Still No Clear Evidence for Regular Pelvic Exams

Although pelvic examinations are commonly performed as part of well-woman visits, the effect on morbidity and mortality of such examinations in asymptomatic women remains uncertain. To update its guidance, the U.S. Preventive Services Task Force reviewed evidence assessing the benefits and potential harms of pelvic examinations in asymptomatic nonpregnant women not at excess risk for specific gynecologic conditions. This guidance does not address the role of pelvic examinations as part of screening for cervical cancer or sexually transmitted infections.

After identifying a handful of studies, several of which had limited applicability to U.S. gynecologic care, the task force concluded that current evidence is insufficient to recommend for or…