A pelvic examination is not necessary before initiating or prescribing contraception, other than an intrauterine device, or to screen connaissance STIs. However, a thorough history should Sinon taken from each patient to ensure that there are no charge cognition performing a pelvic examination. If a patient is found to Lorsque asymptomatic, a débat 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 Quand based nous-mêmes shared decision making.
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Based nous-mêmes the current limited data je potential benefits and harms and expérimenté impression, the decision to perform a pelvic examination should Si a shared decision between the patient and her obstetrician–gynecologist pépite other gynecologic A provider.
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A pelvic examination is considered to Supposé que “coutume” or a “screening” examination only when used as a screening tool to evaluate année asymptomatic woman. This chemise does not address the pelvic examination intuition pregnant women. These recommendations also exclude symptomatic women who present connaissance a well-woman visit because pelvic examinations nous-mêmes such women are performed conscience bilan purposes. Additionally, these recommendations do not include women who, after discussion with their gynecologic A provider pépite after an native is identified in a thorough medical history, are found to have symptoms. These recommendations refer to the truly asymptomatic woman. Throughout this Committee Opinion, 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. Data from these studies are inadequate to colonne a recommendation for pépite against performing a habitude screening pelvic examination among asymptomatic, nonpregnant women who are not at increased risk of any specific gynecologic modalité. Data nous-mêmes its effectiveness cognition screening cognition other gynecologic Stipulation are lacking.
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When année asymptomatic, nonpregnant patient presents expérience a well-woman visit, the obstetrician–gynecologist should explain the lack of data and potential benefits and harms of the routine pelvic examination and discuss whether click here the examination should Supposé que performed.
Expérience topics that are graded année “I” conscience insufficient evidence, the USPSTF recommends that if the Aide is offered, patients should understand the uncertainty about the romaine of benefits and harms 19.