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Women's experiences of the gynecologic examination: Factors associated with discomfort
Dept. of Obstetrics and Gynecology, Glostrup University Hospital, H:S Rigshospitalet, Copenhagen, Denmark, Center for Victims of Sexual Assault, Rigshospitalet, Afsnit 4031, Blegdamsvej 9, DK-2100 Köpenhamn Ö, Denmark.
Dept. of Obstetrics and Gynecology, Glostrup University Hospital, H:S Rigshospitalet, Copenhagen, Denmark.
Dept. of Obstetrics and Gynecology, H:S Rigshospitalet, Copenhagen, Denmark.
Linköping University, Faculty of Health Sciences. Linköping University, Department of Clinical and Experimental Medicine, Gender and medicine . Östergötlands Läns Landsting, Centre of Paediatrics and Gynecology and Obstetrics, Department of Gynecology and Obstetrics in Linköping.
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2003 (English)In: Acta Obstetricia et Gynecologica Scandinavica, ISSN 0001-6349, E-ISSN 1600-0412, Vol. 82, no 11, 1030-1036 p.Article in journal (Refereed) Published
Abstract [en]

Background. The aim of this study was to evaluate how women experience the gynecologic examination and to assess possible factors associated with experiencing discomfort during the gynecologic examination. Methods. Consecutive patients visiting the Department of Obstetrics and Gynecology at Glostrup County Hospital, Denmark, were invited to participate in the study, and received a postal questionnaire that included questions about the index visit, obstetric and gynecologic history and sexual abuse history. The response rate was 80% (n = 798). The degree of discomfort during the gynecologic examination was indicated on a scale from 0 to 10. Experiencing discomfort was defined as a score of 6 or more, based on the 75th percentile. Results. Discomfort during the gynecologic examination was strongly associated with a negative emotional contact with the examiner and young age. Additionally, dissatisfaction with present sexual life, a history of sexual abuse and mental health problems such as depression, anxiety and insomnia were significantly associated with discomfort. Conclusion. The emotional contact between patient and examiner seemed to have great importance when focusing on discomfort during the gynecologic examination. Furthermore, we found that discomfort was associated with a number of factors that are seldom known to the gynecologists, such as sexual abuse history, mental health problems and patients' sexual life. Gynecologists need to focus on the emotional contact and to reevaluate issues for communication before the examination.

Place, publisher, year, edition, pages
2003. Vol. 82, no 11, 1030-1036 p.
Keyword [en]
Discomfort, Gynecologic examination
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-46448DOI: 10.1034/j.1600-0412.2003.00253.xOAI: oai:DiVA.org:liu-46448DiVA: diva2:267344
Available from: 2009-10-11 Created: 2009-10-11 Last updated: 2017-12-13

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Wijma, Barbro

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Faculty of Health SciencesGender and medicine Department of Gynecology and Obstetrics in Linköping
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