Whither the Routine Pelvic Exam?

The American College of Physicians recommends against performing routine pelvic examinations as part of well-women visits.

Sponsoring Organization: American College of Physicians (ACP)

Target Population: Clinicians who conduct well-woman visits

Background and Objectives

Women and clinicians alike have typically perceived vaginal speculum and bimanual examinations as an integral part of the well-woman visit. Now, the ACP has issued evidence-based guidance challenging this time-honored practice. The ACP's review indicates that routine pelvic examination is not useful in screening for malignancies other than cervical cancer, can lead to unnecessary additional evaluation and surgery, often causes discomfort and embarrassment, and may deter some women from receiving gynecologic care.

Key Recommendations

Routine pelvic examination is not recommended in asymptomatic nonpre…

Reviewing Author

Andrew Kaunitz, MD

Disclosures

RoyaltiesUpToDate

Grant/Research SupportMerck, Mithra, Medicines360

Editorial BoardsContraception; Menopause; Contraceptive Technology Update; OBG Management; Medscape OB/GYN & Women’s Health