CClinicalTrials.gg
CompletedNCT03785548Updated Aug 17, 2020Results posted

Utilization of the Mirror During Pelvic Exams

An observational study in Pelvic Exam, sponsored by TriHealth Inc.. Completed at 1 site in United States. Open to female participants aged 18 Years to 80 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2020-08-17.

Sponsored by TriHealth Inc. · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
147
Ages
18 Years to 80 Years
Sex
Female
01

Study summary

This is a prospective cohort study to determine if using a birthing mirror during the patient's pelvic examination decreases patients's degree of vulnerability and discomfort.

Read the detailed description

In Obstetrics and Gynecology and its gynecologic subspecialties, the pelvic examination is routine practice for screening and diagnostic purposes. Nevertheless, due to their intimate nature, pelvic examinations may result in loss of control, embarrassment, discomfort and anxiety.

The mirror pelvic exam has been a proposed technique to decrease patient anxiety and improve comfort during an already uncomfortable examination. However, little research has focused on this modality to date.

The purpose of this study is to investigate whether the mirror pelvic exam decreases the level of vulnerability and discomfort experienced during the pelvic examination.

02

Conditions studied

  • Pelvic Exam
03

In context

Lead sponsor

TriHealth Inc. is the lead sponsor of 99 studies on the registry; 9 are open to participants now.

Of its 9 completed or terminated interventional studies of FDA-regulated products, 4 (44%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

All women 18 years of age to 80, who undergo pelvic exam by a physician at Cincinnati Urogynecology Associates, TriHealth will be approached for recruitment.

Inclusion criteria

  • New patients undergoing a pelvic exam performed by a physician at Cincinnati Urogynecology Associates, TriHealth

Exclusion criteria

Exclusion Criteria:

  • Existing patients
  • Unwillingness to participate in the study
  • Physical or mental impairment that would affect the subject's ability to visualize the mirror during examination or to complete questionnaires
  • Inability to understand English
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
147 participants (actual)
Patient registry
No

Groups and cohorts

  • Mirror group

    This group of patients agree to have the mirror pelvic exam, and they will undergo routine pelvic examination by a physician with the usage of a mirror in the room.

    Other: Usage of a mirror

  • No mirror group

    This group of patients decline a mirror, and they will undergo the standard pelvic examination.

Interventions

  • OtherUsage of a mirror

    using a mirror during the pelvic examination

06

What researchers measure

Primary outcomes

  1. Group Difference in Visual Analog Scale (VAS) on Level of Vulnerability

    VAS on vulnerability level will be measured after the pelvic exam, and group difference after controlling for baseline vulnerability, will be calculated. The VAS is a validated 100 millimeter scale with 'no vulnerability' represented as 0 mm and 'very vulnerable' equating to 100 mm.

    Time frame: 30 minutes after the pelvic exam

  2. Group Difference in Visual Analog Scale (VAS) on Level of Pain/Discomfort

    VAS on discomfort level will be measured after the pelvic exam, and group difference after controlling for baseline discomfort level, will be calculated. The VAS is a validated 100 millimeter scale with 'no pain' represented as 0 mm and 'most pain' equating to 100 mm.

    Time frame: 30 minutes after the pelvic exam

07

Results

Posted Aug 17, 2020

Participant flow

Participant flow — Overall Study
MilestoneMirror GroupNo Mirror Group
Started7374
Completed7174
Not completed20
Withdrew: Age > 8010
Withdrew: No postop queries10

Outcome measures

PrimaryGroup Difference in Visual Analog Scale (VAS) on Level of Vulnerability

VAS on vulnerability level will be measured after the pelvic exam, and group difference after controlling for baseline vulnerability, will be calculated. The VAS is a validated 100 millimeter scale with 'no vulnerability' represented as 0 mm and 'very vulnerable' equating to 100 mm.

Time frame:
30 minutes after the pelvic exam
Reported as:
Mean · mm
Group Difference in Visual Analog Scale (VAS) on Level of Vulnerability
mmMirror GroupNo Mirror Group
Group Difference in Visual Analog Scale (VAS) on Level of Vulnerability13.294 ± 1.85416.145 ± 1.789
Statistical analysis
  • Mirror Group vs No Mirror Group · ANCOVA · p = 0.270 · Mean difference (final values): 2.851 · 95% CI -2.241 to 7.944F(1, 140)=1.225
PrimaryGroup Difference in Visual Analog Scale (VAS) on Level of Pain/Discomfort

VAS on discomfort level will be measured after the pelvic exam, and group difference after controlling for baseline discomfort level, will be calculated. The VAS is a validated 100 millimeter scale with 'no pain' represented as 0 mm and 'most pain' equating to 100 mm.

Time frame:
30 minutes after the pelvic exam
Reported as:
Mean · mm
Group Difference in Visual Analog Scale (VAS) on Level of Pain/Discomfort
mmMirror GroupNo Mirror Group
Group Difference in Visual Analog Scale (VAS) on Level of Pain/Discomfort19.683 ± 2.20119.824 ± 2.154
Statistical analysis
  • Mirror Group vs No Mirror Group · ANCOVA · p = 0.964 · Mean difference (final values): 0.141 · 95% CI -5.983 to 6.266F(1, 140)=0.002

Adverse events

Collected over within 30 minutes after pelvic examination. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Mirror Group0/71 (0%)0/71 (0%)0/71 (0%)
No Mirror Group0/74 (0%)0/74 (0%)0/74 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)Mirror GroupNo Mirror GroupTotal
Mean53.99 ± 12.9657.84 ± 13.8655.95 ± 13.52
Sex: Female, Male
Sex: Female, Male(Participants)Mirror GroupNo Mirror GroupTotal
Female7174145
Male000
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Mirror GroupNo Mirror GroupTotal
White6266128
Black or African American10515
American Indian/Alaska Native202
Asian101
Prefer not to answer022
missing011
Region of Enrollment
Region of Enrollment(participants)Mirror GroupNo Mirror GroupTotal
United States7174145
08

Study locations

1 site
  • Cincinnati Urogynecology Associates
    Cincinnati, Ohio 45220, United States
09

References and documents

Publications

  • Tam T, Crisp CC, Hill AM, Aldrich E, Ghodsi V, Yook E, Yeung J, Pauls RN. Utilization of a Mirror During Pelvic Examinations: Does it Improve the Patient's Experience? Female Pelvic Med Reconstr Surg. 2021 Mar 1;27(3):208-213. doi: 10.1097/SPV.0000000000000975. PubMed 33620906 ↗

Study documents

  • Protocol and statistical analysis plan · May 15, 2019

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 17, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03785548
Lead sponsor
TriHealth Inc.
Responsible party
Sponsor
First posted
Dec 24, 2018
Start date
Apr 15, 2019
Primary completion
May 29, 2020
Completion
Jul 1, 2020
Results posted
Aug 17, 2020
Last update
Aug 17, 2020

Study contacts

Rachel Pauls, MD
principal investigator · TriHealth - Cincinnati Urogynecology Associates

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2020. You cannot join it, but the record below documents what was studied.

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