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Hum. Reprod. Advance Access originally published online on April 3, 2006
Human Reproduction 2006 21(8):2167-2170; doi:10.1093/humrep/del098
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© The Author 2006. Published by Oxford University Press on behalf of the European Society of Human Reproduction and Embryology. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Misoprostol for cervical ripening in non-pregnant women: a randomized double-blind controlled trial of oral versus vaginal regimens

C. Choksuchat1, S. Cheewadhanaraks, C. Getpook, V. Wootipoom and K. Dhanavoravibul

Department of Obstetrics and Gynecology, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand

1 To whom correspondence should be addressed at: Department of Obstetrics and Gynecology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand. E-mail: chchaina{at}yahoo.com

BACKGROUND: The objective was to compare the efficacy of oral versus vaginal misoprostol for cervical ripening in non-pregnant women. METHODS: Sixty non-pregnant women scheduled for diagnostic hysteroscopy were randomized by computerized randomization schedule to 400 µg of misoprostol orally (n = 30) or 200 µg vaginally (n = 30) administered 12 h prior to surgery. The diameter of the cervical canal measured with a Hegar dilator, adverse events and any complications were recorded and compared between the two groups. RESULTS: The mean pre- and post-medication cervical canal diameter and cervical diameter difference were 2.00 ± 1.93 versus 2.37 ± 1.83 mm (P = 0.453), 5.10 ± 1.75 versus 5.60 ± 1.69 mm (P = 0.265) and 3.10 ± 1.79 versus 3.23 ± 1.74 mm (P = 0.771) in the oral and vaginal group, respectively. Seven patients in the oral group and one patient in the vaginal group experienced diarrhoea within 24 h of administration of the misoprostol. CONCLUSION: Oral misoprostol 400 µg had similar efficacy in cervical ripening to 200 µg of vaginal misoprostol.

Key words: cervical ripening/hysteroscopy/misoprostol/oral/vaginal


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