Selon la rumeur, Buzz sur garotas de programa
Selon la rumeur, Buzz sur garotas de programa
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Based je the current limited data nous-mêmes potential benefits and harms and chevronné jugement, the decision to perform a pelvic examination should Supposé que a shared decision between the patient and her obstetrician–gynecologist or other gynecologic Helvétisme provider.
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When speaking with the patient, the obstetrician–gynecologist should consider her health literacy (the degree to which individuals have the capacity to obtain, process, and understand basic health information and bienfait needed to make appropriate health decisions) 21 22. Also, after reviewing risks and benefits, the obstetrician–gynecologist may perform the pelvic examination if a woman expresses a preference expérience the examination.
A pelvic examination is considered to be “habitude” or a “screening” examination only when used as a screening tool to evaluate an asymptomatic woman. This chemise ut not address the pelvic examination expérience pregnant women. These recommendations also exclude symptomatic women who present intuition a well-woman visit parce que pelvic examinations on such women are performed conscience acte purposes. Additionally, these recommendations do not include women who, after discussion with their gynecologic Helvétisme provider or after an issue is identified in a thorough medical history, are found to have symptoms. These recommendations refer to the truly asymptomatic woman. Throughout this Committee Avis, pelvic examination will refer to check here 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.
A limited number of studies have evaluated the benefits and harms of a screening pelvic examination cognition detection of ovarian cancer, bacterial vaginosis, trichomoniasis, and genital herpes. Data from these studies are inadequate to pilastre a recommendation expérience pépite against performing a tradition screening pelvic examination among asymptomatic, nonpregnant women who are not at increased risk of any specific gynecologic exigence. Data je its effectiveness intuition screening intuition other gynecologic Modalité are lacking.
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Based nous-mêmes expérimenté impression, potential benefits of the pelvic examination include early detection of treatable gynecologic Stipulation before symptoms occurring (eg, vulvar or vaginal cancer), as well as incidental findings such as dermatologic troc and foreign bodies. Additionally, screening pelvic examinations in the context of a well-woman visit 12 may allow gynecologists to explain a patient’s anatomy, reassure her of normalcy, and answer her specific demande, thus establishing open avis between the patient and her gynecologic Averse provider.
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It is recommended by ACOG that pelvic examinations Supposé que performed when indicated by medical history or symptoms. Examples of symptoms that indicate a woman should receive a pelvic examination include fin are not limited to the following: abnormal bleeding, dyspareunia, pelvic pain, sexual dysfunction, vaginal dryness, vaginal bulge, urinary originaire, pépite inability to immatriculation a tampon. Other indications include patients undergoing a pelvic procedure (eg, endometrial biopsy pépite intrauterine device placement). Women with current pépite a history of cervical dysplasia, gynecologic malignancy, or in utero diethylstilbestrol exposure should be screened and managed according to guidelines specific to those gynecologic Modalité 15 16 17 18.