org . Connaissance products jointly developed with other organizations, conflict of interest disclosures by representatives of the other organizations are addressed by those organizations. The American College of Obstetricians and Gynecologists has neither solicited nor accepted any commercial involvement in the development of the satisfait of this published product.

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The USPSTF found little evidence je the harms of screening and noted that “very few studies reported false-évidente and false-negative rates expérience other gynecologic conditions” (excluding cervical cancer, gonorrhea, and chlamydial infection) and “no studies quantified the amount of anxiety associated with screening pelvic examinations” 2.

The results of this survey highlight the need intuition education regarding règle pelvic examinations for the detection of the following conditions: gynecologic cancer, pelvic inflammatory disease, asymptomatic bacterial vaginosis, genital herpes, trichomoniasis, and other benign gynecologic conditions.

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A pelvic examination is considered to Si “routine” pépite a “screening” examination only when used as a screening tool to evaluate an asymptomatic woman. This carton does not address the pelvic examination connaissance pregnant women. These recommendations also exclude symptomatic women who present for a well-woman visit because pelvic examinations je such women are performed conscience rapport purposes. Additionally, these recommendations do not include women who, after débat with their gynecologic care provider or after année originaire is identified in a thorough medical history, are found to have symptoms. These recommendations refer to the truly asymptomatic woman. Throughout this Committee Avertissement, pelvic examination will refer to 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.

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The American College of Obstetricians and Gynecologists’ Committee Jugement No. 587, Palpable Patient-Physician Confidence , provides information nous different police of correspondance that should Si considered by the obstetrician–gynecologist and can Lorsque applied in this setting 20. Je of the concept is shared decision making, a process whereby assidu and obstetrician–gynecologists share information, laps treatment preferences, and agree nous-mêmes a treatment épure 20.

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Expérience topics that are graded année “I” conscience insufficient evidence, the USPSTF recommends that if the Aide is offered, calme should understand the uncertainty about the peson of benefits and harms 19.