Patient Comfort Clinical Trial
Official title:
A Randomized Prospective Trial Comparing Metal to Plastic Speculums for Patient Comfort
The purpose of this study is to evaluate the comfort of two type of speculums used during routine gynecologic exam. Your treatment and medical care will not change because you are participating in this study. Your doctor will continue to make all decisions regarding your proper treatment and care.
Speculum examination is a common procedure in the gynecology clinic used for evaluation of
numerous conditions such as vaginitis, and during cervical cytology screening (PAP smears).
The speculum is inserted into the woman's vagina and used to keep the vaginal walls apart
during exam and procedures. Each step of the examination with a speculum including
insertion, manipulation during examination, and removal can cause discomfort for the
patient. Fear of examination pain is considered one barrier to examination compliance. Any
method to decrease discomfort during the exam would be considered beneficial to patient
screening.
Typically two types of speculums are used in clinical practice, metal and plastic. There are
advantages to both, and usage is usually predicated by physician preference. Previous
studies have demonstrated a clear difference in patient comfort between metal speculums and
newer dilating speculums such as the Vera scope (1). Clinical trials have also shown the
benefit of using lubrication on metal speculums during routine exams (2). To date there are
no clinical trails to examine the difference in patient comfort between metal and plastic
bi-valve speculums.
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Observational Model: Cohort, Time Perspective: Prospective
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