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Is Valsalva maneuver an alternative to use tenaculum for endometrial sampling procedure in cases where the cervix
Raziye Narin1, Gülsüm Uysal1, Sevda Baş2
1Department of Obstetrics and Gynecology, University of Health Sciences, Adana City Education and Research Hospital, Adana, Turkey.
Aim:
To evaluate the effect of the Valsalva maneuver on ease of the endometrial sampling procedure in cases where the cervix cannot be passed spontaneously.
Methods:
A randomized prospective trial was conducted in 84 patients whose cervix could not pass spontaneously with pipelle, and they were randomized for the Valsalva maneuver or tenaculum groups. In 43 of a total of 84 patients, we requested Valsalva maneuver throughout the process to pass the cervical canal, and in 41 patients, we performed tenaculum to pass the cervix.
Results:
Valsalva and tenaculum groups did not differ in success rates (P = 0.314). There was no difference between the two groups in the history of the disease, past surgery and education (P > 0.05).
Conclusion:
In endometrial sampling procedure with pipelle, when the cervix cannot be passed spontaneously, the transition with the Valsalva maneuver should be tried before using the tenaculum. Thus, a more painful procedure can be avoided and patient satisfaction may increase.
