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upport satisfaction among underrepresented residents. To evaluate the effect of adding a local anesthetic to the distension medium in office diagnostic hysteroscopy using the vaginoscopic approach on pain during the procedure. Secondary aims included documenting side effects, patient satisfaction, and the time needed to complete the procedure. Randomized double-blind placebo-controlled study. University-affiliated hospital; office hysteroscopy clinic. Total of 100 patients who underwent office hysteroscopies divided in half with 50 in t