Use of Flurbiprofen ester in 4-dimensional hysterosalpingography : could it effectively relieve pain during infertility examination?

Abstract

Abstract Objective The purpose of this article is to investigate the analgesic effect of flurbiprofen ester injection continuous intravenous drip in transvaginal 4-dimensional hysterosalpingography (TVS 4D-HyCoSy). Methods Two hundred thirty patients who underwent TVS 4D-HyCoSy for infertility from May 2018 to August 2021 at Sun Yat-sen Memorial Hospital, Sun Yat-sen University, were selected. They were grouped according to tubal patency, flurbiprofen ester use, and uterine cannula diameter, i.e., bilateral tubal patency group and nonbilateral tubal patency group, atropine group and atropine + flurbiprofen ester group, and coarse tube group and fine tube group, to compare the analgesic effect during TVS 4D-HyCoSy, pain relief effect between groups, record the incidence of adverse effects, and analyze the factors related to the influence of pain. Results 1. The atropine + flurbiprofen ester group had significantly fewer adverse effects in the former patients compared with the atropine group; 2. Flurbiprofen ester continuous intravenous infusion was effective for analgesia after ultrasound tubal contrast. Flurbiprofen ester continuous intravenous infusion was effective in relieving pain within 30 minutes after imaging regardless of the patency of the fallopian tubes; 3. The addition of flurbiprofen ester significantly relieved pain in the fine tube group in those with bilateral patency of the fallopian tubes and in the thick tube group and fine tube group in those with nonbilateral patency of the fallopian tubes; 4. Multifactorial analysis of pain relief during imaging suggested that the use of flurbiprofen for bilateral tubal patency had a significant positive effect on pain relief within 30 minutes after the examination, AUC 0.732; 95% CI: 0.665-0.798. Conclusion Bilateral tubal patency and flurbiprofen will have a significant positive effect on pain relief. The analgesic effect of flurbiprofen ester injection with continuous drip started before TVS 4D-HyCoSy was good, and the pain relief effect was significant within 30 minutes after examination with few adverse effects, which is worthy of clinical promotion.