Journal of General Practice Nursing (GPN) | December 2020

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Do lubricants have a detrimental effect on cervical smear results?

Do lubricants have a detrimental effect on cervical smear results?
Health promotion

Pages: 37 - 39

Article topics: Cervical cancer, Cervical screening, Human papilloma virus (HPV), Lubricants

Cervical cancer is the fourth most common cancer in women worldwide, with around 311,000 women dying of the disease in 2018 (World Health Organization [WHO], 2020). In the UK, cervical cancer accounts for approximately 870 deaths each year. Effective primary (human papilloma virus [HPV] vaccination) and secondary (screening and treating precancerous lesions) strategies are therefore paramount in preventing unnecessary mortality, especially given that cervical cancers are one of the most successfully treated if caught early (WHO, 2020). Obtaining an adequate sample during cervical screening is of the utmost importance to ensure early histological changes are detected. Whether lubrication should be used during the screening process is a contentious issue, since contamination of the sample with lubricant can mean that vital histological changes are missed, thereby putting women at risk. This also needs to be balanced with women’s comfort, since an uncomfortable experience may lead to women failing to attend for future screening. This article looks at the current literature available, with recommendations for further research.

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