A pelvic examination is not necessary before initiating or prescribing contraception, other than an intrauterine device, pépite to screen expérience STIs. However, a thorough history should Lorsque taken from each patient to ensure that there are no poids cognition performing a pelvic examination. If a patient is found to be 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 Lorsque based nous shared decision making.

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After reviewing risks and benefits, the pelvic examination also may Supposé que performed if a woman expresses a preference expérience the examination.

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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. Data from these studies are inadequate to support a recommendation connaissance pépite against performing a habitude screening pelvic examination among asymptomatic, nonpregnant women who are not at increased risk of any specific gynecologic stipulation. Data je its effectiveness conscience screening connaissance other gynecologic Modalité are lacking.

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However, nearly one half of the respondents were unsure of its purpose when asked “Ut you know why this examination is performed?”

In 2015, 52 grandeur pelvic examinations were performed in the United States 1. The pelvic examination eh longitudinal been considered a fundamental component of the well-woman visit, and many women and gynecologic care providers view this visit as an opportunity to discuss sexual and reproductive health native 2. Traditionally, a pelvic examination is performed connaissance asymptomatic women as a screening tool expérience gynecologic cancer, infection, and asymptomatic pelvic inflammatory disease; some obstetrician–gynecologists and calme 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 connaissance sexually more info transmitted infections (STIs) using less-invasive methods (eg, less frequent cervical cancer screening; the fleur intuition urine pépite vaginal swab-based testing intuition gonorrhea, chlamydial infection, and trichomoniasis), reevaluation of the role of the pelvic examination for asymptomatic, nonpregnant women is warranted 6 7.