title: Association of speculum lubrication with pain and Papanicolaou test accuracy.
abstract: OBJECTIVE
  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 premenopausal 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.
authors.affiliation: Department of Obstetrics and Gynecology, Dr. Zekai Tahir Burak Women Health Research and Education Hospital, Ankara, Turkey.
authors.forename: Dilek
authors.initials: D
authors.lastname: Uygur
authors.forename: Tolga
authors.initials: T
authors.lastname: Guler
authors.forename: Eyup
authors.initials: E
authors.lastname: Yayci
authors.forename: Tijen
authors.initials: T
authors.lastname: Atacag
authors.forename: Cem
authors.initials: C
authors.lastname: Comunoglu
authors.forename: Gamze Mocan
authors.initials: GM
authors.lastname: Kuzey
mesh_terms: D000328:Adult; D000368:Aged; D002482:Cellulose / Q000031:analogs & derivatives*; D004311:Double-Blind Method; D055088:Early Detection of Cancer / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D005260:Female; D005990:Glycerol; D006801:Humans; D054327:Lubricants; D008153:Lubrication; D008875:Middle Aged; D010146:Pain / Q000209:etiology / Q000517:prevention & control*; D010147:Pain Measurement; D065006:Papanicolaou Test; D010710:Phosphates; D017698:Postmenopause; D011409:Propylene Glycols; D013525:Surgical Instruments; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis*; D014626:Vaginal Smears / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*
chemical_list: C042973:K-Y jelly; D054327:Lubricants; D010710:Phosphates; D011409:Propylene Glycols; D002482:Cellulose; D005990:Glycerol