Most ob-gyns still perform bimanual exam but reasons vary

February 12, 2013
Most ob-gyns still perform bimanual exam but reasons vary
The majority of obstetrician-gynecologists perceive bimanual pelvic examinations as important for adult women of all ages, although the reasons cited for performing the exam vary widely, according to a study published in the February issue of the American Journal of Obstetrics & Gynecology.

(HealthDay)—The majority of obstetrician-gynecologists perceive bimanual pelvic examinations as important for adult women of all ages, although the reasons cited for performing the exam vary widely, according to a study published in the February issue of the American Journal of Obstetrics & Gynecology.

Jillian T. Henderson, Ph.D., M.P.H., from the University of California in San Francisco, and colleagues conducted a nationwide survey of U.S. obstetrician-gynecologists (521 respondents) to examine their examination practices and beliefs based on vignettes for asymptomatic women across the lifespan.

The researchers found that, across the lifespan, almost all obstetrician-gynecologists performed bimanual pelvic examinations in asymptomatic women, although this was perceived as less important for a newly sexually active 18-year-old. Adherence to standard medical practices (45 percent), patient reassurance (49 percent), detection of ovarian cancer (47 percent), and identification of benign uterine (59 percent) and ovarian (54 percent) conditions were cited as reasons for importance of the exam.

"Our study serves as an important baseline for nationwide practices immediately prior to a time when the well-woman visit is being redefined," the authors write. "Further research would be useful in determining optimal ways to educate providers and patients about the appropriate use of this examination in asymptomatic [women]."

Explore further: Study questions reasons for routine pelvic exams

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

Related Stories

Study questions reasons for routine pelvic exams

December 14, 2012
The pelvic exam, a standard part of a woman's gynecologic checkup, frequently is performed for reasons that are medically unjustified, according to the authors of a UCSF study that may lay the groundwork for future changes ...

Role of annual well-woman assessment reviewed

July 24, 2012
(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.

Mismatch between cancer genetics counseling and testing guidelines and physician practices

July 25, 2011
A new analysis has found that many doctors report that they do not appropriately offer breast and ovarian cancer counseling and testing services to their female patients. Published early online in CANCER, a peer-reviewed ...

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).

M. genitalium ups risk of pelvic inflammatory disease, cervicitis

May 31, 2012
(HealthDay) -- Infection with Mycoplasma genitalium (M. genitalium) is an independent and strong risk factor for both cervicitis and pelvic inflammatory disease (PID), according to a study published in the June issue of the ...

Recommended for you

Women exposed to smoke while in womb more likely to miscarry

July 13, 2017
Women exposed to cigarette smoke while in their mothers' wombs are more likely to experience miscarriage as adults, according to new research from the University of Aberdeen.

Lack of a hormone in pregnant mice linked to preeclampsia

June 30, 2017
(Medical Xpress)—A team of researchers from Singapore, the Netherlands and Turkey has isolated a hormone in pregnant mice that appears to be associated with preeclampsia—a pregnancy-related condition characterized by ...

Aspirin reduces risk of pre-eclampsia in pregnant women

June 28, 2017
Taking a low-dose aspirin before bed can reduce the risk of pre-eclampsia, which can cause premature birth and, in extreme cases, maternal and foetal death.

The biology of uterine fluid: How it informs the fetus of mom's world

June 22, 2017
A developing fetus bathes in a mixture of cellular secretions and proteins unique to its mother's uterus. Before fertilization, the pH of uterine fluid helps create a conducive environment for sperm migration, and afterward, ...

New clues in puzzle over pre-eclampsia and cholesterol regulation

June 21, 2017
Scientists studying a mystery link between the dangerous pregnancy complication pre-eclampsia and an increased risk of heart disease in later life for both mother and child have uncovered important new clues.

Are maternal hormones different when carrying a boy or a girl?

June 15, 2017
With advances in prenatal testing it's now possible to find out whether a pregnancy will result in a male or female baby as early as eight weeks' gestation.

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.