ISSN 1308-8734 | E-ISSN 1308-8742
Original Article
Effect of Cervical Lidocaine Gel for Pain Relief in Pipelle Endometrial Sampling
1 Clinic of Obstetrics and Gynecology, Aliağa State Hospital, İzmir, Turkey  
2 Department of Obstetrics and Gynecology, Ataturk University, School of Medicine, Erzurum, Turkey  
3 Clinic of Obstetrics and Gynecology, Buca Maternity Hospital, İzmir, Turkey  
4 Clinic of Obstetrics and Gynecology, Tepecik Research and Training Hospital, İzmir, Turkey  
Eurasian J Med 2016; 48: 189-191
DOI: 10.5152/eurasianjmed.2016.0068
Key Words: Endometrial biopsy, lidocaine, pipelle

Objective: To evaluate the efficacy of cervical lidocaine gel in reducing patient discomfort during Pipelle endometrial sampling.


Materials and Methods: From September 2012 to January 2013, 137 patients were evaluated with Pipelle endometrial biopsy. For group 1 (77 women), 2% lidocaine gel was applied to the cervical canal 3 min before endometrial sampling. For group 2 (60 women), a placebo gel was applied. The pain experienced by the patients during biopsy was evaluated using a 100 mm visual analog scale.


Results: The pain score was significantly lower during suction curettage (T3) in the group 1 than in the group 2. There was no significant difference between the groups in terms of pain score in other stages of the procedure (2.6±1.3 and 4.5±1.4; p=0.03).


Conclusion: Cervical 2% lidocaine gel is simple and effective for decreasing pain associated with Pipelle endometrial biopsy.

Key Words
Author’s Corner
AVES | Copyright © 2018 Atatürk University Faculty of Medicine | Latest Update: 28.06.2018