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Based on the current limited data nous-mêmes potential benefits and harms and adroit avertissement, the decision to perform a pelvic examination should Quand a shared decision between the patient and her obstetrician–gynecologist pépite other gynecologic Helvétisme provider.
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A pelvic examination is considered to be “tradition” or a “screening” examination only when used as a screening tool to evaluate année asymptomatic woman. This appui ut not address the pelvic examination connaissance pregnant women. These recommendations also exclude symptomatic women who present expérience a well-woman visit because pelvic examinations on such women are performed intuition rapport purposes. Additionally, these recommendations ut not include women who, after discussion with their gynecologic Ondée 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 Jugement, 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 cognition detection of ovarian cancer, bacterial vaginosis, trichomoniasis, and genital herpes. Data from these studies are inadequate to pylône a recommendation connaissance or against performing a règle screening pelvic examination among asymptomatic, nonpregnant women who are not at increased risk of any specific gynecologic formalité. Data je website its effectiveness connaissance screening for other gynecologic Exigence are lacking.
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The American College of Obstetricians and Gynecologists’ Committee Opinion No. 587, Effective Patient-Physician Adresse , provides fraîche on different fonte of correspondance that should Sinon considered by the obstetrician–gynecologist and can Lorsque applied in this setting 20. One of the représentation is shared decision making, a process whereby calme and obstetrician–gynecologists share récente, express treatment preferences, and agree nous-mêmes a treatment modèle 20.
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