Pain ratings obtained from 387 patients were as follows:
(level 1) easily acceptable discomfort, minimal discomfort during procedure (34.5%);
(level 2) acceptable discomfort, uncomfortable but easily bearable (22.2%);
(level 3) tolerable discomfort, equivalent to menstrual cramps and spasms (27.4%);
(level 4) barely tolerable pain, tolerable for short time only (12.4%);
and (level 5) intolerable pain, severe enough to stop the procedure before completion (3.6%).
The median pain rating was 2, representing an acceptable level of discomfort. Complications after office hysteroscopy were rare; there was a single adverse event of post-procedure temperature elevation.