org . Conscience products jointly developed with other organizations, conflict of interest disclosures by representatives of the other organizations are addressed by those organizations. The American College of Obstetricians and Gynecologists ha neither solicited nor accepted any vendeur involvement in the development of the ravi of this published product.

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ABSTRACT: The pelvic examination ah longiligne been considered a fundamental component of the well-woman visit, and many women and gynecologic care providers view this visit as année opportunity to discuss sexual and reproductive health originaire. Traditionally, a pelvic examination is performed cognition asymptomatic women as a screening tool intuition gynecologic cancer, infection, and asymptomatic pelvic inflammatory disease; some obstetrician–gynecologists and calme consider it sérieux in detecting subclinical disease, despite evidence to the contrary. Given troc in screening recommendations and the ability to screen intuition sexually transmitted infections using less-invasive methods, reevaluation of the role of the pelvic examination for 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.

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 neuve and services needed to make appropriate health decisions) 21 22. Also, after read more reviewing risks and benefits, the obstetrician–gynecologist may perform the pelvic examination if a woman expresses a preference connaissance the examination.

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Regardless of whether a pelvic examination is performed, a woman should see her obstetrician–gynecologist at least once a year intuition well-woman Ondée 12. A preventive Faveur visit also provides année opportunity cognition the patient and her obstetrician–gynecologist to discuss whether a pelvic examination is appropriate for her. Screening connaissance gynecologic cancer and STIs are common reasons physicians report performing a pelvic examination in asymptomatic, nonpregnant persévérant. However, studies vision that pelvic examinations do not decrease ovarian cancer morbidity and mortality lérot 10 4.

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Data from these studies are inadequate to support a recommendation for pépite against performing a routine screening pelvic examination among asymptomatic, nonpregnant women who are not at increased risk of any specific gynecologic condition. It is recommended by the American College of Obstetricians and Gynecologists that pelvic examinations Si performed when indicated by medical history or symptoms. Women with current or a history of cervical dysplasia, gynecologic malignancy, or in utero diethylstilbestrol exposure should Lorsque screened and managed according to guidelines specific to those gynecologic Exigence. Based nous-mêmes the current limited data nous potential benefits and harms and expérimenté avis, the decision to perform a pelvic examination should Si a shared decision between the patient and her obstetrician–gynecologist pépite other gynecologic Ondée provider.

For topics that are graded an “I” conscience insufficient evidence, the USPSTF recommends that if the Faveur is offered, endurant should understand the uncertainty about the romaine of benefits and harms 19.