Efficacy of Transcutaneous Electrical Nerve Stimulation (TENS) for Management of Pain Associated With Hysteroscopy: A Systematic Review
- PMID: 39493076
- PMCID: PMC11531910
- DOI: 10.7759/cureus.70797
Efficacy of Transcutaneous Electrical Nerve Stimulation (TENS) for Management of Pain Associated With Hysteroscopy: A Systematic Review
Abstract
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. Hysteroscopy is an increasingly popular diagnostic and interventional procedure, but its associated pelvic pain is a significant obstacle for patients. This systematic review aims to identify if TENS is an effective analgesic modality during hysteroscopy.
Keywords: acute pain management; obstetrics & gynecology; outpatient hysteroscopy; procedural pain control; transcutaneous electrical nerve stimulation; transcutaneous electrical nerve stimulation (tens).
Copyright © 2024, Galtes et al.
Conflict of interest statement
Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.
Figures
Similar articles
-
Transcutaneous electrical nerve stimulation (TENS) as a pain-relief device in obstetrics and gynecology.Clin Exp Obstet Gynecol. 1997;24(3):123-6. Clin Exp Obstet Gynecol. 1997. PMID: 9478293 Review.
-
The combined effect of transcutaneous electrical nerve stimulation and transcutaneous auricular vagus nerve stimulation on pressure and heat pain thresholds in pain-free subjects: a randomized cross-over trial.Trials. 2024 Jul 31;25(1):516. doi: 10.1186/s13063-024-08352-x. Trials. 2024. PMID: 39085951 Free PMC article.
-
Suppression of pelvic pain during hysteroscopy with a transcutaneous electrical nerve stimulation device.Fertil Steril. 2003 Jun;79(6):1422-7. doi: 10.1016/s0015-0282(03)00363-7. Fertil Steril. 2003. PMID: 12798892 Clinical Trial.
-
Transcutaneous Nerve Stimulation for Pain Relief During Office Hysteroscopy: A Randomized Controlled Trial.Obstet Gynecol. 2017 Feb;129(2):363-370. doi: 10.1097/AOG.0000000000001842. Obstet Gynecol. 2017. PMID: 28079781 Clinical Trial.
-
Transcutaneous electrical nerve stimulation: basic science mechanisms and clinical effectiveness.J Pain. 2003 Apr;4(3):109-21. doi: 10.1054/jpai.2003.434. J Pain. 2003. PMID: 14622708 Review.
Cited by
-
An update comprehensive review on the effects of transcutaneous electrical nerve stimulation for postnatal physical and psychological disorders.Front Neurol. 2025 Jun 25;16:1594422. doi: 10.3389/fneur.2025.1594422. eCollection 2025. Front Neurol. 2025. PMID: 40635704 Free PMC article. Review.
References
-
- Effects of transcutaneous electrical nerve stimulation on chronic pelvic pain in women: a systematic review and meta-analysis. Babazadeh-Zavieh SS, Bashardoust Tajali S, Haeri SM, Shamsi A. Complement Med Res. 2023;30:161–173. - PubMed
Publication types
LinkOut - more resources
Full Text Sources