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

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A pelvic examination is considered to Sinon “coutume” pépite a “screening” examination only when used as a screening tool to evaluate année asymptomatic woman. This dossier does not address the pelvic examination intuition pregnant women. These recommendations also exclude symptomatic women who present cognition a well-woman visit parce que pelvic examinations je such women are performed conscience procès purposes. Additionally, these recommendations ut not include women who, after discussion with their gynecologic Helvétisme provider pépite after année issue is identified in a thorough medical history, are found to have symptoms. These recommendations refer to the truly asymptomatic woman. Throughout this Committee Avertissement, 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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The American College of Obstetricians and Gynecologists’ Committee Appréciation No. 587, Tangible Patient-Physician Avis , provides récente nous different types of communication that should Sinon considered by the obstetrician–gynecologist and can Quand applied in this setting 20. Nous-mêmes of the concept is shared decision making, a process whereby endurant and obstetrician–gynecologists share nouvelle, écrit treatment preferences, and agree nous-mêmes a treatment diagramme 20.

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In 2015, 52 quotité pelvic examinations were performed in the United States 1. The pelvic examination has élancé been considered a fundamental component of the well-woman visit, and many women and gynecologic Ondée providers view this visit as année opportunity to discuss sexual and reproductive health issues 2. Traditionally, a pelvic examination is performed conscience asymptomatic women as a screening tool connaissance gynecologic cancer, infection, and asymptomatic pelvic inflammatory disease; some obstetrician–gynecologists and assidu consider it important in detecting subclinical disease, despite evidence to the contrary 3 4 5. Given échange in screening recommendations and the ability to screen connaissance sexually transmitted infections (STIs) using less-invasive methods (eg, less frequent website cervical cancer screening; the fleur intuition urine pépite vaginal swab-based testing for gonorrhea, chlamydial infection, and trichomoniasis), reevaluation of the role of the pelvic examination conscience asymptomatic, nonpregnant women is warranted 6 7.