Donald School Journal of Ultrasound in Obstetrics and Gynecology

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VOLUME 14 , ISSUE 3 ( July-September, 2020 ) > List of Articles

Original Article

Effects of Lubricants Used at Speculum Examination on Conventional and ThinPrep Smear Results

Nilgün Güdücü, Herman İŞḈi, Alexandra Lieb, Salim Karavelioğlu, Zehra N Kavak

Citation Information : Güdücü N, İŞḈi H, Lieb A, Karavelioğlu S, Kavak ZN. Effects of Lubricants Used at Speculum Examination on Conventional and ThinPrep Smear Results. Donald School J Ultrasound Obstet Gynecol 2020; 14 (3):262-264.

DOI: 10.5005/jp-journals-10009-1662

License: CC BY-NC 4.0

Published Online: 08-01-2021

Copyright Statement:  Copyright © 2020; The Author(s).


Abstract

Aims and objectives: We conducted a retrospective study to compare the rate of satisfactory conventional and ThinPrep smears with and without lubricant use. Materials and methods: We reviewed smear test results of 5,126 patients retrospectively. Both conventional and ThinPreps were included. Results: Overall, there was no difference between the two groups for satisfactory smear results. There was also no difference between smear groups in postpartum and postmenopausal patients. Lubricant use decreased satisfactory smear rate in ThinPrep smears (81.9% and 85.5%, p = 0.038). When ThinPrep smears were taken without lubricants, a statistically significantly higher rate of cervical dysplasia (2.5% and 3.6%, p = 0.023), nonspecific infection (64.9% and 69.2%, p = 0.001), trichomonas infection (0.3% and 0.9%, p = 0.004), and bacterial vaginosis (2.7% and 5.9%, p = 0.001) were detected. Conclusion: Lubricants affect satisfactory smear results only in ThinPrep smears. Detection of cervical dysplasias, bacterial vaginosis, and trichomonas infections were higher when lubricants were not used.


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