Presentation
The physical examination is presented as a checklist with possible (pathological) results. Special important attention is given to important findings for urologists. A complete gynecological examination is not presented. [urology-textbook.com]
Occult cervical pathogens may be present in these patients. Copyright 2010 Elsevier Inc. All rights reserved. [ncbi.nlm.nih.gov]
Entire Body System
- Vietnamese
Prev Med 2005 41 439 45 ,, ,, ,. et al Pap testing adherence among Vietnamese American women. Cancer Epidemiol Biomarkers Prev 2004 13 613 9 ,, ,. Attitudes towards pelvic examination and chaperones: a questionnaire survey of patients and providers. [doi.org]
Skin
- Sparse Hair
The pubic hair is inspected for pubic lice and hair growth patterns. Sparse hair patterns can exist in older and in some Asian women. The labia majora are evaluated. Their position and symmetry are assessed. [en.wikipedia.org]
- Sparse Hair
The pubic hair is inspected for pubic lice and hair growth patterns. Sparse hair patterns can exist in older and in some Asian women. The labia majora are evaluated. Their position and symmetry are assessed. [en.wikipedia.org]
Urogenital
- Cervical Enlargement
Look for erosion, eversion, cysts, polyps, lacerations, ulcerations, cervical enlargement, bleeding, and menstrual discharge. [ncbi.nlm.nih.gov]
- Adnexal Tenderness
Abnormal bimanual findings included adnexal tenderness (6 [12%]) and uterine tenderness (4 [8%]). One patient (2.5%) had a positive antigen test for Chlamydia trachomatis. [ncbi.nlm.nih.gov]
- Uterine Tenderness
Abnormal bimanual findings included adnexal tenderness (6 [12%]) and uterine tenderness (4 [8%]). One patient (2.5%) had a positive antigen test for Chlamydia trachomatis. [ncbi.nlm.nih.gov]
Workup
Diagnostic workup however is needed to ascertain the underlying cause of the anemia. (1-5) History and physical examination Diagnosis begins with a detailed history and physical examination. [news-medical.net]
[…] included conditions (including but not limited to abnormal bleeding, pelvic pain, incontinence, and infertility); quality of life KQ 2: Sensitivity, specificity, likelihood ratios, positive and negative predictive values KQ 3: Unnecessary diagnostic workup [uspreventiveservicestaskforce.org]
Available evidence reports false-positive rates for ovarian cancer of 1.2% to 8.6% and false-negative rates of 0% to 100%. 4 Pelvic examination screening also could result in unnecessary diagnostic workup and treatment. [doi.org]
Current standard of care requires further workup of any abnormality found on Pap. -this usually consists of screening for HPV, colposcopy, and bx of cervical samples. Decreases the incidence and mortality of cervical CA. [quizlet.com]
Treatment
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. [ncbi.nlm.nih.gov]
No studies evaluated the effectiveness of early diagnosis and treatment of screen-detected, asymptomatic gynecologic conditions compared with the diagnosis and treatment of symptomatic gynecologic conditions. 4 It is also unknown whether performing screening [doi.org]
Epidemiology
[…] impact of our findings, we think there is a pressing need for improving patient counseling concerning this exam,” said senior author Miriam Kupperman, PhD, MPH, a UCSF professor in the departments of Obstetrics, Gynecology and Reproductive Sciences, and Epidemiology [ucsf.edu]
“Stories are very powerful, but they are the antithesis of epidemiological evidence,” Sawaya said. “The focus should be on symptoms, and on how to keep people healthy, not to turn healthy people into patients.” [khn.org]
More information on the burden and epidemiology of the numerous gynecologic conditions potentially detected by pelvic examination is available in Table 1 of the accompanying systematic evidence review. 2 Scope of Review The USPSTF commissioned a systematic [uspreventiveservicestaskforce.org]
More information on the burden and epidemiology of the numerous gynecologic conditions potentially detected by pelvic examination is available in Table 1 of the accompanying systematic evidence review. 4 The USPSTF commissioned a systematic review to [doi.org]
The amount of epidemiologic and physiologic information about contraceptives has grown enormously, and the methods have evolved toward safer formulations; today's oral contraceptives, for example, contain much lower doses of contraceptive hormones than [guttmacher.org]
Prevention
It has been suggested that to address every preventive service recommended by the U.S. [aafp.org]
It is an important part of preventive health care for all women. It is easy to have and takes a few minutes. [womensaidcenter.com]