ACOG Committee Opinion: Utility of and Indications for Routi
In a recently released committee opinion, the American College of Obstetricians and Gynecologists (ACOG) has issued recommendations for utility of and indications for routine pelvic examination.

Traditionally, a pelvic examination is performed for asymptomatic women as a screening tool for gynecologic cancer, infection, and asymptomatic pelvic inflammatory disease; some OB-GYNs and patients consider it important in detecting subclinical disease, despite evidence to the contrary. Given changes in screening recommendations and the ability to screen for sexually transmitted infections using less-invasive methods, reevaluation of the role of the pelvic examination for asymptomatic, nonpregnant women is warranted.

The American College of Obstetricians and Gynecologists (ACOG) makes the following recommendations and conclusions regarding the use of and indications for the pelvic examination:

• Pelvic examinations should be performed when indicated by medical history or symptoms.

• Based on the current limited data on potential benefits and harms and expert opinion, the decision to perform a pelvic examination should be a shared decision between the patient and her OB-GYN or other gynecologic care providers.

• A limited number of studies have evaluated the benefits and harms of a screening pelvic examination for detection of ovarian cancer, bacterial vaginosis, trichomoniasis, and genital herpes. Data from these studies are inadequate to support a recommendation for or against performing a routine screening pelvic examination among asymptomatic, nonpregnant women who are not at increased risk of any specific gynecologic condition. Data on its effectiveness for screening for other gynecologic conditions are lacking.

• Women with current or a history of cervical dysplasia, gynecologic malignancy, or in utero diethylstilbestrol exposure should be screened and managed according to guidelines specific to those gynecologic conditions.

• After reviewing risks and benefits, the pelvic examination also may be performed if a woman expresses a preference for the examination.

• Regardless of whether a pelvic examination is performed, a woman should see her OB-GYN at least once a year for well-woman care.

• A pelvic examination is not necessary before initiating or prescribing contraception, other than an intrauterine device, or to screen for sexually transmitted infections.


About ACOG
Founded in 1951, the American College of Obstetricians and Gynecologists is the specialty's premier professional membership organization dedicated to the improvement of women’s health. With more than 58,000 members, the College is a 501(c)(6) organization and its activities include producing the College's practice guidelines and other educational material.

Note: This list is a brief compilation of some of the key recommendations included in the guidelines and is not exhaustive and does not constitute medical advice. Kindly refer to the original publication here: https://www.acog.org/Clinical-Guidance-and-Publications/Committee-Opinions/Committee-on-Gynecologic-Practice/The-Utility-of-and-Indications-for-Routine-Pelvic-Examination
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Dr. H●●●●h D●●●i
Dr. H●●●●h D●●●i Obstetrics and Gynaecology
Obgyn consultation once a year is a good recommendation by ACOG committee. Many pelvic diseases-benign or malignant are quite silent in the beginning & we often see patients reporting very late.
Oct 2, 2018Like2