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Research ArticleOriginal Research

Association of Speculum Lubrication with Pain and Papanicolaou Test Accuracy

Dilek Uygur, Tolga Guler, Eyup Yayci, Tijen Atacag, Cem Comunoglu and Gamze Mocan Kuzey
The Journal of the American Board of Family Medicine November 2012, 25 (6) 798-804; DOI: https://doi.org/10.3122/jabfm.2012.06.120021
Dilek Uygur
the Department of Obstetrics and Gynecology, Dr. Zekai Tahir Burak Women Health Research and Education Hospital, Ankara, Turkey (DU); the Department of Obstetrics and Gynecology (TG, TY, TA) and the Department of Pathology (CC, GMK), Near East University Medical School, Lefkosa, TRNC, Turkey.
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Tolga Guler
the Department of Obstetrics and Gynecology, Dr. Zekai Tahir Burak Women Health Research and Education Hospital, Ankara, Turkey (DU); the Department of Obstetrics and Gynecology (TG, TY, TA) and the Department of Pathology (CC, GMK), Near East University Medical School, Lefkosa, TRNC, Turkey.
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Eyup Yayci
the Department of Obstetrics and Gynecology, Dr. Zekai Tahir Burak Women Health Research and Education Hospital, Ankara, Turkey (DU); the Department of Obstetrics and Gynecology (TG, TY, TA) and the Department of Pathology (CC, GMK), Near East University Medical School, Lefkosa, TRNC, Turkey.
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Tijen Atacag
the Department of Obstetrics and Gynecology, Dr. Zekai Tahir Burak Women Health Research and Education Hospital, Ankara, Turkey (DU); the Department of Obstetrics and Gynecology (TG, TY, TA) and the Department of Pathology (CC, GMK), Near East University Medical School, Lefkosa, TRNC, Turkey.
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Cem Comunoglu
the Department of Obstetrics and Gynecology, Dr. Zekai Tahir Burak Women Health Research and Education Hospital, Ankara, Turkey (DU); the Department of Obstetrics and Gynecology (TG, TY, TA) and the Department of Pathology (CC, GMK), Near East University Medical School, Lefkosa, TRNC, Turkey.
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Gamze Mocan Kuzey
the Department of Obstetrics and Gynecology, Dr. Zekai Tahir Burak Women Health Research and Education Hospital, Ankara, Turkey (DU); the Department of Obstetrics and Gynecology (TG, TY, TA) and the Department of Pathology (CC, GMK), Near East University Medical School, Lefkosa, TRNC, Turkey.
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Abstract

Purpose: To determine the effects of lubrication of the vaginal speculum before insertion during a Papanicolaou test on perceived pain and quality of the cytology specimen.

Methods: Four hundred eligible women participating in cervical cancer screening and an early detection program were randomized with respect to lubricant gel use before speculum insertion. Perceived pain during speculum insertion and cytology results were assessed in study groups.

Results: The mean age of the patients was 45.7 years (range, 23–77 years). Pain score of the NO GEL group was significantly higher than that of the GEL group (2.3 and 1.6, respectively; P < .05). For postmenopausal women, lubricant gel use significantly reduced the pain scores of the participants (P < .05). Cytological interpretations of the Papanicolaou test specimens were comparable among all groups.

Conclusions: During the collection of Papanicolaou test specimens, lubrication of the vaginal speculum with a small amount of K-Y Jelly (a water-soluble lubricant gel) decreases the pain associated with insertion of the vaginal speculum among postmenopausal women without obscuring the cytological interpretation of conventional or liquid-based cytology. In women of reproductive age, lubrication of the speculum with K-Y Jelly does not cause a meaningful effect with respect to perceived pain.

  • Lubrication
  • Pain
  • Papanicolaou Test
  • Surgical Instruments
  • Vaginal Speculum
  • Women's Health
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The Journal of the American Board of Family     Medicine: 25 (6)
The Journal of the American Board of Family Medicine
Vol. 25, Issue 6
November-December 2012
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Association of Speculum Lubrication with Pain and Papanicolaou Test Accuracy
Dilek Uygur, Tolga Guler, Eyup Yayci, Tijen Atacag, Cem Comunoglu, Gamze Mocan Kuzey
The Journal of the American Board of Family Medicine Nov 2012, 25 (6) 798-804; DOI: 10.3122/jabfm.2012.06.120021

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Association of Speculum Lubrication with Pain and Papanicolaou Test Accuracy
Dilek Uygur, Tolga Guler, Eyup Yayci, Tijen Atacag, Cem Comunoglu, Gamze Mocan Kuzey
The Journal of the American Board of Family Medicine Nov 2012, 25 (6) 798-804; DOI: 10.3122/jabfm.2012.06.120021
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Keywords

  • Lubrication
  • Pain
  • Papanicolaou Test
  • Surgical Instruments
  • Vaginal Speculum
  • Women's Health

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