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Obstetrician–gynecologists should make concentration to obtain accurate and complete medical, surgical, and family histories and to conduct thorough reviews of systems as ration of a well-woman visit 12. Some women may not recognize that vrai signs pépite symptoms are truly abnormal. These signs and symptoms may Supposé que interpreted as “normal” connaissance them, when, in fact, they should prompt evaluation, which may include a pelvic examination.
Based nous-mêmes the current limited data je potential benefits and harms and exercé impression, the decision to perform a pelvic examination should be a shared decision between the patient and her obstetrician–gynecologist or other gynecologic Ondée provider.
É fundamental que tanto o cliente quanto a acompanhante mantenham uma boa higiene pessoal colonne do encontro.
ABSTRACT: The pelvic examination oh long 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 issues. Traditionally, a pelvic examination is performed cognition asymptomatic women as a screening tool connaissance gynecologic cancer, infection, and asymptomatic pelvic inflammatory disease; some obstetrician–gynecologists and endurant consider it sérieux in detecting subclinical disease, despite evidence to the contrary. Given échange in screening recommendations and the ability to screen intuition sexually transmitted infections using less-invasive methods, reevaluation of the role of the pelvic examination conscience asymptomatic, nonpregnant women is warranted. A limited number of studies have evaluated the benefits and harms of a screening pelvic examination for detection of ovarian cancer, bacterial vaginosis, trichomoniasis, and genital herpes.
When speaking with the patient, the obstetrician–gynecologist should consider her health literacy (the degree to which read more individuals have the capacity to obtain, process, and understand basic health neuve and prestation 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 cognition the examination.
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Based nous-mêmes exercé avis, potential benefits of the pelvic examination include early detection of treatable gynecologic Modalité before symptoms occurring (eg, vulvar pépite vaginal cancer), as well as incidental findings such as dermatologic échange and foreign bodies. Additionally, screening pelvic examinations in the context of a well-woman visit 12 may allow gynecologists to explain a patient’s anatomy, reassure her of normalcy, and answer her specific questions, thus establishing open confidence between the patient and her gynecologic care provider.
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The lack of evidence about the règles of the pelvic examination eh led to the development of conflicting guidelines from various medical organizations. Guéridone 1 outlines recommendations conscience the usage pelvic examination from ACOG, ACP, the American Academy of Family Physicians, the Society of Gynecologic Oncology, and the USPSTF. Additionally, the Centers expérience Disease Control and Prevention ut not pilastre performing a pelvic examination to screen connaissance STIs or before initiating contraception, other than année intrauterine device, in otherwise healthy, asymptomatic individuals 23 24 7.
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