Format

Send to

Choose Destination
Contraception. 2014 Dec;90(6):612-4. doi: 10.1016/j.contraception.2014.06.038. Epub 2014 Jun 28.

Obstetrician-gynecologists' beliefs on the importance of pelvic examinations in assessing hormonal contraception eligibility.

Author information

1
Department of Obstetrics, Gynecology & Reproductive Sciences, University of California, San Francisco, CA. Electronic address: jeanmyu@gmail.com.
2
Department of Obstetrics, Gynecology & Reproductive Sciences, University of California, San Francisco, CA; Kaiser Permanente Center for Health Research, Northwest, Portland, OR.
3
Department of Obstetrics, Gynecology & Reproductive Sciences, University of California, San Francisco, CA.

Abstract

OBJECTIVE:

To describe obstetrician-gynecologists' beliefs regarding the importance of pelvic examination (including external genitalia inspection, speculum examination, bimanual examination) in assessing hormonal contraception eligibility.

METHODS:

In a national probability survey, 1020 obstetrician-gynecologists drawn from the American Medical Association's Physician Masterfile rated importance of the examination in four categories: very, moderately, a little and not important.

RESULTS:

The response rate was 62% (n=521). Seventy-nine percent considered at least one exam component to be of some importance (very, moderately, or a little importance). Bimanual examination was rated more often than external examination in each level of importance (p<.001). Physicians who believed no component of the examination was important were more likely to be younger, female and in practice settings other than private practice.

CONCLUSIONS:

Despite guidelines stating that pelvic examinations are unnecessary in assessing hormonal contraception eligibility, most obstetrician-gynecologists believe that they are of some importance. These attitudes may pose a barrier to contraception provision.

KEYWORDS:

Gynecologic examinations; National survey; Preventive health care; Reproductive health

[Indexed for MEDLINE]
Free full text

Supplemental Content

Full text links

Icon for Elsevier Science Icon for eScholarship, California Digital Library, University of California
Loading ...
Support Center