ACP found that the diagnostic accuracy
of the pelvic examination for detecting gynecologic cancer or infections is low.
ACP's guideline includes High Value Care advice to help doctors and patients understand the benefits, harms, and costs
of the pelvic examination so they can pursue care together that improves health, avoids harms, and eliminates wasteful practices.
Not exact matches
She must return a third time for the ingestion
of the second drug (misoprostol, used both in RU - 486 and the new «abortion cocktail»), whereupon she is subjected to a second
pelvic examination as well as to an elaborate mix
of blood tests.
On
examination of Mrs A it was found that her sacrum had a
pelvic tilt.
Many women and physicians believe that a
pelvic examination should be part
of annual well visits, but an analysis
of the current evidence by the American College
of Physicians (ACP) shows that the harms outweigh any demonstrated benefits.
The USPSTF found inadequate evidence on the benefits
of screening for a range
of gynecologic conditions with
pelvic examination.
Although the
pelvic examination is a common part
of the physical
examination, it is unclear whether performing screening
pelvic examinations in asymptomatic women reduces the risk
of illness or death.
Limited evidence from studies evaluating the use
of screening
pelvic examination alone for ovarian cancer detection generally reported low positive predictive values.
In an editorial also published in the July 1 issue
of Annals
of Internal Medicine, Dr. George Sawaya and Dr. Vanessa Jacoby
of the Department
of Obstetrics, Gynecology and Reproductive Sciences at the University
of California, San Francisco write, «The
pelvic examination has held a prominent place in women's health for many decades and has come to be more
of a ritual than an evidence - based practice... With the current state
of evidence, clinicians who continue to offer the
examination should at least be cognizant about the uncertainty
of its benefits and its potential to cause harm through false - positive testing and the cascade
of events it prompts.»
No studies were identified that evaluated the benefit
of screening with
pelvic examination on all - cause mortality, disease - specific morbidity or mortality, or quality
of life.
Very few studies on screening for other gynecologic conditions with
pelvic examination alone have been conducted, and the USPSTF found that these studies have limited generalizability to the current population
of asymptomatic women seen in primary care settings in the United States.
Overall, the USPSTF found inadequate evidence on screening
pelvic examinations for the early detection and treatment
of a range
of gynecologic conditions in asymptomatic, nonpregnant adult women.
The U.S. Preventive Services Task Force (USPSTF) has concluded that the current evidence is insufficient to assess the balance
of benefits and harms
of performing screening
pelvic examinations in asymptomatic, nonpregnant adult women for the early detection and treatment
of a range
of gynecologic conditions.
ACP's new evidence - based clinical practice guideline, «Screening
Pelvic Examination in Adult Women,» was published today in Annals
of Internal Medicine, ACP's flagship journal.
Many women and physicians believe that a
pelvic examination should be part
of annual well visits, but an analysis
of the current evidence by the American College
of Physicians shows that the harms outweigh any demonstrated benefits.
To issue a new recommendation, the USPSTF reviewed the evidence on the accuracy, benefits, and potential harms
of performing screening
pelvic examinations in asymptomatic, nonpregnant adult women 18 years and older who are not at increased risk for any specific gynecologic condition.
(ENDO STOCK / FOTOLIA) A clinical breast exam (CBE) is a hands - on
examination of both breasts that every ob - gyn or family doctor should provide during a woman's annual visit for a
pelvic exam and Pap smear.
European countries have held internal
examination of the
pelvic floor as the gold standard for more than 30 years.
External Perineal
Examination — Once we have obtained informed consent to complete the pelvic floor examination, we then examine the external structures of the pe
Examination — Once we have obtained informed consent to complete the
pelvic floor
examination, we then examine the external structures of the pe
examination, we then examine the external structures
of the
pelvic floor.
Based on your
examination, your
pelvic health physiotherapist will work with you to put together a plan
of care that is specific to your particular goals, symptoms and dysfunction.
Triaged and roomed patients, prepared exam and procedure rooms for
examination of patients, chaperoned and assisted physicians with female patients during pap smears and
pelvic exams.
Bon Secours Health System — Midlothian, VA May 2013 — Dec 2014 Midwife • Manage the care
of normal antepartum cases including teaching, counseling and support • Perform
pelvic examinations • Manage labor, including teaching and support • Take health history • Perform and record the obstetrical physical assessment • Perform local anesthesia