Efficacy of Transcutaneous Electrical Nerve Stimulation (TENS) for Management of Pain Associated With Hysteroscopy: A Systematic Review.

Transcutaneous electrical nerve stimulation (TENS) therapy is a simple, non-pharmacologic, and non-invasive analgesic intervention that involves the application of electric currents over an area of pain to stimulate underlying nerves. The methodology behind TENS is based on theories of pain perception and processing such as the gate control theory, descending inhibition, and release of endogenous opioids. TENS has also been shown to play a role in the management of pain for gynecologic procedures such as hysteroscopy.

Use of Transcutaneous Electrical Nerve Stimulation (TENS) for Pain Management During Intrauterine Device Insertion: A Case Series.

This case series details the use of transcutaneous electrical nerve stimulation (TENS) for pain management during intrauterine device (IUD) insertion in three different patients. We used a 100 mm horizontal line visual analog scale (VAS) to assess pain associated with the procedure. Case 1 is a 39-year-old primiparous female with a past medical history of depression who presented to the clinic for Mirena IUD insertion.

Uterine Leiomyoma Journey With Acessa ProVu System Using General Anesthesia Under Laparoscopic Ultrasound Guidance: A Case Report.

This case report details the evaluation and management of a 40-year-old woman presenting with heavy menstrual bleeding and severe dysmenorrhea. Despite three months of combined oral contraceptives, symptoms persisted. The patient denied other systemic symptoms, with no weight loss, fatigue, or urinary/fecal symptoms.