Calm verbal coaching versus usual communication for pain during office hysteroscopy in women with primary infertility
Official title: Verbal Analgesia Versus Standard Care for Pain Control in Women With Primary Infertility Undergoing Vaginoscopic Office Hysteroscopy: A Randomized Controlled Trial
Run by Cairo University · NCT07325994 · Data updated 2026-11-12
This compares calm, supportive verbal coaching to usual communication to see if it reduces pain during office hysteroscopy in women with primary infertility.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 40 Years |
| Sex | Women only |
| Enrollment | 92 (estimated) |
| Sponsor | Cairo University Academic / other |
| Locations | 1 site (Giza) |
| Status | Recruiting |
| Started | October 20, 2025 |
| Main results expected | March 10, 2026 |
| Study ends | March 15, 2026 |
| Registry record updated | January 8, 2026 |
| Trial ID | NCT07325994 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Women aged 18–40 with primary infertility, regular cycles, and an indication for diagnostic office hysteroscopy are ideal candidates.
✕Probably not a fit
Patients with secondary infertility, cervical stenosis, prior failed hysteroscopy, contraindication to NSAIDs, active pelvic infection, or suspected pregnancy are excluded and unlikely to benefit from this protocol.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This interventional trial enrolls women aged 18–40 with primary infertility who are scheduled for vaginoscopic (no‑touch) office hysteroscopy. All participants receive baseline NSAID premedication and are then assigned to either a structured verbal analgesia protocol (calm, supportive, reassuring cues during the procedure) or standard neutral communication. The study measures patient‑reported pain scores during key procedure steps, completion rates, and need for additional analgesia or sedation. The aim is to determine whether a simple communication strategy can improve tolerability and reduce procedural pain compared with usual care.
Why it matters
Potential benefit: If successful, this approach could reduce pain and increase the comfort and completion rate of office hysteroscopy without additional drugs or equipment.
How similar studies have gone: Structured verbal analgesia has shown pain reduction in other gynecologic procedures like IUD insertion, but randomized data in vaginoscopic hysteroscopy for primary infertility are lacking.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * o Women aged 18-40 years. * Diagnosis of primary infertility (failure to conceive after ≥12 months of unprotected intercourse). * Indication for diagnostic office hysteroscopy. * Regular menstrual cycles. Exclusion Criteria: * o Secondary infertility. * Known pelvic infection, cervicitis, or vaginitis. * Use of analgesics within 8 hours prior to procedure. * Cervical stenosis, prior failed hysteroscopy, or known uterine anomaly. * Contraindication to NSAIDs * Pregnancy or suspected pregnancy.
Where it's running
-
Al Gezeera Hospital
Giza, Egypt Recruiting
Study contacts
- Study coordinator: Mahmoud alalfy
- Email: mahmoudalalfy@ymail.com
- Phone: +201002611058
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Fertility outcomes after antibiotic treatment in women with chronic endometritis
This study tests whether antibiotic therapy can improve fertility and pregnancy outcomes in women with chronic endometritis diagnosed during infertility workups.
-
Using virtual reality to help with diagnostic hysteroscopy
This study tests whether immersive virtual reality or Hypno-VR can reduce pain and anxiety for adults undergoing diagnostic hysteroscopy.
-
Using magnesium and ketamine to manage pain during hysteroscopy
This study is testing if magnesium and ketamine can help reduce pain for people having a hysteroscopy or D&C, compared to a placebo.
-
Using bladder distension to reduce pain during office hysteroscopy for patients with a tilted uterus
This study tests if filling the bladder can help make office hysteroscopy less painful for women with a tilted uterus.
-
Using ultrasound to improve office hysteroscopy for patients with previous failures.
This study tests if using ultrasound can help patients who have had trouble with previous hysteroscopy procedures successfully access the uterine cavity.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.