emDocs - April 8, 2019 - Authors: Christophe K and Silverberg M
Edited by: Koyfman A and Long B
"Key points
- Pelvic exam findings are highly subjective.
- Accuracy of pelvic exam results may vary depending on patient body habitus.
- Absence of adnexal mass and/or lack of severe pelvic tenderness does not rule out ovarian torsion.
- Pelvic exam should not be relied on to rule out sexually transmitted infections.
- Patient-collected vaginal swabs or urine specimens are acceptable and accurate for STI testing.
- Pelvic exam cannot reliably rule out ectopic pregnancy.
- When ultrasound is performed in patients with early pregnancy complaints, the pelvic exam is unlikely to change patient disposition.
- Engage patients in shared decision making when you are questioning the utility of a pelvic exam."