Comparing the Valsalva Maneuver and Tenaculum Use to Reduce Pain in Endometrial Biopsy for Women Aged 18 to 55

What this Trial Is About

This research investigates the use of the Valsalva maneuver during endometrial biopsy to compare it with the standard method using a tenaculum. The study focuses on women experiencing abnormal uterine bleeding or other endometrial conditions who require sampling of the uterine lining. It aims to determine if the Valsalva maneuver reduces pain and anxiety while maintaining the procedures success and improving patient satisfaction. Participants undergo an endometrial biopsy using a pipelle cannula. They are randomly assigned to either have the procedure done with a tenaculum holding the cervix or while performing the Valsalva maneuver, which involves taking a deep breath and pushing as if exhaling forcefully to stabilize the uterus and cervix. The study compares these two methods to evaluate pain and procedure success. During the study, pain is measured using a Visual Analog Scale at baseline, immediately before the procedure, during the procedure, and 15 minutes after. Researchers also assess procedure success, patient anxiety, and satisfaction up to 15 minutes post-procedure. Participants are women aged 18 to 55 who can communicate in Turkish, and the trial includes safety and effectiveness monitoring throughout the process.

The Effect of the Valsalva Maneuver in Endometrial Biopsy: A Randomized Controlled Trial