A double-blind randomized controlled trial of two different doses of misoprostol for cervical priming prior to office hysteroscopy

Objective: To evaluate and compare the effectiveness of 200 μg vaginal misoprostol vs. 400 μg vaginal misoprostol administrated 3 h prior to office hysteroscopy, in cervical priming. Design: Randomized controlled trial. Setting: Outpatient clinic of the Cairo University Hospital, Cairo, Egypt. Mater...

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Main Authors: Waleed El-Khayat, Login Dwidar, Heba Elsawah, Omima Idris
Format: Article
Language:English
Published: SpringerOpen 2015-03-01
Series:Middle East Fertility Society Journal
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1110569014000144
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author Waleed El-Khayat
Login Dwidar
Heba Elsawah
Omima Idris
author_facet Waleed El-Khayat
Login Dwidar
Heba Elsawah
Omima Idris
author_sort Waleed El-Khayat
collection DOAJ
description Objective: To evaluate and compare the effectiveness of 200 μg vaginal misoprostol vs. 400 μg vaginal misoprostol administrated 3 h prior to office hysteroscopy, in cervical priming. Design: Randomized controlled trial. Setting: Outpatient clinic of the Cairo University Hospital, Cairo, Egypt. Materials and methods: One hundred and thirty-two women scheduled for office hysteroscopy; were randomized into two groups. Patients were divided into two groups: group I; 66 patients received 200 μg vaginal misoprostol and group II; 66 patients received 400 μg vaginal misoprostol. Primary outcome was pain score (visual analogue scale). Major outcome measures: 400 μg vaginal misoprostol significantly minimized pain score and procedure time, a significant increase in the ease of entry and the patient acceptability was observed in the 400 μg vaginal misoprostol group. Side effects of misoprostol were minor and transient with no statistically significant difference between both groups. Major conclusions: 400 μg vaginal misoprostol 3 h prior to office hysteroscopy appears to be more effective than 200 μg vaginal misoprostol in facilitating cervical ripening, minimizing pain score and procedure time, without any increase in side effect occurrence.
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spelling doaj.art-ce609d832c0147b6be44f752fd3732ad2022-12-22T00:21:06ZengSpringerOpenMiddle East Fertility Society Journal1110-56902015-03-012011510.1016/j.mefs.2014.03.004A double-blind randomized controlled trial of two different doses of misoprostol for cervical priming prior to office hysteroscopyWaleed El-KhayatLogin DwidarHeba ElsawahOmima IdrisObjective: To evaluate and compare the effectiveness of 200 μg vaginal misoprostol vs. 400 μg vaginal misoprostol administrated 3 h prior to office hysteroscopy, in cervical priming. Design: Randomized controlled trial. Setting: Outpatient clinic of the Cairo University Hospital, Cairo, Egypt. Materials and methods: One hundred and thirty-two women scheduled for office hysteroscopy; were randomized into two groups. Patients were divided into two groups: group I; 66 patients received 200 μg vaginal misoprostol and group II; 66 patients received 400 μg vaginal misoprostol. Primary outcome was pain score (visual analogue scale). Major outcome measures: 400 μg vaginal misoprostol significantly minimized pain score and procedure time, a significant increase in the ease of entry and the patient acceptability was observed in the 400 μg vaginal misoprostol group. Side effects of misoprostol were minor and transient with no statistically significant difference between both groups. Major conclusions: 400 μg vaginal misoprostol 3 h prior to office hysteroscopy appears to be more effective than 200 μg vaginal misoprostol in facilitating cervical ripening, minimizing pain score and procedure time, without any increase in side effect occurrence.http://www.sciencedirect.com/science/article/pii/S1110569014000144Office hysteroscopyMisoprostolCervical priming
spellingShingle Waleed El-Khayat
Login Dwidar
Heba Elsawah
Omima Idris
A double-blind randomized controlled trial of two different doses of misoprostol for cervical priming prior to office hysteroscopy
Middle East Fertility Society Journal
Office hysteroscopy
Misoprostol
Cervical priming
title A double-blind randomized controlled trial of two different doses of misoprostol for cervical priming prior to office hysteroscopy
title_full A double-blind randomized controlled trial of two different doses of misoprostol for cervical priming prior to office hysteroscopy
title_fullStr A double-blind randomized controlled trial of two different doses of misoprostol for cervical priming prior to office hysteroscopy
title_full_unstemmed A double-blind randomized controlled trial of two different doses of misoprostol for cervical priming prior to office hysteroscopy
title_short A double-blind randomized controlled trial of two different doses of misoprostol for cervical priming prior to office hysteroscopy
title_sort double blind randomized controlled trial of two different doses of misoprostol for cervical priming prior to office hysteroscopy
topic Office hysteroscopy
Misoprostol
Cervical priming
url http://www.sciencedirect.com/science/article/pii/S1110569014000144
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