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

https://doi.org/10.1136/ebm.8.3.79

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    (2002) Obstet Gynecol 100, 887. Harer WB, Jr, Valenzuela G, Lebo D.. Lubrication of the vaginal introitus and speculum does not affect Papanicolaou smears.. ;. :. –8.
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 QUESTION: In women having Papanicolaou smears, does lubrication of the vaginal introitus and external speculum affect cervical cytology results?

    Design

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

    Setting

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

    Patients

    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.

    Intervention

    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 …

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    Footnotes

    • Source of funding: not stated.

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

    • ↵* See glossary.