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The Effect of the Valsalva Maneuver in Endometrial Biopsy: A Randomized Controlled Trial
Sponsor: Prof. Dr. Cemil Tascıoglu Education and Research Hospital Organization
Summary
Endometrial sampling with a pipelle is a common procedure used to collect a small sample from the lining of the uterus. During the procedure, the cervix is sometimes held with a surgical instrument called a tenaculum, which may cause pain and anxiety for some women. The Valsalva maneuver is a simple technique in which a person takes a deep breath and pushes as if trying to exhale forcefully. This increases pressure inside the abdomen and may help keep the uterus and cervix more stable during the procedure. This study aims to compare pipelle sampling performed with the Valsalva maneuver to the standard method using a tenaculum. The study will evaluate whether the Valsalva maneuver can reduce pain and anxiety while maintaining procedure success and improving patient satisfaction.
Official title: The Effect of the Valsalva Maneuver on Pain and Procedure Success in Endometrial Biopsy: A Randomized Controlled Trial
Key Details
Gender
FEMALE
Age Range
18 Years - 55 Years
Study Type
INTERVENTIONAL
Enrollment
120
Start Date
2025-01-01
Completion Date
2026-12-01
Last Updated
2026-03-27
Healthy Volunteers
Yes
Interventions
endometrial biopsy
Endometrial sampling performed using a pipelle cannula.
Tenaculum Application
Application of a tenaculum to the cervix to stabilize it during endometrial biopsy.
Valsalva Maneuver
Patients perform the Valsalva maneuver during endometrial biopsy to reduce perceived pain.
Locations (1)
Cemil Tascioglu City Hospital
Istanbul, Turkey (Türkiye)