The Effect of the Valsalva Maneuver in Endometrial Biopsy: A Randomized Controlled Trial
NCT07496905 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 120
Last updated 2026-08-18
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.
Conditions
- Pain in Endometrial Biopsy
- Abnormal Uterine Bleeding
Interventions
- PROCEDURE
-
endometrial biopsy
Endometrial sampling performed using a pipelle cannula.
- PROCEDURE
-
Tenaculum Application
Application of a tenaculum to the cervix to stabilize it during endometrial biopsy.
- PROCEDURE
-
Valsalva Maneuver
Patients perform the Valsalva maneuver during endometrial biopsy to reduce perceived pain.
Sponsors & Collaborators
-
Prof. Dr. Cemil Tascıoglu Education and Research Hospital Organization
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- OTHER
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 55 Years
- Sex
- FEMALE
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2025-01-01
- Primary Completion
- 2026-06-20
- Completion
- 2026-06-21
Countries
- Turkey (Türkiye)
Study Locations
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