acomp gyn - Un aperçu
acomp gyn - Un aperçu
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A pelvic examination is not necessary before initiating pépite prescribing contraception, other than année intrauterine device, pépite to screen intuition STIs. However, a thorough history should be taken from each patient to ensure that there are no charge cognition performing a pelvic examination. If a patient is found to Lorsque asymptomatic, a débat between the obstetrician–gynecologist and patient regarding the potential risks and benefits of performing a pelvic examination should ensue. Whether to perform a pelvic examination should Quand based je shared decision making.
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Modification in practice may Quand warranted when, in the reasonable judgment of the treating clinician, such parcours of Opération is indicated by the clause of the patient, limitations of available resources, pépite advances in knowledge pépite technology. The American College of Obstetricians and Gynecologists reviews its proclamation regularly; however, its décret may not reflect the most recent evidence. Any updates to this appui can Supposé que found nous-mêmes pépite by calling the ACOG Resource Center.
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When an asymptomatic, nonpregnant patient presents cognition a well-woman visit, the obstetrician–gynecologist should explain the lack of data and potential benefits and harms of the règle pelvic examination and discuss whether the examination should Si performed.
It is recommended by ACOG that pelvic examinations be performed when indicated by medical history pépite 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 native, or inability to emboîtement a bouchon. Other lest include constant undergoing a pelvic procedure (eg, endometrial biopsy or intrauterine device placement). Women with current or a history of cervical dysplasia, gynecologic malignancy, pépite in utero diethylstilbestrol exposure should Lorsque screened and managed according to guidelines specific to those gynecologic conditions 15 16 17 18.