The pelvic exam is a standard part of women's gynecologic checkup,
but a new review by the American College of Physicians shows that for healthy
women it is likely doing more harm than good, causing the doctors' group to
issue a new guideline that advises against it. The new guideline, plus a report
on the supporting evidence review, are published in the Annals of Internal
Medicine, along with an editorial comment: "Routine pelvic examination has
not been shown to benefit asymptomatic, average risk, non-pregnant women. It
rarely detects important disease and does not reduce mortality and is
associated with discomfort for many women, false positive and negative
examinations, and extra cost."
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