Speculum self-insertion: an alternative method for gynaecological examination?

This article focuses on the practice of speculum self-insertion during gynecological examinations, exploring women's perspectives and healthcare providers' experiences through a qualitative study conducted in France. Speculum self-insertion, originating from the 1970s U.S. self-help movement, allows women to insert the speculum themselves, potentially reducing discomfort, anxiety, and feelings of vulnerability while fostering empowerment and improving communication and trust with healthcare providers. The study found that while self-insertion may not suit all women or practitioners, it can be a valuable alternative to traditional practitioner insertion, particularly in primary care settings, without significantly increasing consultation time. The authors conclude that offering self-insertion as an option could enhance patient participation and confidence, but it should be adapted to individual preferences and practitioner comfort.