Coughing at Time of Cervical Biopsy

Inclusion Criteria: * Completed 18 years of age * written informed consent * first colposcopy * Clinically indicated colposcopy in case of an abnormal PAP smear or screening result and/or clinical abnormalities on the cervix uteri * Necessity to take exactly two biopsies Exclusion Criteria: * Performing only one biopsy or more than two biopsies * Performing an endocervical curettage (biopsy on the endocervix) * Vaginal bleeding at the time of examination * inadequate colposcopy * Cervix uteri cannot be fully visualized * Pregnancy * Patients with insufficient German language skills * known anxiety disorders or depressive disorders * Treatments already carried out on the cervix uteri * Patients with a chronic or acute illness that influences the perception of pain or lead to permanent pain due to the disease itself * psychosomatic illnesses * Chronic use of pain medications or psychotropic medications or other medications that may have an influence on the sensation of pain