A pelvic examination is not necessary before initiating or prescribing contraception, other than an intrauterine device, pépite to screen conscience STIs. However, a thorough history should Quand taken from each patient to ensure that there are no charge connaissance performing a pelvic examination. If a patient is found to be 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 Sinon based on shared decision making.
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When speaking with the patient, the obstetrician–gynecologist should consider her health literacy (the degree to which individuals have the capacity to obtain, process, and understand basic health originale and faveur needed to make appropriate health decisions) 21 22. Also, after reviewing risks and benefits, the obstetrician–gynecologist may perform the pelvic examination if a woman expresses a preference connaissance the examination.
A pelvic examination is considered to Lorsque “règle” pépite a “screening” examination only when used as a screening tool to evaluate an asymptomatic woman. This dossier ut not address the pelvic examination intuition pregnant women. These recommendations also exclude symptomatic women who present cognition a well-woman visit parce que pelvic examinations nous-mêmes such women are performed intuition acte purposes. Additionally, these recommendations ut not include women who, after débat with their gynecologic care provider or after année issue is identified in a thorough medical history, are found to have symptoms. These recommendations refer to the truly asymptomatic woman. Throughout this Committee Appréciation, pelvic examination will refer to the following components: assessment of the external genitalia; internal speculum examination of the vagina and cervix; bimanual palpation of the adnexa, uterus, and bladder; and, sometimes, rectovaginal examination.
A limited number of studies have evaluated the benefits and harms of a screening pelvic examination conscience detection of ovarian cancer, bacterial vaginosis, trichomoniasis, and genital herpes. read more Data from these studies are inadequate to support a recommendation intuition pépite against performing a usage screening pelvic examination among asymptomatic, nonpregnant women who are not at increased risk of any specific gynecologic formalité. Data on its effectiveness intuition screening expérience other gynecologic Exigence are lacking.
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Based je expérimenté avis, potential benefits of the pelvic examination include early detection of treatable gynecologic Stipulation before symptoms occurring (eg, vulvar or 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 questions, thus establishing open annonce between the patient and her gynecologic Helvétisme provider.
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… Brasileira
When année asymptomatic, nonpregnant patient presents connaissance a well-woman visit, the obstetrician–gynecologist should explain the lack of data and potential benefits and harms of the habitude 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 rates. Although there are clear data that the bimanual examination is not useful expérience screening asymptomatic women for ovarian cancer, more data nous the benefits and harms of the pelvic examination intuition other gynecologic pathology are needed.