Abstract

Objectives: HSG is an invasive diagnostic procedure that involves the radiographic evaluation of the genital system after the injection of a radiopaque substance from the cervical canal in infertile women. Preemptive intravenous ibuprofen is commonly used for postoperative pain management. However, only a limited number of studies have reported the intravenous use of ibuprofen for short-term painful procedures. This study aimed to investigate the effectiveness of intravenous ibuprofen for pain management during HSG.
Materials and methods: A total of 91 patients planned to undergo HSG due to infertility were included in the prospective, randomized, double-blind study. Patients were assigned into two groups: the ibuprofen group (group I, n = 43) and the control group (group C, n = 48). About 30 min before the procedure, 800 mg ibuprofen in 100 ml saline infusion was administered to the ibuprofen group, whereas 100 ml saline infusion was administered to the control group 30 min before the starting the procedure. Pain scores using a visual analog scale (VAS) during the procedure were evaluated at four-stage; (1) insertion of the speculum (2) holding and traction (3) administration of contrast matter; and (4) 30 min after the procedure. Besides, the patients were evaluated according to a scale with a range of 1–4 in terms of satisfaction.
Results: There was no statistically significant difference in terms of demographic data (p>0.05). VAS pain scores in the median (25%-75%) during the administration of contrast agent were lower in group ibuprofen (median, 1; range 1-2) than in group control (median, 5.5; range 5-6) (p0.05). Patient satisfaction was significantly higher in group ibuprofen than in group control (p

Key words: ibuprofen; hysterosalpingography; infertility.