User:Gyno.Janine/sandbox/newsandbox

New Sandbox 2024 WITH Foundation

Editing Pelvic Examination with intent to add more information about  an accessible exam for individuals with  disabilities

Copied from current article:

Medical guidelines
Previous to July 2014, the benefits of routine pelvic examinations were not clear and there was no consensus. Since then, American College of Physicians (ACP) issued a guideline that recommended against performing this examination to screen for conditions in asymptomatic, nonpregnant, adult women. (The guideline did not consider Pap smears.) The ACP said that there was no evidence of benefit in support of the examination, but there was evidence of harm, including distress and unnecessary surgery. This was a strong recommendation, based on moderate-quality evidence. In 2018, the American College of Obstetricians and Gynecologists (ACOG) issued a committee opinion that pelvic exams should be performed for 1) symptoms of gynecologic disease, 2) screening for cervical dysplasia, or 3) management of gynecologic disorders or malignancy, using shared decision-making with the patient. ACOG concluded there is inadequate data to support recommendations for or against routine screening pelvic examination for asymptomatic, non-pregnant women with average risk for gynecologic disease.

Annual "well-woman exams" are an occasion for gynecologists to recognize issues like incontinence and sexual dysfunction, and discuss patient concerns, and an exam can be done if indicated by the clinical history.

As  Edited:

Medical guidelines
Traditionally, the benefits of routine pelvic examinations were assumed in the field  of  gynecology, and were a recommended part of the initial gynecology visit, annual visits, and as needed for treatment. In 2014, the American College of Physicians (ACP) published a review of the benefits and the risks of the exam and issued a guideline that recommended against performing this examination to screen for conditions in asymptomatic, nonpregnant, adult women, concluding that the potential harms outweighed the demonstrated benefits and that screening pelvic exams in asymptomatic women did not reduce mortality or morbidity rates. The guideline did not consider the necessity of frequency of Pap smears.) This was a strong recommendation, based on moderate-quality evidence. In 2018, the American College of Obstetricians and Gynecologists (ACOG) issued a committee opinion that pelvic exams should be performed for 1) symptoms of gynecologic disease, 2) screening for cervical dysplasia, or 3) management of gynecologic disorders or malignancy, using shared decision-making with the patient. ACOG concluded there is inadequate data to support recommendations for or against routine screening pelvic examination for asymptomatic, non-pregnant women with average risk for gynecologic disease.

Annual "well-woman visits" are an occasion for gynecologists to recognize issues like incontinence and sexual dysfunction, and discuss patient concerns, and an exam can be done if indicated by the clinical history and using a model of shared decision-making. ACOG reinforced the potential value of pelvic examinations in allowing clinicians to explain a patient’s anatomy, reassure her of normalcy, and answer specific questions, thus establishing open communication between patient and clinician.