Could the Valsalva manoeuvre be an alternative to the tenaculum for intrauterine device insertion?

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dc.authorid0000-0002-9738-3233
dc.authorid0000-0002-9321-5320
dc.contributor.authorCimsir, Meral Tugba
dc.contributor.authorYildiz, Muhammet Serhat
dc.date.accessioned2026-01-24T12:31:27Z
dc.date.available2026-01-24T12:31:27Z
dc.date.issued2021
dc.departmentAlanya Alaaddin Keykubat Üniversitesi
dc.description.abstractObjectives This study investigated whether the Valsalva manoeuvre (VM) could be an alternative to use of the tenaculum for intrauterine device (IUD) insertion. The aims were to establish whether VM could provide good patient comfort and enable the insertion to be performed successfully with adequate pain control in cases where the cervix could not be passed spontaneously. Methods Women who attended the outpatient clinic of Alanya Education and Research Hospital between November 2017 and December 2020 for IUD insertion were randomly assigned to the VM (n = 52) or tenaculum (n = 55) group. Insertion in the latter group was carried out by grasping the cervix with a single-toothed tenaculum. In the VM group, no tenaculum was used to grasp the cervix; instead, the woman was asked to perform VM during insertion. Results IUD insertion success rates were similar between the groups. Procedural anxiety scores were slightly higher in the tenaculum group. Pain scores measured during the procedure were significantly higher in the tenaculum group compared with the VM group. Severe pain was reported by 58.2% of women in the tenaculum group, whereas 57.7% of women in the VM group reported no pain. Conclusion In cases where an IUD cannot be passed through the cervical canal spontaneously, the procedure should be attempted using VM before using a tenaculum. The use of VM may lead to lower pain and anxiety levels as well as increased patient comfort.
dc.identifier.doi10.1080/13625187.2021.1934442
dc.identifier.endpage506
dc.identifier.issn1362-5187
dc.identifier.issn1473-0782
dc.identifier.issue6
dc.identifier.pmid34114522
dc.identifier.scopus2-s2.0-85107785410
dc.identifier.scopusqualityQ2
dc.identifier.startpage503
dc.identifier.urihttps://doi.org/10.1080/13625187.2021.1934442
dc.identifier.urihttps://hdl.handle.net/20.500.12868/5899
dc.identifier.volume26
dc.identifier.wosWOS:000660970400001
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherTaylor & Francis Ltd
dc.relation.ispartofEuropean Journal of Contraception and Reproductive Health Care
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WoS_20260121
dc.subjectIntrauterine device
dc.subjecttenaculum
dc.subjectValsalva
dc.titleCould the Valsalva manoeuvre be an alternative to the tenaculum for intrauterine device insertion?
dc.typeArticle

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