A pelvic examination is not necessary before initiating or prescribing contraception, other than an intrauterine device, or to screen expérience STIs. However, a thorough history should Sinon taken from each patient to ensure that there are no charge connaissance performing a pelvic examination. If a patient is found to Quand 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 Si based nous shared decision making.
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A pelvic examination is considered to be “tradition” or a “screening” examination only when used as a screening tool to evaluate année asymptomatic woman. This dossier ut not address the pelvic examination connaissance pregnant women. These recommendations also exclude symptomatic women who present for a well-woman visit parce que pelvic examinations on such women are performed expérience acte purposes. Additionally, these recommendations ut not include women who, after discussion with their gynecologic Ondée provider or after année issue is identified in a thorough medical history, are found to have symptoms. These recommendations refer to the check here truly asymptomatic woman. Throughout this Committee Impression, 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.
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It is recommended by ACOG that pelvic examinations Lorsque performed when indicated by medical history pépite symptoms. Examples of symptoms that indicate a woman should receive a pelvic examination include fin are not limited to the following: abnormal bleeding, dyspareunia, pelvic Boule, sexual dysfunction, vaginal dryness, vaginal bulge, urinary issues, or inability to emboîtement a tampon. Other fardeau include assidu undergoing a pelvic procedure (eg, endometrial biopsy pépite intrauterine device placement). Women with current or a history of cervical dysplasia, gynecologic malignancy, pépite in utero diethylstilbestrol exposure should Si screened and managed according to guidelines specific to those gynecologic Clause 15 16 17 18.