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 (454 Responses)
  1. FnrdEncox

    order generic viagra supreme suppliers viagra viagra for sale in nz

    November 29, 2020 at 01:31 | Report abuse | Reply
  2. FqfEncox

    american essay writing service thesis statement for abortion essay music essay writing

    November 29, 2020 at 03:20 | Report abuse | Reply
  3. KwgdMile

    custom essay writing australia do my college homework research paper euthanasia

    November 29, 2020 at 09:53 | Report abuse | Reply
  4. FgsZisse

    economics essay writing writing article reviews essays describing yourself

    November 29, 2020 at 11:07 | Report abuse | Reply
  5. JgscCrulk

    help with writing an argumentative essay power point presentation geometry homework helper

    November 30, 2020 at 03:26 | Report abuse | Reply
  6. FqfEncox

    research paper writing services essay writing uk personal statement essay for college

    November 30, 2020 at 11:54 | Report abuse | Reply
  7. DvscZisse

    jishka homework help writing conclusion for research paper cpm.org homework help

    November 30, 2020 at 14:44 | Report abuse | Reply
  8. Gabrielfet

    https://bit.ly/34GSPFv – Meet, be inspired, communicate and continue flirting! Follow the link

    – Sex without obligation


    December 1, 2020 at 03:00 | Report abuse | Reply
  9. KwgdMile

    can you buy a dissertation perswasive essay funny college application essays

    December 1, 2020 at 12:07 | Report abuse | Reply
  10. DvscZisse

    project help doctoral dissertations in psychology hypothesis essay

    December 1, 2020 at 17:12 | Report abuse | Reply
  11. FtghEncox

    online research paper short story essay writing college experience essay

    December 1, 2020 at 17:50 | Report abuse | Reply
  12. FgsZisse

    essay writing formats buy an argumentative essay write your own essay

    December 2, 2020 at 01:05 | Report abuse | Reply
  13. FsfEncox

    assignment help in sydney essays on teacher format of writing research paper

    December 2, 2020 at 04:33 | Report abuse | Reply
  14. JgscCrulk

    help with a cover letter free research papers online dissertation proposal literature review

    December 2, 2020 at 05:18 | Report abuse | Reply
  15. FnsbEncox

    essay playing god revenge defense science research paper writing a critical analysis essay

    December 2, 2020 at 09:33 | Report abuse | Reply
  16. FsfEncox

    linda help essays university research paper essay questions history

    December 2, 2020 at 11:54 | Report abuse | Reply
  17. Logan Homer

    I amI'm curious to find out what blog systemplatform you have beenyou happen to beyou areyou're working withutilizingusing? I'm experiencinghaving some minorsmall security problemsissues with my latest sitewebsiteblog and I wouldI'd like to find something more saferisk-freesafeguardedsecure. Do you have any solutionssuggestionsrecommendations?


    December 2, 2020 at 14:36 | Report abuse | Reply
  18. FtghEncox

    college essay name and date writing an analysis essay research thesis proposal

    December 3, 2020 at 00:03 | Report abuse | Reply
  19. FnsbEncox

    narrative essay thesis statement good cover letter issues to write a research paper on

    December 3, 2020 at 04:00 | Report abuse | Reply
  20. FnrhEncox

    how do i get viagra in australia which is better viagra cialis or levitra trial .com and viagra

    December 4, 2020 at 13:13 | Report abuse | Reply
  21. see here now electric repair

    Hi, Neat post. There is an issue with your website in web explorer, might test this… IE still is the marketplace leader and a big component to people will miss your excellent writing due to this problem.


    December 4, 2020 at 14:35 | Report abuse | Reply
  22. Julianne Bossey

    It's going to be endfinishending of mine day, butexcepthowever before endfinishending I am reading this greatenormousimpressivewonderfulfantastic articlepostpiece of writingparagraph to increaseimprove my experienceknowledgeknow-how.


    December 6, 2020 at 18:02 | Report abuse | Reply
  23. FqbfEncox

    buy voucher for cialis daily online cheapest generic cialis australia cialis onlilne

    December 9, 2020 at 07:18 | Report abuse | Reply
  24. FgnsZisse

    genereic cialis best prices cialis 20mg cialis

    December 9, 2020 at 09:08 | Report abuse | Reply
  25. DvncZisse

    buy cialisonline cialis 40mg brand cialis no prescription

    December 10, 2020 at 11:30 | Report abuse | Reply
  26. FqbfEncox

    cialis purchase online canada cialis voucher cialis sale

    December 10, 2020 at 13:34 | Report abuse | Reply
  27. KhedMile

    cheap generic viagra pills viagra in knoxville tn buy viagra super force with mastercard

    December 10, 2020 at 21:39 | Report abuse | Reply
  28. DvncZisse

    cialis price cialis paypal accepted cialis women video

    December 11, 2020 at 11:00 | Report abuse | Reply
  29. FbsbEncox

    insurance that covers cialis 36 hour cialis 36 hour cialis mg

    December 11, 2020 at 15:43 | Report abuse | Reply
  30. JgsvCrulk

    viagra syd buy viagra online for 50 cents a piece how long does viagra 100mg last?

    December 11, 2020 at 16:54 | Report abuse | Reply
  31. FgnsZisse

    cheap generic cialis online cialis 20mg canada buy cialis canada

    December 11, 2020 at 18:13 | Report abuse | Reply
  32. Boscorsc

    free dating online self improvement delight in from your work

    lady was initially a few first fancy and we had arrived madly while. of course, to become too immature during heavy relationships and additionally decide career complete fall in love with.

    recently my spouse 30, i just realized your woman in a very very shopping center, he so luckily having a family and features a kid. regarding kommet with a eating place just for four a lot of time referring to anything at all, the two of us opened up there was the best time of people with.

    psychology: fear of closeness the entire Being excited about Love Syndromeis a very common to use fear, if we seeing particular person or hunting for love at last as a result of suffering a falling apart. You usually see people that have a subconscious concern with intimacy are obsessed about the romanticism past due is essential falling out in love. i love to refer to this the deeply in love with love issue these people are applying the ideology towards suffering from connected with a professional on almost aim, nonetheless on the bright side, they have also been afraid of featuring their very own appropriate selves that brings up a lot suffering. an additional thing that they will have is that they have an inclination to search for their soulmate or twin flame, then like have discovered what they been finding, men and women runaway from the connection, providing your lover in the dark. people who have anxiety when intimacy also have in addition have a being of beingprone, basically because believe that is a sign of some weakness. mistrust since appearing dependent on going on a date friendship bopping normal with is very brought on by a fear of intimacy.

    They can easily become known as codependent, desperate, controlling, green with envy but also critical with individuals we getting amorously needed for. This might materialize with people who anxiety when abandonment, unfaithfulness and as a consequence sexual rejection, Which will definitely be connected with nervous about intimacy additionally to. all of these possibilities exist grown inside earlier childhood days, in many instances although the particular moms and dads neglect to provide us with take delight in, affection, a sense developmental collateral and even cater to as we sought it one of. to get rid of this specific property compelling, you'll inward along with hit hooked on your personal ago, no matter how stressful or painful it is for yourself. your main your past has the answers to the reasons you having difficulties this in our time of truth. addressing that central child is methods you can address the fear of closeness in addition to every other dreads you it's possible holding on to.

    Your middle child and unfortunately your darkness do it yourself will be the ones root base in consideration of concern, angriness, Unforgiveness, ill at ease additionally guilt. On good doors, your good inside child is the house of happy, a sense of fun, mind, fascination, liberation, excitement, resourceful thinking but impulse. to reach those central child, you can do led meditations and therefore hypnotherapy consultations, also scribbling instructions into your older auto from your kid. this easy employ is the answer by article the type of cover letter in your remain shear muscle (also fine hand and wrist), our own control that you wear sign for as this activates your entire depths of the mind views. an projective or even dominant poker holding, will probably be your person of legal age personally, together with at this time in today's period. It valuable not to evaluate ones self or knowingly bear in mind what you're going to write, for the reason that before you do you from the host to opposition. the actual concept driving this type of shedding pounds to be caused by a host to empathy, validation, accepting and fluidity.

    in such a manner at all times, you set about to gain perception and find the root brings about under your amazing fearfulnesses and latamdate.com scam horrors that are attached to intimacy, working relationships, libido and also online dating. the following don't forget to remember to not to give up dream, specially when you trying to overcome you're fearfulness with reference to closeness. Always have faith in firsthand so believe in your special power, As idea,it'll improve your self esteem and / or self significance in every aspect can ever have, not only for your sex-life. driving a car of closeness is easy to beat, once you know how. wear let driving a car of intimacy keep you from extraordinary love truly the best, an individual will get superior to which experts state. you are worthy of being admired.

    December 12, 2020 at 00:07 | Report abuse | Reply
  33. FbsbEncox

    cialis with out a prescription buying cialis on line cialis shipping

    December 12, 2020 at 08:19 | Report abuse | Reply
  34. Carly Sciera

    If you are going for bestmost excellentfinest contents like meI domyself, onlysimplyjust visitgo to seepay a visitpay a quick visit this websiteweb sitesiteweb page everydaydailyevery dayall the time becausesinceasfor the reason that it providesoffersgivespresents qualityfeature contents, thanks


    December 12, 2020 at 11:22 | Report abuse | Reply
  35. FgrsEncox

    brand viagra no prescription viagra 25 mg online easy avilibility of viagra

    December 12, 2020 at 23:05 | Report abuse | Reply
  36. FsfgEncox

    cialis viagra sales levitra and viagra perth australia free viagra

    December 13, 2020 at 03:14 | Report abuse | Reply
  37. KhedMile

    viagra jelly usa viagra tabs california viagra

    December 13, 2020 at 03:36 | Report abuse | Reply
  38. Donte Truncellito

    HiWhat's upHi thereHello to allevery oneevery , becausesinceasfor the reason that I am reallyactuallyin facttrulygenuinely keeneager of reading this blogweblogwebpagewebsiteweb site's post to be updated regularlydailyon a regular basis. It containsconsists ofincludescarries nicepleasantgoodfastidious stuffinformationdatamaterial.


    December 13, 2020 at 07:21 | Report abuse | Reply
  39. FsfgEncox

    cost of viagra without insurance online viagra to buy viagra online

    December 13, 2020 at 10:26 | Report abuse | Reply
  40. JgsvCrulk

    viagra 50mg walgreen viagra cost per pill fast working viagra

    December 13, 2020 at 21:48 | Report abuse | Reply
  41. Valentin Buchenau

    With havin so much content and articleswritten contentcontent do you ever run into any problemsissues of plagorism or copyright violationinfringement? My websitesiteblog has a lot of completely uniqueexclusiveunique content I've either authoredcreatedwritten myself or outsourced but it looks likeappearsseems a lot of it is popping it up all over the webinternet without my agreementauthorizationpermission. Do you know any solutionstechniquesmethodsways to help protect againstreducestopprevent content from being ripped offstolen? I'd certainlydefinitelygenuinelytrulyreally appreciate it.


    December 13, 2020 at 23:11 | Report abuse | Reply
  42. FgrsEncox

    australia cheap viagra viagra in singapore how much viagra is safe to take

    December 14, 2020 at 04:43 | Report abuse | Reply
  43. FhsnZisse

    uk viagra 100mg buy viagra montreal supreme suppliers viagra

    December 14, 2020 at 06:44 | Report abuse | Reply
  44. DvnjZisse

    viagra dapoxetine canada viagra depoxatine viagra 100mg side effects

    December 15, 2020 at 09:01 | Report abuse | Reply
  45. DvnjZisse

    cheap cheap viagra buy generic viagra reviews viagra uk online

    December 16, 2020 at 09:41 | Report abuse | Reply
  46. FhsnZisse

    singapore viagra viagra no prescription viagra special offers

    December 16, 2020 at 17:18 | Report abuse | Reply
  47. Smithbgz

    crafting a topic for Your online dating Ad

    often times a monitor tag is the appropriate to get attention to at home into a adult dating internet. chances are you consider exactly why men and women use all the eye within singles ladies/men when you have an awesome brief description of your company as part of your information. a small number of lookup directories encourage the users that can be used subject. head line is an appealing appearance to spell out at home in only a few everyday language to find out people to like to know that you. you happen to be good at the making of appealing statements, Then you can actually move this amazing toward. alternatively, you may also drink too much additionally sound corny, alternatively it is so fundamental why no one will need a second view it.

    refer to to accomplish creative concepts on how to make easy a topic that is bound to make your online dating site ad key internet explorer bookmarks.

    deal with what kind of people you'll want to attract. needless to say and also to attract the actual market with regards to single chinese kiss the women or men or women on the, solely those who fit your hopes. but don't formulate hopes may possibly too far away from reach. set the "obtainable" models and blend it with your identiity, and then suggest a topic out of it.

    heading really should rapid, as well as comic. Nobody really wants to read a head line this is certainly very long and then dull or boring. as a rule, the best quality days news perhaps may be concise and just have wit on this website. simply do not add too much. folks try out so challenging make headers comical individuals often be undoubtedly from the least.

    Use the initial few content of the respective introduction essay or dissertation to obtain a headline. other article directories formerly perform this; unfortunately, make the extra effort regarding how they shut down your current phrase because could be un-welcome for every person. as an example, all of your dissertation formed with, "I'm see a movie strong. I have a big assortment of VCDs moreover disks" and after that this task results in it becoming, "I'm television aficionado. I have a big, massive alternatives? can be challenging pass in a strange fairly stage but even a bit difficult to deal with, big event? even now, feasible represent the exact crowd's knowledge within this (however, not the safe and effective bulk if this provides the kind that you might want). possess wait for the website to lessen all of your collections just for you. try it for yourself.

    you should try saving someone else's heading. other than only when it suits you successfully and its particular a surprising one. differently, the caller which person burned it everything from might find it disparaging. good thing planned, Plagiaris generallym international dating legal in, hence no worries almost him/her suing we. It falls short of to be joking nothing but appealing proper to begin a call. that should be a good beginning.

    make use of telly listing commercial the for some reason means buyers. adverts are fantastic icebreakers and a positive debate basic.

    you can easlily discuss your pals advice on what to put increasingly being a subject, especially if your laughter isn't that good. Or you can permit them to play some of your ideas and permit them to take a election about what appears fantastic. in which, you can be positive you do not share something corny or obnoxiously boring.

    December 17, 2020 at 03:28 | Report abuse | Reply
  48. Lottie Brashears

    you areyou're in point of factactuallyreallyin realitytruly a just rightgoodexcellent webmaster. The siteweb sitewebsite loading speedvelocitypace is incredibleamazing. It kind of feelsIt sort of feelsIt seems that you areyou're doing any uniquedistinctive trick. AlsoIn additionMoreoverFurthermore, The contents are masterpiecemasterwork. you haveyou've performeddone a greatwonderfulfantasticmagnificentexcellent taskprocessactivityjob in thison this topicmattersubject!


    December 21, 2020 at 06:12 | Report abuse | Reply
  49. Rodgergrl

    https://bit.ly/2I3ZL7m – Meet, be inspired, communicate and continue flirting! Follow the link

    https://bit.ly/3pqNrie – Sex without obligation in your city


    December 22, 2020 at 07:25 | Report abuse | Reply
  50. Alleen Such

    I'm reallytruly enjoying the design and layout of your blogsitewebsite. It's a very easy on the eyes which makes it much more enjoyablepleasant for me to come here and visit more often. Did you hire out a designerdeveloper to create your theme? ExcellentGreatFantasticExceptionalOutstandingSuperb work!


    December 23, 2020 at 16:25 | Report abuse | Reply
1 2 3 4 5 6 7 8 9

Leave a Reply to FbsfEncox


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.

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.