 |
|
|
|
June 30th, 2014
05:54 PM ET
What your next gyno exam may not includeFor 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.
Next entry »5 studies you may have missed
« Previous entryStudy: 1/3 of knee replacements are questionable
|
  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.
 |
|
|
|
how does chloroquine work https://chloroquineorigin.com/ chloronique
best online canadian pharmacy https://canadianeve21.com/ Grifulvin V
is it safe to order cialis from canadian pharmacy https://canadacialisstore.com/ cialis at canadian pharmacy
viagra 50 mg http://gensitecil.com/ viagra mg
levitra interactions http://uslevitraanna.com/ best price for levitra
does erectile dysfunction affect desire https://canadaerectiledysfunctionpills.com/ who treats erectile dysfunction
buy priligy dapoxetine pharmacy
pharmacy cost comparison https://uspharmus.com/ – Flagyl Sinequan
248268 756699Exceptional publish from specialist also it will probably be a amazing know how to me and thanks extremely much for posting this valuable data with us all. 328761
prostate cancer erectile dysfunction https://canadaerectiledysfunctionpills.com/ best erectile dysfunction medicine
Malegra DXT http://onlinecanda21.com/ pharmacy on line
Eulexin http://canadianeve21.com/ – Cardizem ER canadian pharmacy without prescription
buy avanafil canada buy avanafil uk
what happens when a man without ed takes viagra https://llviagra.com/ – alexandre borges usa viagra viagra profits pfizer
chloroquinine https://chloroquineorigin.com/ cloraquine
With havin so much content and articles do you ever run into any issues of plagorism or copyright violation? My website has
a lot of completely unique content I've either written myself or outsourced
but it appears a lot of it is popping it up all over
the web without my permission. Do you know any solutions to help protect against content from being ripped off?
I'd really appreciate it.
over the counter viagra cialis https://ucialisdas.com/ – female cialis no prescription cialis paypal bezahlen
best australian online pharmacy https://xlnpharmacy.com/ online pharmacy uk
walgreen viagra http://loxviagra.com/ – cheapest viagra online viagra overnight delivery usa
buy generic cialis generic cialis http://cialisee.com/ – cialis mastercard cialis 20 mg canada
cialisis http://rcialisgl.com/ cialis 20 mg cost
what happens if a female takes viagra https://jokviagra.com/ viagra for woman
trusted online pharmacy usa pharmacy mail order pharmacies
viagra et crise cardiaque https://llviagra.com/ – viagra post prostatectomy viagra faa
cialis canada online pharmacy https://pharmacylo.com/ med pharmacy
viagra definition http://jokviagra.com/ viagra ice cream
order cialis soft tabs http://rcialisgl.com/ dapoxetin,cialis
cialis 20 mg from united kingdom http://cialisee.com/ cialis best price
on line pharmacy online pharmacy Floxin
purchase original cialis http://ucialisdas.com/ cialis and viagra mix
cialis vs viagra https://loxviagra.com/ buy viagra online canadian
walmart cost for viagra https://llviagra.com/ what is difference between cialis and viagra
free samples of cialis http://ucialisdas.com/ lowest price cialis
Have you ever heard of second life (sl for short). It is essentially a online game where you can do anything you want. sl is literally my second life (pun intended lol). If you want to see more you can see these Second Life websites and blogs
http://blog.ialja.com/page/7/
prescription drugs from canada online Lamictal Bupron SR
price of cialis https://rcialisgl.com/ generic cialis in canada
shopping for cialis http://cialisee.com/ – order cialis online us pharmacy 365 cialis
This was awesome! I would like you to clean up all this spam though
https://www.linkedin.com/in/yusuf-hanafy-82493b183
online dating sites help to for any buying important step
When you may want uniform dating relief, you should know what kind of methods can expect using customers in web sites. Online online dating services can be a good method to meet individual, meet new people, or push more best friends. it's not hard to forget that types of effects involved yourself, But you'll be able to meet innovative new we, in that case,perhaps internet dating help support is one you may want to look at. if you would like make for, look for a spouse or husband, try to get attached, so build an enhanced lengthy with another person your house, Then it's important that you know how online dating service personals functionality, exactly tasks you need to take to handle elsewhere with this opportunity, And your schedule could are included with arriving at males for the place. you will discover that uniform dating help is some things you will definitely seek, this may assist you in getting results you want.
If you are trying to find the ideal travelers, you'll have to online dating sites has become a great mission way of meeting would-be addicts. you might be connect with an employee, communicate them roughly your own personal likes and dislikes, welfare, movement, music, as the particular person favors. there are problem you can study about someone if they're simply just conntacting you through via the online world forums. folks offers an individuals financial netmail you can find out in order to find the suggestions that you really requesting. You may study a lot about somebody just by considering a photo of which they have absolutely issued internet. With the guidelines presented notion, you're able to find chnlove.com scam the right human being so far in addition to get married.
when people satisfy personally, there's something which will occur. first of all, You've got in order that the guest you're here declaring knows maybe engagement you. this might be one of the most common perils when you have a go at online dating sites, it's to be able to a good families. around a look at these online dating recommendations, you may locate the perfect diamond necklace for your family.
viagra and nitroglycerin https://jokviagra.com/ difference between viagra and cialis
blue viagra shot recipe https://llviagra.com/ – viagra online canada paypal how much viagra should be taken
pharmacy discount thrifty drug store Glucotrol
Good day very cool website!! Guy .. Beautiful .. Wonderful .. I will bookmark your blog and take the feeds additionally…I am satisfied to search out so many helpful information right here in the submit, we need work out more techniques on this regard, thanks for sharing.
http://www.stornobrzinol.com/
canada cialis for sale https://cialisee.com/ cialis in us
cialis in melbourne australia https://rcialisgl.com/ cheapest generic cialis
brimonidine tartrate ophthalmic combigan generic
over the counter female viagra https://jokviagra.com/ what does viagra look like
canada drugs online best canadian pharmacy no prescription Septra
brimonidine eye drops combigan coupon
Viagra capsules https://xlnpharmacy.com/ online pharmacy for sale