The influence of the use of lubricants during the collection of uterine cytopathology: an integrative review.
DOI:
https://doi.org/10.5281/zenodo.7778798Keywords:
Vaginal Smears, Lubrication, Papanicolaou test, Diagnostic Techniques, Obstetrical and Gynecological, Uterine Cervical Neoplasms.Abstract
Introduction: Currently, cervical cancer occupies the third position of most incident cancers in the Brazilian female population and fourth in mortality rate. This neoplasm occurs due to persistent infection of the Human PapillomaVirus (HPV) and is characterized by disordered replication of the uterine epithelium, compromising its tissues. The main screening method used is the cytopathological examination of the uterine cervix, popularly known as Papanicolaou, but the discomfort experienced during the collection is a frequent reason for women not to perform it. In this way, the use of lubrication is shown to be a possible, albeit controversial, method to reduce discomfort during the performance of the speculum examination. Objective: To analyze the knowledge produced and published in national and international journals, in the form of scientific articles, regarding the influence of the use of intimate lubricants during the collection of uterine cytopathology. Method: integrative literature review, carried out in March 2022, in the Scorpus, SciELO, Lilacs, Pubmed, BDENF, Web of Science and CINAHL databases. Articles related to the research object were used as inclusion criteria, in Portuguese, English and Spanish, originating from national and international journals, indexed in the referred databases and published in the period from 2012 to 2022. Results: After applying the search strategy, the result was a total of 43,535 articles, which after analysis resulted in 09 articles included in the present study. Final Considerations: The analyzed studies did not show a decrease in the quality of uterine cytopathology samples when using intimate lubricant in small amounts. In addition, its use proved to be a strong ally in reducing discomfort during speculum examination and in greater adherence to tracking collection.
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References
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