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The first pelvic examination for an adolescent: is this rite of passage used to its full potential?
Linköping University, Department of Clinical and Experimental Medicine, Division of Clinical Sciences. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Center of Paediatrics and Gynaecology and Obstetrics, Department of Gynaecology and Obstetrics in Linköping.
Linköping University, Department of Clinical and Experimental Medicine, Division of Clinical Sciences. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Center of Paediatrics and Gynaecology and Obstetrics, Department of Gynaecology and Obstetrics in Linköping.
2013 (English)In: Current Opinion in Obstetrics and Gynecology, ISSN 1040-872X, E-ISSN 1473-656X, Vol. 25, no 5, 357-63 p.Article, review/survey (Refereed) Published
Abstract [en]

Purpose of review: Adolescents' experiences of their first pelvic examination (external inspection, speculum examination and bimanual palpation) may have a marked influence on future experiences; why examination techniques and strategies for creating a positive experience of this situation need to be developed. This review addresses to what extent that ambition is reflected in recent literature.Recent findings: The majority of articles on 'pelvic examination during adolescence' come from the United States, which skews the review's perspective. Several researchers recommend using investigations based on new technology rather than a pelvic examination when medical indications for a full examination are present. The profession's attitudes toward annual check-ups and pelvic examinations (in the United States) are currently debated, for teens as well as for adults.How to perform a first pelvic examination on an adolescent is not often discussed, nor are strategies for creating a positive experience of this event.The contexts in which a first pelvic examination is performed probably differ among societies. The Swedish and the US contexts are compared as an illustration; for example preventive healthcare and sex education is in Sweden the responsibility of schools, open for anybody and without admission fees.Summary: Recent literature does not mirror a need for developing examination techniques and strategies for creating a positive experience of the first pelvic examination, nor for exploiting its maximal potential as a positive rite of passage.The ongoing US debate on indications for pelvic examinations and annual check-ups is even more relevant for adolescents, in whom contraindications need to be considered.

Place, publisher, year, edition, pages
Lippincott Williams & Wilkins, 2013. Vol. 25, no 5, 357-63 p.
Keyword [en]
adolescents, experience, first pelvic/gynecologic examination, indications/contraindications, screening
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-100805DOI: 10.1097/GCO.0b013e3283642b8aISI: 000326586300003OAI: oai:DiVA.org:liu-100805DiVA: diva2:663744
Available from: 2013-11-12 Created: 2013-11-12 Last updated: 2017-12-06Bibliographically approved

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Siwe, KarinWijma, Barbro

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Division of Clinical SciencesFaculty of Health SciencesDepartment of Gynaecology and Obstetrics in Linköping
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