Empathic Pelvic Examination

Author(s):  
Rhina Acevedo
Keyword(s):  
2009 ◽  
Author(s):  
Julie Weitlauf ◽  
Rudolf Moos ◽  
David Spiegel ◽  
Susan Frayne ◽  
John Finney ◽  
...  

2021 ◽  
Vol 12 ◽  
pp. 215013272199219
Author(s):  
Danielle J. O’Laughlin ◽  
Brittany Strelow ◽  
Nicole Fellows ◽  
Elizabeth Kelsey ◽  
Sonya Peters ◽  
...  

To review the anxiety and fear risk factors, pathophysiology, symptoms, screening and diagnosis while highlighting treatment considerations for women undergoing a pelvic examination. Methods: We reviewed the literature pertaining to anxiety and fear surrounding the pelvic examination to help guide health care providers’ on available screening options and to review options for individualized patient management. Results: Anxiety and fear are common before and during the pelvic examination. In fact, the pelvic exam is one of the most common anxiety-provoking medical procedures. This exam can provoke negative physical and emotional symptoms such as pain, discomfort, anxiety, fear, embarrassment, and irritability. These negative symptoms can interfere with preventative health screening compliance resulting in delayed or avoided care and significant health consequences. Conclusion: Assessing women for anxiety related to pelvic examinations may help decrease a delay or avoidance of examinations. Risk factor and symptom identification is also a key component in this. General anxiety questionnaires can help identify women with anxiety related to pelvic examinations. Strategies to reduce anxiety, fear and pain during a pelvic examination should routinely be implemented, particularly in women with high-risk factors or those identified with screening techniques as having anxiety, fear or pain with examinations. Treatment options should be targeted at understanding the patient’s concerns, starting conversations about pelvic examinations early, educating patient’s about the examination and offering the presence of a chaperone or support person. During an examination providers should ensure the patient is comfortable, negative phrases are avoided, the correct speculum size is utilized and proper lubrication, draping, dressing and positioning are performed. Treating underlying gynecologic or mental health conditions, consideration of cognitive behavioral therapy and complementary techniques such as lavender aromatherapy and music therapy should also be considered when appropriate.


1947 ◽  
Vol 2 (4) ◽  
pp. 598
Author(s):  
E. ALLEN ◽  
CLARISSE GALLOWAY
Keyword(s):  

2007 ◽  
Vol 14 (3) ◽  
pp. 334-338 ◽  
Author(s):  
George Condous ◽  
Ben Van Calster ◽  
Sabine Van Huffel ◽  
Alan Lam

2015 ◽  
Vol 126 ◽  
pp. 54S-55S
Author(s):  
Jani R. Jensen ◽  
Emily P. Barnard ◽  
Jennifer B. Manning ◽  
Doug J. Creedon

2021 ◽  
pp. 110049
Author(s):  
Hamid Osman ◽  
Bassem M. Raafat ◽  
Nahla L. Faizo ◽  
Rania Mohammed Ahmed ◽  
Sultan Alamri ◽  
...  

1995 ◽  
Vol 162 (8) ◽  
pp. 408-410 ◽  
Author(s):  
Sonia R Grover ◽  
Michael A Quinn

2010 ◽  
Vol 89 (10) ◽  
pp. 1304-1309 ◽  
Author(s):  
Kjell Wånggren ◽  
Gunilla Pettersson ◽  
Kristina Gemzell-Danielsson

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