Role of annual well-woman assessment reviewed

July 24, 2012
Role of annual well-woman assessment reviewed
For women, an annual assessment is an important part of medical care and should include screening, evaluation, and counseling, according to a Committee Opinion published online July 23 in Obstetrics & Gynecology.

(HealthDay) -- For women, an annual assessment is an important part of medical care and should include screening, evaluation, and counseling, according to a Committee Opinion published online July 23 in Obstetrics & Gynecology.

The Committee on Gynecologic Practice of the American College of Obstetricians and Gynecologists, based in Washington D.C., reviewed the role of an annual health assessment in women's medical care.

The researchers note that the annual health assessment represents a fundamental part of and is important for promotion of preventive practices, recognizing risk factors for disease, identifying medical problems, and establishing a relationship between the clinician and patient. The annual health assessment should include screening, assessments, and counseling, as well as immunizations, when necessary, based on age and risk factors. A key element of the health assessment is the physical examination, with components that may vary based on the patient's age, , and physician preference. The committee recommends that, regardless of sexual activity, speculum examinations for cervical cancer should begin at age 21 years; pelvic examinations should always be conducted in patients who report or exhibit symptoms suggestive of female genital tract, pelvic, urologic, or rectal problems; annual examinations may be modified for asymptomatic patients, without complicating medical issues, who have undergone a total hysterectomy and bilateral salpingo-oophorectomy for benign indications; breast self-awareness should be encouraged; and clinical breast examinations should be performed annually in women aged 40 years or older and every one to three years for those aged 20 to 39 years. The decision to perform any pelvic or breast examination should be made with the consent of the patient.

"An annual visit provides an excellent opportunity to counsel patients about maintaining a healthy lifestyle and minimizing health risks," the authors write.

Explore further: Updated policy about consent for pelvic exams in Canada needs revision

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

Updated policy about consent for pelvic exams in Canada needs revision

March 26, 2012
An updated policy guiding pelvic examinations of women under anesthetic in Canada has created a gap in terms of consent, states an analysis in CMAJ (Canadian Medical Association Journal).

OB/GYN screening may help detect heart disease risk

March 26, 2012
Simple screening implemented in obstetrics and gynecology (OB/GYN) clinics may identify previously undetected heart disease risk among women and has the potential to greatly increase education about prevention and treatment ...

ACR, SBI support updated ACOG recommendations that women begin annual mammograms at age 40

July 20, 2011
The American College of Radiology (ACR) and Society of Breast Imaging applaud and support updated American College of Obstetricians and Gynecologists' (ACOG) recommendations that women begin getting annual mammograms at age ...

MRI screening for women with a family history of breast cancer but no genetic predisposition

March 21, 2012
Adding magnetic resonance imaging (MRI) to standard breast cancer screening approaches is expensive, though it could be cost effective for a group of women who may not have inherited the breast cancer susceptibility genes, ...

Recommended services not always given during patients' annual exams

January 18, 2012
New research finds that patients may not always receive all of the screening tests and counseling services that are due during their medical checkups.

Recommended for you

Study in mice finds dietary levels of genistein may adversely affect female fertility

November 14, 2017
Exposure to the phytoestrogen genistein prior to conception may adversely affect female fertility and pregnancy outcomes, depending on the dosage and duration of exposure, a new study in mice suggests.

IUDs may have a surprising benefit: Protection against cervical cancer

November 7, 2017
Considered a safe and highly effective contraception method, intrauterine devices (IUDs) may also be quietly offering protection against the third-most common cancer in women worldwide. A new study from the Keck School of ...

Increasing rates of chronic conditions putting more moms, babies at risk

November 7, 2017
Pregnant women today are more likely to have chronic conditions that could cause life-threatening complications than at any other time in the past decade - particularly poor women and those living in rural communities, a ...

First time mums with an epidural who lie down more likely to have a normal birth

October 18, 2017
Adopting a lying down position rather than being upright in the later stages of labour for first-time mothers who have had a low dose epidural leads to a higher chance of them delivering their baby without any medical intervention, ...

Mice delivered by C-section gain more weight than those delivered naturally

October 11, 2017
Mice born by Caesarian section gained on average 33 percent more weight in the 15 weeks after weaning than mice born vaginally, with females gaining 70 percent more weight.

Study shows epidurals don't slow labor

October 10, 2017
Epidural analgesia - a mix of anesthetics and narcotics delivered by catheter placed close to the nerves of the spine - is the most effective method of labor pain relief. In widespread use since the 1970s, epidurals have ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.