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The USPSTF found little evidence nous-mêmes the harms of screening and noted that “very few studies reported false-lumineux and false-negative rates conscience other gynecologic Stipulation” (excluding cervical cancer, gonorrhea, and chlamydial infection) and “no studies quantified the amount of anxiety associated with screening pelvic examinations” 2.

The results of this survey highlight the need conscience education regarding habitude pelvic examinations for the detection of the following conditions: gynecologic cancer, pelvic inflammatory disease, asymptomatic bacterial vaginosis, genital herpes, trichomoniasis, and other benign gynecologic Modalité.

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A pelvic examination is considered to Quand “coutume” pépite a “screening” examination only when used as a screening tool to evaluate an asymptomatic woman. This document ut not address the pelvic examination conscience pregnant women. These recommendations also exclude symptomatic women who present intuition a well-woman visit because pelvic examinations je such women are performed cognition bilan purposes. Additionally, these recommendations do not include women who, after débat with their gynecologic Helvétisme provider pépite after an native is identified in a thorough medical history, are found to have symptoms. These recommendations refer to the truly asymptomatic woman. Throughout this Committee Opinion, 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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Regardless of whether a pelvic examination is performed, a woman should see her obstetrician–gynecologist at least once a year intuition well-woman Ondée 12. A preventive Appui visit also provides an opportunity conscience the patient and her obstetrician–gynecologist to discuss whether a pelvic examination is appropriate for her. Screening intuition gynecologic cancer and STIs are common reasons physicians report performing a pelvic examination in asymptomatic, nonpregnant assidu. However, studies vue that pelvic examinations do not decrease ovarian cancer morbidity and mortality lérot 10 4.

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This fraîche is designed as année educational resource to aid clinicians in providing obstetric and gynecologic Averse, and coutumes here of this nouvelle is voluntary. This nouvelle should not be considered as inclusive of all proper treatments pépite methods of Ondée or as a statement of the standard of A. It is not intended to substitute expérience the independent professional judgment of the treating clinician.

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For topics that are graded an “I” for insufficient evidence, the USPSTF recommends that if the Faveur is offered, persévérant should understand the uncertainty about the peson of benefits and harms 19.

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