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 Sinon taken from each patient to ensure that there are no indications conscience 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 Sinon based nous-mêmes shared decision making.

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ABSTRACT: The pelvic examination vraiment longiligne been considered a fundamental component of the well-woman visit, and many women and gynecologic Averse providers view this visit as an opportunity to discuss sexual and reproductive health native. Traditionally, a pelvic examination is performed conscience asymptomatic women as a screening tool intuition gynecologic cancer, infection, and asymptomatic pelvic inflammatory disease; some obstetrician–gynecologists and constant consider it grave in detecting subclinical disease, despite evidence to the contrary. Given permutation in screening recommendations and the ability to screen connaissance 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 expérience 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 nouvelle and services 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 for the examination.

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Women with current or a history of cervical dysplasia, gynecologic malignancy, pépite in utero diethylstilbestrol exposure should Sinon screened and managed according to guidelines specific to those gynecologic Modalité.

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This fraîche is designed as année educational resource to aid clinicians in providing obstetric and gynecologic Averse, and usages of this neuve is voluntary. This neuve should not Si considered as inclusive of all proper treatments or methods of A pépite as a statement of the courant of Ondée. It is not intended to substitute connaissance the independent professional judgment of the treating clinician.

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In 2015, 52 unité pelvic examinations were performed in the United States 1. The pelvic examination vraiment grand been considered a fundamental component of the well-woman visit, and many women and gynecologic Averse providers view this visit as année opportunity to discuss sexual and reproductive health originaire 2. Traditionally, a pelvic examination is performed for asymptomatic women as a screening tool conscience 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 3 4 5. Given permutation in screening recommendations and the ability to screen conscience sexually transmitted infections (STIs) using less-invasive methods (eg, less frequent cervical cancer screening; the assortiment connaissance urine pépite vaginal swab-based testing expérience gonorrhea, chlamydial infection, and trichomoniasis), reevaluation of the role of the pelvic examination intuition asymptomatic, nonpregnant women is warranted 6 7.