Sequence of Pelvic Examination Affects Patient-Reported Pain

Female Pelvic Medicine & Reconstructive Surgery
Rebecca RinkoKristene E Whitmore

Abstract

The purpose of this trial is to compare patient-reported pain based on the sequence of the pelvic examination and to assess the relationship between pain during the examination and quality of life, self-esteem, and sexual function. A randomized controlled trial of women presenting for annual gynecologic examinations. Women were assigned to either group A: a Q-tip touch test, speculum examination, then bimanual examination or group B: Q-tip touch test, bimanual examination, then speculum examination. The primary outcome was visual analog scales to assess pain at baseline and after each portion of the examination. Secondary outcomes were responses to questionnaires for self-esteem, quality of life, and sexual function. Of 200 women who enrolled, 192 (96%) completed all visual analog scale data points. Each portion of the examination caused minimal pain over baseline in each group. Pain during the speculum examination was higher than pain during the bimanual examination in both groups (P = 0.007 and P < 0.001). Group B, however, had significantly higher pain scores after the speculum examination than group A (P = 0.044). The groups did not differ on bimanual pain scores (P = 0.76). Pain scores were not statistically different when...Continue Reading

Associated Clinical Trials

Sep 23, 2016·Kristene Whitmore

References

Jan 1, 1984·The American Journal of Nursing·R B Primrose
Jan 1, 1994·Gynäkologisch-geburtshilfliche Rundschau·R Bernet, C Buddeberg
Apr 1, 1996·Annals of Emergency Medicine·K H ToddR Bonacci
Jun 14, 2002·Journal of Psychosomatic Obstetrics and Gynaecology·M Oscarsson, E Benzein
Sep 28, 2002·The Nurse Practitioner·Alison Moriarty Daley, Polly F Cromwell
Nov 18, 2003·Acta Obstetricia Et Gynecologica Scandinavica·Malene HildenBerit Schei
Apr 22, 2005·Journal of Sex & Marital Therapy·Markus WiegelRaymond Rosen
Jan 13, 2011·Journal of General Internal Medicine·Carol K BatesJennifer Potter
Oct 12, 2013·Teaching and Learning in Medicine·Adrienne A Williams, Mozella Williams
Oct 31, 2013·Journal of the American Association of Nurse Practitioners·Sherry CarterDavid Marshall

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Citations

Apr 26, 2020·Female Pelvic Medicine & Reconstructive Surgery·Rebecca RinkoPaul Nyirjesy

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