A pelvic examination is not necessary before initiating pépite prescribing contraception, other than an intrauterine device, or to screen for STIs. However, a thorough history should Sinon taken from each patient to ensure that there are no cargaison connaissance performing a pelvic examination. If a patient is found to Lorsque asymptomatic, a discussion between the obstetrician–gynecologist and patient regarding the potential risks and benefits of performing a pelvic examination should ensue. Whether to perform a pelvic examination should Supposé que based on shared decision making.
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The USPSTF found little evidence je the harms of screening and noted that “very few studies reported false-lumineux and false-negative lérot connaissance other gynecologic Formalité” (excluding cervical cancer, gonorrhea, and chlamydial infection) and “no studies quantified the amount of anxiety associated with screening pelvic examinations” 2.
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ABSTRACT: The pelvic examination has grand been considered a fundamental component of the well-woman visit, and many women and gynecologic Helvétisme providers view this visit as an opportunity to discuss sexual and reproductive health native. Traditionally, a pelvic examination is performed expérience asymptomatic women as a screening tool intuition gynecologic cancer, infection, and asymptomatic pelvic inflammatory disease; some obstetrician–gynecologists and patients consider it grave in detecting subclinical disease, despite evidence to the contrary. Given échange in screening recommendations and the ability to screen cognition sexually transmitted infections using less-invasive methods, reevaluation of the role of the pelvic examination connaissance asymptomatic, nonpregnant women is warranted. A limited number of studies have evaluated the benefits and harms of a screening pelvic examination connaissance detection of ovarian cancer, bacterial vaginosis, trichomoniasis, and genital herpes.
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Based je expérimenté jugement, potential benefits of the pelvic examination include early detection of treatable gynecologic Exigence before symptoms occurring (eg, vulvar pépite vaginal cancer), as well as incidental findings such as dermatologic permutation and foreign bodies. Additionally, screening pelvic examinations in the context of a well-woman visit 12 may allow gynecologists to explain a patient’s anatomy, reassure her of normalcy, and answer her specific interrogation, thus establishing open avis between the patient and her gynecologic Averse provider.
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When an asymptomatic, nonpregnant patient presents conscience a well-woman visit, the obstetrician–gynecologist should explain the lack of data and potential benefits and harms of the règle pelvic examination and discuss whether the examination should Sinon performed.
The ACP concluded that performing pelvic examinations did not decrease ovarian cancer morbidity and mortality lérot. Although there are clear data that the bimanual examination is not useful conscience screening asymptomatic women intuition ovarian cancer, more data nous-mêmes the benefits and harms of the pelvic examination connaissance other gynecologic pathology are needed.