AIM: To evaluate the role of lubricant gel in the cytology of a Pap smear and whether it results in an improvement in the discomfort experienced by women while undergoing Pap smear screening.METHODS: A total of 151 wo...AIM: To evaluate the role of lubricant gel in the cytology of a Pap smear and whether it results in an improvement in the discomfort experienced by women while undergoing Pap smear screening.METHODS: A total of 151 women were analyzed in the study. After screening for inclusion criteria, a Pap smear was taken with no lubricant in all the women and the discomfort experienced was rated on a visual analogue scale. The women underwent a second Pap smear on the next visit using a lubricant gel and were again rated on a visual analogue scale for the discomfort felt. The pathologist was blinded to the fact of whether the lubricating gel was used.RESULTS: The number of unsatisfactory smears in the no gel group was 3 vs 5 in the gel group, P < 0.05. However, a significant difference(P = 0.00) was observed in the visual analogue pain score in both groups, suggesting that application of lubricant gel over the speculum improves the pain experienced by women. CONCLUSION: Using a small amount of lubricant overthe speculum does not impair cervical cytology but significantly improves the discomfort experienced by women while undergoing a Pap smear.展开更多
Misoprostol has been used in obstetrics for a number of years in all trimesters of pregnancy. Apart from its side effect of causing congenital malformations in offsprings of users who have unsuccessfully used it as an...Misoprostol has been used in obstetrics for a number of years in all trimesters of pregnancy. Apart from its side effect of causing congenital malformations in offsprings of users who have unsuccessfully used it as an abortifacient, it is considered a safe drug with few side effects. We here report a case of severe hypersensitivity reaction to misoprostol in a patient where it was used for first trimester abortion in a case of missed abortion.展开更多
文摘AIM: To evaluate the role of lubricant gel in the cytology of a Pap smear and whether it results in an improvement in the discomfort experienced by women while undergoing Pap smear screening.METHODS: A total of 151 women were analyzed in the study. After screening for inclusion criteria, a Pap smear was taken with no lubricant in all the women and the discomfort experienced was rated on a visual analogue scale. The women underwent a second Pap smear on the next visit using a lubricant gel and were again rated on a visual analogue scale for the discomfort felt. The pathologist was blinded to the fact of whether the lubricating gel was used.RESULTS: The number of unsatisfactory smears in the no gel group was 3 vs 5 in the gel group, P < 0.05. However, a significant difference(P = 0.00) was observed in the visual analogue pain score in both groups, suggesting that application of lubricant gel over the speculum improves the pain experienced by women. CONCLUSION: Using a small amount of lubricant overthe speculum does not impair cervical cytology but significantly improves the discomfort experienced by women while undergoing a Pap smear.
文摘Misoprostol has been used in obstetrics for a number of years in all trimesters of pregnancy. Apart from its side effect of causing congenital malformations in offsprings of users who have unsuccessfully used it as an abortifacient, it is considered a safe drug with few side effects. We here report a case of severe hypersensitivity reaction to misoprostol in a patient where it was used for first trimester abortion in a case of missed abortion.
