This randomized controlled trial evaluated whether calming instrumental music reduces pain and anxiety and improves satisfaction during outpatient hysteroscopy in postmenopausal women.
This randomized controlled trial included postmenopausal women undergoing diagnostic outpatient hysteroscopy for postmenopausal bleeding or abnormal transvaginal ultrasound findings suggestive of intrauterine pathology. Participants were randomized 1:1 to receive calming instrumental music during the procedure or standard care without background music. The study assessed procedural pain, postprocedural pain, anxiety, patient satisfaction, operator-rated ease of hysteroscope insertion, procedure duration, intrauterine pathology detection, and adverse events.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
124
Participants listened to self-selected calming instrumental, non-lyrical music from a pre-prepared culturally acceptable playlist. Music was started approximately 3 minutes before hysteroscope insertion and continued until hysteroscope withdrawal. It was played through a speaker at a comfortable conversational volume and adjusted according to patient preference, while maintaining clear verbal communication between the operator and the participant.
Participants underwent outpatient hysteroscopy in the same setting using the same standard procedure, without background music
Cairo University
Cairo, Egypt
Intensity of pain
Pain intensity during office hysteroscopy, defined as the maximum pain experienced during the procedure and recorded immediately after hysteroscope withdrawal using a 0-10 Numerical Rating Scale, where 0 indicates no pain and 10 indicates maximum pain.
Time frame: 1 minute (Immediately after hysteroscope withdrawal)
Postprocedural anxiety
Anxiety assessed immediately after the procedure using a 0-10 Numerical Rating Scale, where 0 indicates no anxiety and 10 indicates maximum anxiety.
Time frame: 1 minute (Immediately after hysteroscope withdrawal)
Patient satisfaction
Patient satisfaction assessed immediately after the procedure using a 0-10 Numerical Rating Scale.
Time frame: 1 minute (Immediately after hysteroscope withdrawal)
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