Pain relief for obstetric and gynecologic ambulatory procedures

Obstet Gynecol Clin North Am. 2013 Dec;40(4):625-45. doi: 10.1016/j.ogc.2013.08.005.


As minor gynecologic procedures move from the operating room to the office, providers need to ensure that patients are comfortable and that procedures are performed safely. Although local anesthesia is commonly used for gynecologic procedures, a multimodal approach may be more effective. If necessary, sedation can be safely provided in an office setting with the correct tools and training. This article reviews evidence-based approaches to pain management for gynecologic procedures in the ambulatory setting.

Keywords: Ambulatory; Colposcopy; Endometrial biopsy; Hysteroscopy; IUD; Pain; Paracervical block; Uterine aspiration.

Publication types

  • Review

MeSH terms

  • Ambulatory Surgical Procedures / methods*
  • Ambulatory Surgical Procedures / standards
  • Anesthesia, Local / methods*
  • Anesthetics, Local / therapeutic use
  • Anti-Anxiety Agents / therapeutic use*
  • Anti-Inflammatory Agents, Non-Steroidal / therapeutic use*
  • Biopsy
  • Colposcopy / methods
  • Female
  • Gynecologic Surgical Procedures / methods*
  • Gynecologic Surgical Procedures / standards
  • Humans
  • Hysteroscopy / methods
  • Nerve Block / methods*
  • Obstetric Surgical Procedures / methods*
  • Obstetric Surgical Procedures / standards
  • Pain Measurement
  • Patient Safety
  • Patient Satisfaction
  • Pregnancy


  • Anesthetics, Local
  • Anti-Anxiety Agents
  • Anti-Inflammatory Agents, Non-Steroidal