A pelvic examination is not necessary before initiating or prescribing contraception, other than an intrauterine device, pépite to screen intuition STIs. However, a thorough history should Sinon taken from each patient to ensure that there are no cargaison connaissance performing a pelvic examination. If a patient is found to Supposé que 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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After reviewing risks and benefits, the pelvic examination also may Si performed if a woman expresses a preference connaissance the examination.

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Changement in practice may Si warranted when, in the reasonable judgment of the treating clinician, such excursion of Fait is indicated by the formalité of the patient, limitations of available resources, or advances in knowledge pépite technology. The American College of Obstetricians and Gynecologists reviews its discours regularly; however, its discours may not reflect the most recent evidence. Any updates to this carton can Supposé que found nous pépite by calling the ACOG Resource Center.

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Counseling should include a discussion embout the uncertainty of the benefits and harms of the procedure and the lack of evidence intuition the screening pelvic examination. A study of 452 women (aged 21–65 years) evaluating the effects of professional societies’ conflicting recommendations nous-mêmes the screening pelvic examination reported that 94% of women thought the potential benefits and harms of the pelvic examination should Lorsque discussed before an examination takes agora 14.

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L'ACOG recommande dont ces examen comprennent des dépistages, rare balance, assurés Information et sûrs vaccinations Dans fonction en même temps que l'âge puis assurés facteurs en compagnie de écueil.

In 2015, 52 grandeur pelvic examinations were performed in the United States 1. The pelvic examination ha oblong been considered a fundamental component of the well-woman visit, and many women and gynecologic A providers view this visit as année opportunity to discuss sexual and reproductive health originaire 2. Traditionally, a pelvic examination is performed intuition asymptomatic women as a screening tool for gynecologic cancer, infection, and asymptomatic pelvic inflammatory disease; some obstetrician–gynecologists and patients consider it grave in detecting subclinical disease, despite evidence to the contrary 3 4 5. Given échange 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 cognition urine or vaginal swab-based testing conscience gonorrhea, chlamydial infection, and trichomoniasis), reevaluation of the role of the pelvic examination conscience asymptomatic, nonpregnant women is warranted 6 7.