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Obstetrics & Gynecology 2002;100:887-888
© 2002 by The American College of Obstetricians and Gynecologists
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ORIGINAL RESEARCH

Lubrication of the Vaginal Introitus and Speculum Does Not Affect Papanicolaou Smears

W. Benson Harer, Jr, MD, Guillermo Valenzuela, MD and Debra Lebo, DO

From the Department of Obstetrics and Gynecology, Arrowhead Regional Medical Center, Colton, California.

Address reprint requests to: W. Benson Harer, Jr, MD, Riverside Regional Medical Center, Department Women’s Health Care, 26520 Cactus Avenue, Moreno Valley, CA 92555; E-mail: bharer{at}co.riverside.ca.us.

OBJECTIVE: To test the hypothesis that lubrication of the vaginal introitus and external speculum does not adversely affect Papanicolaou interpretation.

METHOD: One hundred eighty-two patients presenting for Papanicolaou smears as part of their visit were randomly assigned to have either only warm water or a water soluble lubricant to assist speculum insertion. Cytotechnicians and pathologists were blind to the cohort from which smears were obtained.

RESULTS: Two unsatisfactory smears were found among 93 patients with the lubricant and two were found among 89 using only warm water. No significant difference was found using the t test for continuous variables and {chi}2 for categoric variables.

CONCLUSION: Use of a water soluble lubricant on the vaginal introitus and external speculum facilitates examination with no adverse effect on Papanicolaou smear interpretation.




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