Pointers on making hysteroscopy as comfortable as possible
Professor of Surgery, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University; Vice Chairman, Obstetrics, Gynecology, and Women’s Health Institute; and Director, Center for Menstrual Disorders, Fibroids and Hysteroscopic Services, Cleveland Clinic, Cleveland, Ohio. Dr. Bradley serves on the OBG Management Board of Editors.
Until we have additional data, I plan to continue using misoprostol to prepare the cervix for hysteroscopy. I also endorse patient education, a nurturing outpatient environment, and a trained ancillary staff to reduce pain and improve the outpatient hysteroscopy experience.
Who knows whether the magic is in the misoprostol or the magician?