Vaginoscopy avoids the use of a vaginal speculum or cervical tenaculum
, and is so tolerable to many patients that I use minimal premedication and only rarely use any local anesthetic and/or sedation, even for biopsies and polypectomies.
Interestingly, the placebo-treated women experienced pain intensity with cervical tenaculum
placement similar to that associated with IUD placement.
A vaginoscopic approach avoids the use of a vaginal speculum or cervical tenaculum
, significantly decreasing discomfort or pain.
5% lidocaine 3 mL with 1:200,000 epinephrine via 22-gauge spinal needle at anterior and posterior cervix to enable painless attachment of a cervical tenaculum
The vaginoscopic technique for hysteroscopy--sometimes referred to as a no-touch approach--avoids the use of a vaginal speculum and cervical tenaculum