Effects of Speculum Lubrication on Cervical Smears for Cervical Cancer Screening: A Double Blind Randomized Clinical Trial
Background
Speculum lubrication may reduce pain during Pap-smear collection, potentially increasing uptake of cervical cancer screening. However, concerns exist about its impact on cytological results.
Aim
To compare the adequacy of cervical cytology smears and pain scores of women undergoing cervical cancer screening with or without speculum lubrication.
Methods
A randomized controlled study of 132 women undergoing cervical cancer screening at a Nigerian tertiary hospital. Participants were assigned to ‘Gel’ or ‘No Gel’ groups. Pap smears were collected with a lubricated or non-lubricated speculum. Outcome measures included unsatisfactory cervical cytology smears, pain scores, willingness for repeat testing, and cytological diagnosis.
Results
No significant difference in unsatisfactory cervical smear results between the groups (13.6% vs. 21.2%, p = 0.359). Mean pain scores were significantly lower in the gel group (45.04 vs. 87.96; p<0.001). An equal proportion of participants in each group were willing to come for repeat testing (90.9% vs. 90.9%; p > 0.999).
Conclusion
Speculum lubrication did not affect the adequacy of cervical smears but significantly reduced pain during pap smear collection. It also did not significantly affect willingness for repeat testing.
TRIAL REGISTRATION: The trial was registered with the Pan-African Clinical Trial Registry with a unique identification and registration number: PACTR2020077533364675.
Clinical Trials and AI-Driven Solutions
Clinical trials are crucial for developing safe treatments. Our AI-driven platform, DocSym, consolidates ICD-11 standards, clinical protocols, and research into an easily accessible knowledge base for clinicians.
Streamlining Healthcare Operations
Our mobile apps support scheduling, monitoring treatments, and telemedicine, making it easier to manage patient care and expand services digitally.
Enhancing Workflows with AI
By using AI, clinics can improve patient outcomes and reduce paper routines. Learn more about how we can help at aidevmd.com.
