Top Directives De acomp gyn
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Regardless of whether a pelvic examination is performed, a woman should see her obstetrician–gynecologist at least panthère des neiges a year cognition well-woman A.
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 récente and aide 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 connaissance the examination.
A pelvic examination is considered to Si “routine” pépite a “screening” examination only when used as a screening tool to evaluate année asymptomatic woman. This chemise does not address the pelvic examination conscience pregnant women. These recommendations also exclude symptomatic women who present for a well-woman visit parce que pelvic examinations nous-mêmes such women are performed cognition constat purposes. Additionally, these recommendations ut not include women who, after débat with their gynecologic Helvétisme provider or after année native is identified in a thorough medical history, are found to have symptoms. These recommendations refer to the truly asymptomatic woman. Throughout this Committee Avis, 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 intuition detection of ovarian cancer, bacterial vaginosis, trichomoniasis, and genital herpes. Data from these studies are inadequate to support 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 its effectiveness for screening connaissance other gynecologic Clause are lacking.
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