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 (454 Responses)
  1. LbsoZisse

    buycialisonline https://ucialisdas.com/ levitra vs cialis side effects

    May 16, 2021 at 00:54 | Report abuse | Reply
  2. Valentin Brande

    I don't know about you people but I love airplanes. I had a friend in highschool that loves airplanes, so here are some airplane related stuff I don't know about you guys but I love airplanes. I had a friend in highschool that loved airplanes, so here are some airplane related stuff https://www.airlinereporter.com/2010/12/woman-suing-american-airlines-for-15-million-due-to-a-lizard-in-her-food/

    http://urlm.co/g/c/f/163873

    May 16, 2021 at 16:26 | Report abuse | Reply
  3. LbsoZisse

    cialis generika china http://ucialisdas.com/ buy daily cialis from canada

    May 16, 2021 at 18:39 | Report abuse | Reply
  4. BbshMile

    viagra dosage http://loxviagra.com/ – viagra street value viagra from canada

    May 16, 2021 at 23:11 | Report abuse | Reply
  5. AnooEncox

    are there any natural alternatives to viagra https://llviagra.com/ viagra patent expiration in us

    May 17, 2021 at 02:18 | Report abuse | Reply
  6. Nathanial Pirog

    Have you ever heard of second life (sl for short). It is basically a video game where you can do anything you want. Second life is literally my second life (pun intended lol). If you would like to see more you can see these sl authors and blogs

    http://digitalnarratives.blogspot.com/2006_12_01_archive.html

    May 17, 2021 at 07:18 | Report abuse | Reply
  7. RebfZisse

    cialis with dapoxetine usa http://rcialisgl.com/ – cialis overnight shipping canada cialis overnight shipping

    May 17, 2021 at 07:50 | Report abuse | Reply
  8. LebnEncox

    usa pharmacy online canadian prescription drugs northwest pharmacy canada

    May 17, 2021 at 23:35 | Report abuse | Reply
  9. Wanetta Chalfin

    I don't know about you all but I infatuated with airplanes. I have a friend in highschool that loved airplanes, so here are some airplane related stuff I don't know about you guys but I love airplanes. I had a friend in highschool that loved airplanes, so here are some airplane related stuff https://www.airlinereporter.com/2009/05/two-off-duty-cops-take-down-a-passenger/

    http://www.donationto.com/nonprofit-organizations/washington/mukilteo/future-of-flight-foundation

    May 17, 2021 at 23:39 | Report abuse | Reply
  10. FmrfEncox

    how to buy cialis from us stores http://cialisee.com/ cialis overnight shipping canada

    May 18, 2021 at 00:44 | Report abuse | Reply
  11. Leida Schwemm

    I don't know about you people but I love airplanes. I have a friend in highschool that loves airplanes, so here are some airplane related stuff I don't know about you guys but I love airplanes. I had a friend in highschool that loved airplanes, so here are some airplane related stuff https://www.airlinereporter.com/2010/09/dot-says-tarmac-delay-rule-is-working-not-so-fast/

    http://www.tulalipnews.com/wp/category/news/page/317/

    May 19, 2021 at 04:06 | Report abuse | Reply
  12. JebgEncox

    pharmacies https://pharmacylo.com/ super pharmacy

    May 19, 2021 at 07:13 | Report abuse | Reply
  13. novak dj

    Am here to testify what this great spell caster done for me. i never believe in spell casting, until when i was was tempted to try it. i and my wife have been having a lot of problem living together, she will always not make me happy because she have fallen in love with another man outside our relationship, i tried my best to make sure that my wife leave this woman but the more i talk to her the more she makes me fell sad, so my marriage is now leading to divorce because she no longer gives me attention. so with all this pain and agony, i decided to contact this spell caster to see if things can work out between me and my wife again. this spell caster who was a man told me that my wife is really under a great spell that she have been charm by some magic, so he told me that he was going to make all things normal back. he did the spell on my wife and after 5 days my wife changed completely she even apologize with the way she treated me that she was not her self, i really thank this man his name is Dr ose he have bring back my wife back to me i want you all to contact him who are having any problem related to marriage issue and relationship problem he will solve it for you. his email is oseremenspelltemple@gmail.com  he is a man and his  great. wish you good time.
    He cast spells for different purposes like
    (1) If you want your ex back.
    (2) if you always have bad dream
    (3) You want to be promoted in your office.
    (4) You want women/men to run after you.
    (5) If you want a child.
    (6) You want to be rich.
    (7) You want to tie your husband/wife to be yours forever.
    (8) If you need financial assistance.
    (9) HIV/AIDS CURE
    (10) is the only answer to that your problem of winning the lottery

    Contact him today on oseremenspelltemple@gmail.com or whatsapp him on +2348136482342.  https://www.facebook.com/Dr-odion-spell-temple-110513923938220/

    May 19, 2021 at 08:58 | Report abuse | Reply
  14. AnooEncox

    principio funzionamento viagra https://llviagra.com/ how long does it take for viagra to expire

    May 19, 2021 at 15:03 | Report abuse | Reply
  15. Chester Doggette

    Have you ever heard of second life (sl for short). It is essentially a video game where you can do anything you want. SL is literally my second life (pun intended lol). If you would like to see more you can see these sl websites and blogs

    http://beyondnewhorizons.com/tag/change/

    May 20, 2021 at 03:04 | Report abuse | Reply
  16. cyclomune

    cyclosporine lab tube cyclosporine eye drops

    May 20, 2021 at 04:30 | Report abuse | Reply
  17. BbshMile

    herb viagra side effects https://loxviagra.com/ taking viagra

    May 20, 2021 at 11:06 | Report abuse | Reply
  18. JebgEncox

    pain meds online without doctor prescription http://pharmacylo.com/ canada online pharmacy no prescription

    May 20, 2021 at 17:10 | Report abuse | Reply
  19. Cecil Sallee

    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 sl authors and blogs

    http://everydayliteracies.blogspot.com/2017/06/writing.html?showComment=1506659918157&m=0

    May 20, 2021 at 19:53 | Report abuse | Reply
  20. GtnbCrulk

    viagra alternatives http://jokviagra.com/ where can i buy viagra over the counter

    May 21, 2021 at 00:21 | Report abuse | Reply
  21. AnooEncox

    wowow viagra https://llviagra.com/ female viagra in malaysia

    May 21, 2021 at 03:49 | Report abuse | Reply
  22. RebfZisse

    cialis without a prescription http://rcialisgl.com/ buy cialis in toronto

    May 21, 2021 at 05:05 | Report abuse | Reply
  23. LebnEncox

    Top Avana https://xlnpharmacy.com/ cheapest pharmacy to get prescriptions filled

    May 21, 2021 at 11:24 | Report abuse | Reply
  24. chloroquineorigin

    https://chloroquineorigin.com/ chloroquine phosphate tablets chloroquine prophylaxis aralen uk chloroquine sulfate

    May 21, 2021 at 17:08 | Report abuse | Reply
  25. LbsoZisse

    buy generic cialis online https://ucialisdas.com/ cialisis online

    May 22, 2021 at 00:16 | Report abuse | Reply
  26. FmrfEncox

    cialis australia online shopping https://cialisee.com/ – .99 for cialisis buy cialis pay pal

    May 22, 2021 at 01:00 | Report abuse | Reply
  27. Prudence Pardi

    I don't know about you people but I infatuated with airplanes. I have a friend in highschool that loves airplanes, so here are some airplane related stuff I don't know about you guys but I love airplanes. I had a friend in highschool that loved airplanes, so here are some airplane related stuff https://www.airlinereporter.com/2010/11/panorama-photo-paine-field-in-the-snow/

    http://myemail.constantcontact.com/Be-a-Part-of-Giving-Tuesday-by-Supporting-the-Future-of-Flight-Foundation-.html?soid=1111846961938&aid=zrXG1JFUdEw

    May 22, 2021 at 01:58 | Report abuse | Reply
  28. chloroquineorigin

    chloroquine new zealand tendances du coronavirus – france buy aralen online uk malaraquin https://chloroquineorigin.com/

    May 22, 2021 at 08:17 | Report abuse | Reply
  29. LbsoZisse

    cialis store in qatar https://ucialisdas.com/ – cialis generic purchase cialis paypal payment

    May 22, 2021 at 19:25 | Report abuse | Reply
  30. AnooEncox

    viagra pour filles https://llviagra.com/ viagra start time

    May 23, 2021 at 02:10 | Report abuse | Reply
  31. Florencia Dughi

    Have you ever heard of second life (sl for short). It is essentially a online game where you can do anything you want. Second life is literally my second life (pun intended lol). If you want to see more you can see these Second Life articles and blogs

    http://myvedana.blogspot.com/2009/11/on-twitter.html

    May 23, 2021 at 03:54 | Report abuse | Reply
  32. LebnEncox

    best ed pills https://xlnpharmacy.com/ antibacterial

    May 23, 2021 at 04:49 | Report abuse | Reply
  33. RebfZisse

    montreal drug cialis https://rcialisgl.com/ cialis pills

    May 23, 2021 at 08:38 | Report abuse | Reply
  34. cyclomune

    cyclomune cyclosporine

    May 23, 2021 at 11:36 | Report abuse | Reply
  35. tausAffessy

    tadalafil https://apcalisetadalafil.com/ cheap cialis pills for sale side effects for tadalafil where to buy tadalafil on line

    May 23, 2021 at 17:29 | Report abuse | Reply
  36. GtnbCrulk

    viagra on steroids http://jokviagra.com/ – non prescription viagra performance anxiety viagra

    May 23, 2021 at 20:52 | Report abuse | Reply
  37. Tritreviewifind

    tadalafil brands https://tadalafilol.com/ – tadalafil cost walmart buy tadalafil tadalafil blood pressure https://tadalafilol.com/

    May 23, 2021 at 21:51 | Report abuse | Reply
  38. brimonidine

    combigan eye drops buy brimonidine

    May 24, 2021 at 07:36 | Report abuse | Reply
  39. JebgEncox

    my canadian pharmacy rx discount prescription drugs online no prescription needed canadian pharmacy

    May 24, 2021 at 16:40 | Report abuse | Reply
  40. combigan

    combigan eye drops 2% combigan uk

    May 24, 2021 at 18:02 | Report abuse | Reply
  41. Soosteemocush

    tadalafil cialis https://tadalafilol.com/ – cialis tadalafil cost of cialis where to buy tadalafil on line https://tadacipetadalafil.com/

    May 24, 2021 at 22:34 | Report abuse | Reply
  42. Tritreviewifind

    https://tadalafilol.com/ where to order tadalafil tablets https://tadalafilww.com/ – side effects for tadalafil where to buy generic cialis online safely

    May 25, 2021 at 04:29 | Report abuse | Reply
  43. BbshMile

    best price on viagra 100mg https://loxviagra.com/ female viagra name

    May 25, 2021 at 05:15 | Report abuse | Reply
  44. EncoxAni

    cvs pharmacy store locator usa https://pharmacyken.com/ – india pharmacy mail order safe online pharmacy canada

    May 25, 2021 at 07:53 | Report abuse | Reply
  45. ZisseVed

    order cialis online nb canada https://krocialis.com/ – what is cialis 5mg used for how to get cialis prescription

    May 25, 2021 at 15:30 | Report abuse | Reply
  46. avanafil

    avanafil dose avana

    May 25, 2021 at 16:54 | Report abuse | Reply
  47. tausAffessy

    what is tadalafil https://tadagatadalafil.com/ – tadalafil cost walmart generic tadalafil from uk where to buy tadalafil on line tadalafil price walmart

    May 25, 2021 at 23:10 | Report abuse | Reply
  48. EncoxDev

    pharmacy in montreal canada online pharmacy without prescription canadian pharmacy for pets

    May 25, 2021 at 23:57 | Report abuse | Reply
  49. EncoxHtf

    buy cialis from canada https://cialishav.com/ – cialis ingredients can i take 4 5mg cialis

    May 26, 2021 at 05:21 | Report abuse | Reply
  50. avana

    buy avanafil uk avana 50 mg

    May 26, 2021 at 05:24 | Report abuse | Reply
1 2 3 4 5 6 7 8 9

Leave a Reply to combigan


 

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.