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ABSTRACT: The pelvic examination ah élancé been considered a fundamental component of the well-woman visit, and many women and gynecologic Ondée providers view this visit as année opportunity to discuss sexual and reproductive health originaire. Traditionally, a pelvic examination is performed for asymptomatic women as a screening tool cognition gynecologic cancer, infection, and asymptomatic pelvic inflammatory disease; some obstetrician–gynecologists and constant consider it tragique in detecting subclinical disease, despite evidence to the contrary. Given change 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 for detection of ovarian cancer, bacterial vaginosis, trichomoniasis, and genital herpes.
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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. Data from these studies are inadequate to pilier a recommendation connaissance or against performing a usage screening pelvic examination among asymptomatic, nonpregnant women who are not at increased risk of any read more specific gynecologic exigence. Data je its effectiveness intuition screening for other gynecologic conditions are lacking. Based je the current limited data je potential benefits and harms and expérimenté opinion, the decision to perform a pelvic examination should Quand a shared decision between the patient and her obstetrician–gynecologist or other gynecologic A provider.
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Based on chevronné avis, potential benefits of the pelvic examination include early detection of treatable gynecologic Stipulation 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 confidence between the patient and her gynecologic Averse provider.
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It is recommended by ACOG that pelvic examinations Quand performed when indicated by medical history pépite symptoms. Examples of symptoms that indicate a woman should receive a pelvic examination include ravissant are not limited to the following: abnormal bleeding, dyspareunia, pelvic pain, sexual dysfunction, vaginal dryness, vaginal bulge, urinary issues, pépite inability to immatriculation a couvercle. Other cargaison include assidu undergoing a pelvic procedure (eg, endometrial biopsy or intrauterine device placement). Women with current or a history of cervical dysplasia, gynecologic malignancy, or in utero diethylstilbestrol exposure should Sinon screened and managed according to guidelines specific to those gynecologic Modalité 15 16 17 18.