Office hysteroscopy is a cornerstone in the diagnostic evaluation of infertile women, enabling direct visualization of the uterine cavity for identifying intrauterine pathology. The vaginoscopic ("no-touch") approach, which eliminates the use of a speculum and tenaculum, is increasingly adopted due to improved tolerability, higher success rates, and reduced pain compared to conventional methods.
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Eligibility 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 pelvi…
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.
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