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

Population health impact of infants born small for gestational age in low- and middle-income countries

August 18, 2017
In low-and middle-income countries, it is common for babies to be born of low birth weight, due to either inadequate growth in utero (fetal growth restriction) and/or preterm birth, (birth before 37 weeks gestation). Maternal ...

Hormone from fat tissue can give protection against polycystic ovary syndrome

August 10, 2017
Obesity and reduced insulin sensitivity are common in polycystic ovary syndrome, PCOS. New research based on animal studies, and to be published in the journal PNAS, reveals that the hormone adiponectin can protect against ...

Study in mice may reveal insights into causes of miscarriages for some women

August 9, 2017
Researchers at St. Michael's Hospital have identified how natural killer cells in the mouse placenta can cause a fetus to fail to grow in the womb or cause miscarriages.

Insomnia, sleep apnea nearly double the risk of preterm delivery before 34 weeks

August 9, 2017
Pregnant women who are diagnosed with sleep disorders such as sleep apnea and insomnia appear to be at risk of delivering their babies before reaching full term, according to an analysis of California births by researchers ...

Elective freezing of IVF embryos linked to higher pregnancy rates in some cases

August 1, 2017
A delay in transferring embryos to the mother improves the success of in vitro fertilization in certain cases, according to a study by scientists at the Stanford University School of Medicine, Celmatix Inc. and several other ...

Negative birth outcomes linked to air pollution exposure early in pregnancy, study finds

July 27, 2017
Exposure to air pollution early in a pregnancy could increase risk for preterm birth and low birth weight, according to a study led by researchers at NYU School of Medicine, and published on July 27 in Environmental Health ...

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.