Comparison of a Sheathed Versus Standard Plastic Speculum
Conditions
Keywords
speculum, vagina, cervix, examination
Brief summary
The purpose of this study is to estimate if a novel sheathed speculum provides improved visualization of the cervix compared to a standard (non sheathed) speculum, and to estimate if the sheathed speculum causes less discomfort during the examination.
Detailed description
This is a randomized trial where physician investigators will perform clinically indicated vaginal speculum examinations using either a sheathed or a standard plastic speculum, to determine which speculum provides the best visualization of the cervix. As a secondary outcome, study participants will record their pain level on a 10-cm visual analogue scale.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Undergoing clinically indicated vaginal speculum examination. * Subject has had at least 1 prior vaginal deliver \> 20 weeks gestational age. * Able to read and speak English.
Exclusion criteria
* Active vulvar lesions or conditions (sexually transmitted infections, vestibulodynia, candida, vaginitis, or vulvar dermatologic condition). * Menopausal or using hormone replacement therapy. * Genital atrophy. * Chronic pelvic pain, dyspareunia, or interstitial cystitis.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Degree of cervix visualized. | During vaginal speculum examination. | To compare the degree of cervical visualization as interpreted by the investigator between the sheathed speculum and the standard plastic disposable speculum. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Comparison of pain during speculum examination. | During speculum examination. | To compare the subjects' comfort level between the sheathed and standard speculums when undergoing a vaginal speculum examination, using a patient-reported 10-cm visual analog scale (VAS). |
Countries
United States