Article Text

Download PDFPDF
Lubrication of the vaginal introitus and external speculum had no effect on Papanicolaou smear interpretation

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

 QUESTION: In women having Papanicolaou smears, does lubrication of the vaginal introitus and external speculum affect cervical cytology results?


Randomised (allocation concealed*), blinded (outcome assessors),* controlled trial.


Arrowhead Regional Medical Center Women’s Health Clinic, Colton, California, USA.


182 women (mean age 35 y) who presented to the clinic for Papanicolaou smears. Patients with known untreated cervical cancer or active bleeding were excluded. All patients were included in the analysis.


Patients were allocated to 2–3 cc surgilube (water soluble lubricant) on the gloved fingers before insertion of an externally lubricated speculum (n=93) or no lubricant other than water on the speculum (n=89).

Main outcome measure

The main outcome measure was an unsatisfactory Papanicolaou smear result.

Main results

The groups did not differ for the …

View Full Text


  • Source of funding: not stated.

  • For correspondence: Dr W B Harer Jr, Riverside Regional Medical Center, Moreno Valley, CA, USA.bharer{at}

  • * See glossary.