscopy: a placebo controlled randomized clinical trial","volume":"247","author":"Souza","year":"2020","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"10.1016\/j.ejogrb.2025.01.004_b0150","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1016\/j.maturitas.2017.03.293","article-title":"Misoprostol for cervical priming prior to hysteroscopy in postmenopausal and premenopausal nulliparous women: a multicentre randomised placebo controlled trial","volume":"100","author":"Tasma","year":"2017","journal-title":"Maturitas"},{"issue":"11","key":"10.1016\/j.ejogrb.2025.01.004_b0155","doi-asserted-by":"crossref","first-page":"1292","DOI":"10.1111\/j.1471-0528.2011.03046.x","article-title":"Does cervical preparation before outpatient hysteroscopy reduce women\u2019s pain experience? A systematic review","volume":"118","author":"Cooper","year":"2011","journal-title":"BJOG"},{"key":"10.1016\/j.ejogrb.2025.01.004_b0160","doi-asserted-by":"crossref","unstructured":"Risk of serious adverse effects with hyoscine butylbromide. Reactions Weekly. 2017;1641(1):3-.","DOI":"10.1007\/s40278-017-26917-5"},{"issue":"645","key":"10.1016\/j.ejogrb.2025.01.004_b0165","doi-asserted-by":"crossref","first-page":"172","DOI":"10.3399\/bjgp16X684433","article-title":"The dangers of NSAIDs: look both ways","volume":"66","author":"Davis","year":"2016","journal-title":"Br J Gen Pract"},{"issue":"11","key":"10.1016\/j.ejogrb.2025.01.004_b0170","article-title":"Uterine distension media for outpatient hysteroscopy","volume":"11","author":"Abdallah","year":"2021","journal-title":"Cochrane Database Syst Rev"},{"key":"10.1016\/j.ejogrb.2025.01.004_b0175","series-title":"Opioids in Non-Cancer Pain","article-title":"47Contraindications, cautions, and drug interactions","author":"Stannard","year":"2013"}],"container-title":["European Journal of Obstetrics &amp; Gynecology and Reproductive Biology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0301211525000041?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0301211525000041?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,2,23]],"date-time":"2025-02-23T20:13:04Z","timestamp":1740341584000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0301211525000041"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3]]},"references-count":35,"alternative-id":["S0301211525000041"],"URL":"https:\/\/doi.org\/10.1016\/j.ejogrb.2025.01.004","relation":{},"ISSN":["0301-2115"],"issn-type":[{"value":"0301-2115","type":"print"}],"subject":[],"published":{"date-parts":[[2025,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Pharmacological and non-pharmacological interventions for pain control in outpatient hysteroscopy: A systematic review","name":"articletitle","label":"Article Title"},{"value":"European Journal of Obstetrics & Gynecology and Reproductive Biology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ejogrb.2025.01.004","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Elsevier B.V. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}