Improving women's experience during speculum examinations at routine gynaecological visits: Randomised clinical trial

Dean A. Seehusen, Dawn R. Johnson, J. Scott Earwood, Sankar N. Sethuraman, Jamie Cornali, Kelly Gillespie, Maria Doria, Edwin Farnell IV, Jason Lanham

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Objectives: To determine if a standardised method of leg positioning without stirrups reduces the physical discomfort and sense of vulnerability and increases the sense of control among women undergoing speculum examination as part of a routine gynaecological examination. Design: Randomised clinical trial. Setting: Family medicine outpatient clinic. Patients: 197 adult women undergoing routine gynaecological examination and cervical smear. Intervention: Examination with or without stirrups. Main outcome measures: Women's perceived levels of physical discomfort, sense of vulnerability, and sense of control during the examination, measured on 100 mm visual analogue scales. Results: Women undergoing examination without stirrups had a reduction in mean sense of vulnerability from 23.6 to 13.1 (95% confidence interval of the difference -16.6 to -4.4). Mean physical discomfort was reduced from 30.4 to 17.2 (-19.7 to -6.8). There was no significant reduction in sense of loss of control. Conclusion: Women should be able to have gynaecological examinations without using stirrups to reduce the stress associated with speculum examinations.

Original languageEnglish (US)
Pages (from-to)171-173
Number of pages3
JournalBritish Medical Journal
Issue number7560
Publication statusPublished - Jul 22 2006


ASJC Scopus subject areas

  • Medicine(all)

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