home
RSS
What your next gyno exam may not include
June 30th, 2014
05:54 PM ET

What your next gyno exam may not include

For doctors, pelvic examinations are a routine way to screen for abnormalities. But for many women, the procedure is uncomfortable and embarrassing.

Thanks to a new clinical practice guideline by The American College of Physicians, your next annual check-up might be less... invasive.

After reviewing 52 studies, the physicians organization concluded that annual pelvic examinations - in non-pregnant, adult women who do not have symptoms - are unnecessary. In other words, pelvic screening exams have served their time.

“It’s a Hallelujah for woman,” says Dr. Sandra Fryhofer, past president of the American College of Physicians. “The pelvic exam has been a yearly ritual for many patients. It’s uncomfortable, it can be painful and it triggers anxiety.”

For decades, the annual pelvic exam has been common practice during a well-woman visit. Sixty-two million were performed in the United States in 2010. The goal: find cancer or diagnose noncancerous masses and infection early. But experts’ opinion on that has changed.

What hasn’t changed are the cervical cancer screening guidelines for using a PAP smear test. This test is limited to visual inspection of the cervix, and taking cervical swabs.

“You still need regular cervical screening,” says Fryhofer. “You don’t start until age 21, then every 3 years, until age 65.”

Why the change?

The American College of Physicians, which published their guidelines on Monday, and the American College of Obstetricians and Gynecologists agree that an annual pelvic exam in asymptomatic and non-pregnant adult women does more harm than good.

For one, there is no evidence showing that screening pelvic examinations reduce rates of illness and death in asymptomatic adult women.

The authors also identified potential harms deriving from annual pelvic exams, such as patient discomfort, inconvenience and the cost of potentially unnecessary follow-up and treatment.

However, ACOG’s vice president for health policy, Dr. Barbara Levy believes the pelvic exam performed in the context of a gynecological visit allows a woman to address what may be sensitive and uncomfortable in any other circumstance.

“The question of doing a pelvic exam or not should be a conversation of the woman with her provider,” Levy said.

The new guideline for physicians doesn’t mean women should skip their gynecologist visit. If you are pregnant or are experiencing symptoms such as abdominal pain or abnormal bleeding, a pelvic examination may be necessary.

“This (new guideline) shows us that as a physician, we need to look at the rituals we are taught and question the value for our patients in doing these tests,” says Dr. Ranit Mishori, an associate professor of medicine at Georgetown University School of Medicine.

Mishori hopes that if pelvic exams are taken out of annual exams, it will encourages more women to see their doctor more often.


soundoff (241 Responses)
  1. tadalafil 30 mg

    generic tadalafil https://elitadalafill.com/ tadalafil tablets

    April 7, 2021 at 00:07 | Report abuse | Reply
  2. side effects for vardenafil

    how does vardenafil work https://vegavardenafil.com/ non-prescriptoin vardenafil

    April 7, 2021 at 05:15 | Report abuse | Reply
  3. FbshEncox

    https://thesisacloud.com/ – thesisacloud.com help with thesis writing thesisacloud.com phd thesis writing service

    April 9, 2021 at 06:16 | Report abuse | Reply
  4. https://golyefoto.net/categories/publichno

    Молодые и конечно же взрослые девушки совсем
    не видят никакой меры. Они умеют
    отсасывать приборы приглянувшихся юношей
    откровенно на любой улице.
    Все эти милашки вставляют члены наиболее широко в
    горло, а вслед за тем с удовольствием принимают густую
    сперму. Темноволосые и белобрысые
    куклы снимают трусики перед камерой в угоду того чтобы попихаться в ароматные промежности а так же тугие
    попки. Этакий контент заводит ничуть не меньше чем, например, видеоролики.

    Убедиться в этом вы лично сумеете прямо в тот же миг.

    Иностранное и также продемонстрирует вам, что такое
    полный неудержимый оргазм. И не упустите шанс поймать настоящий кайф и вздрочнуть свой писюн.

    April 9, 2021 at 11:54 | Report abuse | Reply
  5. saktibet

    Saktibet Taruhan Judi Online 24jam Depo Pulsa Terdepan dengan jenis taruhan terpopuler.
    Semuanya bisa dengan menggunakan 1 ID saja untuk semua permainan seperti:

    • Mesin slot
    • Casino Online
    • Sportsbook
    • Fish Hunting
    • Judi Poker
    • Game Togel Online
    Melayani Transfer bank Lokal 24jam tanpa Henti. Transfer bisa memakai
    emoney seperti Dana, Ovo, Gopay dan Link Aja.
    Juga mempersilahkan transfer pulsa Telkomsel dan juga XL.

    Untuk pertanyaan lebih lanjut kalian bisa mengklik penghubung
    yang tertulis di bawah ini:
    Whatsapp : +62 8199-459-7290
    Line : cs.saktibet
    Link Main : saktibet.link
    Link Main : https://www.saktibet.link/

    April 9, 2021 at 22:04 | Report abuse | Reply
  6. sildenafil 50mg tablets uk

    cost of sildenafil 30 tablets https://eunicesildenafilcitrate.com/ sildenafil 50mg coupon

    April 11, 2021 at 20:53 | Report abuse | Reply
  7. good blog,thank you very much for your time in writing the posts.

    Really good site,thank you very much for your time in writing the posts.

    Really

    April 12, 2021 at 06:21 | Report abuse | Reply
  8. tadalafil 40 mg from india

    generic tadalafil united states https://elitadalafill.com/ tadalafil 30 mg

    April 12, 2021 at 15:08 | Report abuse | Reply
  9. tadalafil

    generic tadalafil 40 mg https://elitadalafill.com/ tadalafil max dose

    April 13, 2021 at 01:33 | Report abuse | Reply
  10. where to buy alprostadil cream

    muse alprostadil https://alprostadildrugs.com/ alprostadil injection where to buy

    April 13, 2021 at 06:08 | Report abuse | Reply
  11. sildenafil daily use

    buy sildenafil no rx https://eunicesildenafilcitrate.com/ sildenafil citrate canada

    April 13, 2021 at 11:42 | Report abuse | Reply
  12. canadian weight loss pills

    canadian weight loss pills https://canadapillstorex.com/ best canadian mail order pharmacies for diet pills

    April 14, 2021 at 16:40 | Report abuse | Reply
  13. vardenafil hcl generic

    levitra vardenafil 40 mg https://vegavardenafil.com/ teva pharms vardenafil

    April 16, 2021 at 00:50 | Report abuse | Reply
  14. Leon Patenaude

    Great site. Cheers for showing us.

    April 16, 2021 at 01:29 | Report abuse | Reply
  15. viagra/canada

    buy viagra online from canada https://canadaviagrastore.com/ viagra without a doctor prescription in canada

    April 16, 2021 at 09:23 | Report abuse | Reply
  16. vardenafil, dapoxetine)

    generic levitra vardenafil 20mg https://vegavardenafil.com/ vardenafil

    April 16, 2021 at 10:27 | Report abuse | Reply
  17. trimix vs alprostadil

    how to administer transurethral alprostadil https://alprostadildrugs.com/ alprostadil comes from

    April 17, 2021 at 02:25 | Report abuse | Reply
  18. counterfeit canadian drugs cialis

    buy generic cialis without prescription canadian pharmacy https://canadacialisstore.com/ canadian pharmacy for cialis

    April 17, 2021 at 04:34 | Report abuse | Reply
  19. Huey Dobert

    cool blog. Cheers for showing us.

    April 19, 2021 at 08:47 | Report abuse | Reply
  20. Eugene Watling

    cool blog. Thanks for showing us.

    https://www.pgslotgamestop.com

    April 19, 2021 at 12:02 | Report abuse | Reply
  21. Thomas Hallan

    cool blog. Cheers for posting.

    https://pgslotgamestop.com

    April 19, 2021 at 13:03 | Report abuse | Reply
1 2 3 4 5

Leave a Reply to froleprotrem


 

CNN welcomes a lively and courteous discussion as long as you follow the Rules of Conduct set forth in our Terms of Service. Comments are not pre-screened before they post. You agree that anything you post may be used, along with your name and profile picture, in accordance with our Privacy Policy and the license you have granted pursuant to our Terms of Service.

Advertisement
About this blog

Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love.