Targeted Lidocaine Infusion for Pain Reduction in Office Hysteroscopy

A Modified Technique of Target Lidocaine Infusion for Pain Control in Office Hysteroscopy: A Double-Blind Randomized Controlled

The goal of this study is to find out whether a small amount of lidocaine (a common local anesthetic) can reduce pain during office hysteroscopy - a procedure used to look inside the uterus. The study will compare lidocaine to saline (salt water) to see which one helps more with pain relief.

Participants will:

1. Receive either lidocaine or saline gently applied inside the cervix right before the procedure
2. Undergo the hysteroscopy as planned
3. Be asked to rate their pain and satisfaction after the procedure

Lidocaine is commonly and safely used in dental and gynecological procedures. Participation is voluntary, and the procedure itself will not change.

Inclusion Criteria:

• Age > 18
• Referred for outpatient diagnostic or operative (see-and-treat) hysteroscopy
• Able and willing to provide written informed consent

Exclusion Criteria:

• Pregnancy
• Active pelvic inflammatory disease or cervicitis
• Inability to consent
• Anti-psychotic drugs usage
• Previews cervical surgery (i.e., conization).
• Any contraindication for office hysteroscopy- cervical malignancy, profuse uterine bleeding, invisible external os, recent uterine perforation.
• Known allergy or hypersensitivity to Lidocaine