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The Age for First Gynecological Exam: A Comprehensive Guide
Author: Dr. Evelyn Reed, MD, OB-GYN, Board Certified, with 15 years of experience in women's health and adolescent gynecology.
Publisher: HealthWise Publishing, a reputable publisher specializing in evidence-based health information for the public, known for its accurate and accessible medical content.
Editor: Sarah Miller, RN, BSN, Certified Medical Editor, with 10 years of experience editing medical publications ensuring accuracy and clarity.
Keywords: age for first gynecological exam, first gynecological exam, when to get first gynecological exam, adolescent gynecology, teen gynecology, young women's health, reproductive health, preventative care, women's health, gynecologist visit.
Introduction: Determining the Right Age for Your First Gynecological Exam
The question, "What is the right age for my first gynecological exam?" is a common one, filled with both anticipation and apprehension. This comprehensive guide aims to clarify the recommended age for a first gynecological exam, debunking myths and empowering you with knowledge to make informed decisions about your reproductive health. Understanding the appropriate age for first gynecological exam is crucial for proactive health management and early detection of potential issues.
The Recommended Age for a First Gynecological Exam
While there's no universally agreed-upon single age, most healthcare professionals recommend a first gynecological visit between the ages of 13 and 15, or within three years of the onset of menstruation, whichever comes first. This recommendation stems from several key factors:
Early Detection of Potential Issues: A first exam allows for early detection of any underlying health concerns, such as abnormal uterine bleeding, sexually transmitted infections (STIs), or other reproductive health problems. Early intervention is often crucial for successful treatment. This is a vital aspect when considering the age for first gynecological exam.
Comprehensive Sexual Health Education: The visit provides an opportunity for a comprehensive discussion about sexual health, including contraception, safe sex practices, and STI prevention. Open communication with a healthcare provider is essential for making informed decisions.
Establishing a Long-Term Relationship with a Gynecologist: Building a relationship with a gynecologist early allows for consistent care throughout a woman's life, fostering trust and facilitating open communication about sensitive health matters. This ongoing relationship is important for all aspects related to the age for first gynecological exam.
Pelvic Exams: A pelvic exam isn't always necessary at the first visit. The need for a pelvic exam depends on the individual's concerns and medical history. A discussion with the gynecologist helps determine the appropriateness of this procedure. The focus on the age for first gynecological exam shouldn’t overshadow the importance of the individual's needs.
Factors Influencing the Timing of the First Visit
Several individual factors might influence the timing of the first gynecological exam. These include:
Menarche (First Menstrual Period): As mentioned earlier, a visit within three years of menarche is often recommended. This allows for evaluation of menstrual regularity and any associated symptoms.
Sexual Activity: If a young woman is sexually active, a visit is recommended sooner to discuss contraception, STI testing, and prevention.
Specific Concerns: Any specific concerns about reproductive health, such as abnormal bleeding, pelvic pain, or other symptoms, necessitate an earlier appointment.
What to Expect at the First Gynecological Visit
The first visit typically includes a comprehensive health history review, a discussion of menstrual cycles, sexual health, and lifestyle factors. A physical examination may or may not be included, depending on the individual's needs and age. The gynecologist will answer questions and provide guidance on various aspects of reproductive health. The focus is on building a relationship of trust and creating a comfortable environment for open communication.
Addressing Concerns and Myths about the Age for First Gynecological Exam
Many misconceptions surround the age for first gynecological exam. Some believe it's too early to visit a gynecologist before sexual activity, while others worry about discomfort or invasiveness. However, the primary goal is preventative health, not just addressing issues related to sexual activity. The exam can provide valuable information about overall well-being, irrespective of sexual activity.
Conclusion: Proactive Care for a Lifetime of Health
The age for first gynecological exam is a crucial decision that should be made in consultation with a healthcare professional. While a general guideline exists, individual factors should be considered. Early and regular gynecological care fosters a proactive approach to reproductive health, leading to better overall well-being and early detection of potential issues. Open communication with your healthcare provider is essential in making informed decisions about your health.
FAQs
1. Is a pelvic exam always necessary during the first visit? Not necessarily. The need for a pelvic exam depends on individual circumstances and concerns.
2. What if I haven't started my period yet? A visit can still be beneficial to discuss general health and address any concerns.
3. What if I'm uncomfortable talking about sexual health? Your gynecologist is trained to create a safe and comfortable environment for open discussion.
4. How often should I have a gynecological exam after the first visit? Follow-up appointments are usually recommended annually or as advised by your gynecologist.
5. What if I don't have health insurance? Explore options for affordable healthcare or community clinics that provide services.
6. Can I bring a parent or guardian to my first appointment? Absolutely! It's perfectly acceptable to bring someone for support.
7. What should I expect to discuss during my first visit? Expect to discuss your menstrual cycle, sexual activity (if applicable), family history, and overall health.
8. Is it possible to get STI testing during my first visit? Yes, STI testing is possible and often recommended if sexually active.
9. What if I experience pain or discomfort during the exam? Communicate this immediately to your gynecologist, they can adjust the procedure to minimize discomfort.
Related Articles
1. Understanding Menarche and its Implications for Gynecological Care: Discusses the onset of menstruation and its significance in scheduling the first gynecological visit.
2. Common Concerns of Adolescent Girls and Their Gynecological Health: Addresses prevalent issues faced by teenagers and how they relate to gynecological care.
3. Preventing STIs: A Guide for Young Women: Provides essential information about sexually transmitted infections and prevention strategies.
4. Contraception Options for Teenagers and Young Adults: Explains the various birth control methods available and helps make informed decisions.
5. Navigating Abnormal Uterine Bleeding in Adolescents: Focuses on understanding and managing irregular or heavy menstrual bleeding in young women.
6. The Importance of Regular Gynecological Checkups: Highlights the benefits of consistent gynecological care throughout a woman's life.
7. Finding a Gynecologist You Trust: Tips for Choosing a Healthcare Provider: Guides readers on selecting a comfortable and reliable gynecologist.
8. Mental Health and Reproductive Health: The Interconnection: Explores the link between mental and reproductive well-being in young women.
9. Addressing Myths and Misconceptions about Gynecological Exams: Dispels common misconceptions about the procedures and processes involved.
age for first gynecological exam: The Vagina Bible Dr. Jen Gunter, 2019-08-27 Instant New York Times, USA Today, and Publishers Weekly bestseller! Boston Globe bestseller #1 Canadian Bestseller OB/GYN, The New York Times columnist, host of the show Jensplaining, and internationally bestselling author Dr. Jen Gunter now delivers the definitive book on vaginal health, answering the questions you’ve always had but were afraid to ask—or couldn’t find the right answers to. She has been called Twitter’s resident gynecologist, the Internet’s OB/GYN, and one of the fiercest advocates for women’s health…and she’s here to give you the straight talk on the topics she knows best. Does eating sugar cause yeast infections? Does pubic hair have a function? Should you have a vulvovaginal care regimen? Will your vagina shrivel up if you go without sex? What’s the truth about the HPV vaccine? So many important questions, so much convincing, confusing, contradictory misinformation! In this age of click bait, pseudoscience, and celebrity-endorsed products, it’s easy to be overwhelmed—whether it’s websites, advice from well-meaning friends, uneducated partners, and even healthcare providers. So how do you separate facts from fiction? OB-GYN Jen Gunter, an expert on women’s health—and the internet’s most popular go-to doc—comes to the rescue with a book that debunks the myths and educates and empowers women. From reproductive health to the impact of antibiotics and probiotics, and the latest trends, including vaginal steaming, vaginal marijuana products, and jade eggs, Gunter takes us on a factual, fun-filled journey. Discover the truth about: • The vaginal microbiome • Genital hygiene, lubricants, and hormone myths and fallacies • How diet impacts vaginal health • Stem cells and the vagina • Cosmetic vaginal surgery • What changes to expect during pregnancy and after childbirth • What changes to expect through menopause • How medicine fails women by dismissing symptoms Plus: • Thongs vs. lace: the best underwear for vaginal health • How to select a tampon • The full glory of the clitoris and the myth of the G Spot . . . And so much more. Whether you’re a twenty-six-year-old worried that her labia are “uncool” or a sixty-six-year-old dealing with painful sex, this comprehensive guide is sure to become a lifelong trusted resource. |
age for first gynecological exam: Handbook of Gynecology Donna Shoupe, 2024-01-07 This book is a comprehensive, up-to-date reference on general and subspecialty gynecology. Covering all aspects of gynecology commonly encountered in day-to-day practice, this exhaustive and fully updated new edition provides a practical, one-stop reference work for clinicians working in the field. This carefully-designed volume includes ten sections, beginning with comprehensive coverage of office-based gynecology, and continuing on to present disease processes and management information by patient age group. Each chapter includes background information, current recommendations for screening, diagnostic criteria, common and uncommon associated problems, approach to diagnosis, summary of treatment options, and an overview of ICD-10 codes for specific diagnoses. Importantly, many areas that are covered in the handbook as subspecialty problems are pertinent and important information to many of the general practitioners who handle and develop some expertise in these areas. These include ovulation induction, medical management of incontinence, management of abnormal Pap smears, and work-up of abnormal bleeding. The handbook concludes with an easy-to-navigate presentation of minimally-invasive operations, surgical procedures, neoplasms, and pathology. Advantages and risks associated with management of particular diseases are covered, along with multiple tips for avoiding complications. This second edition is fully updated. With extensive updates on cervical cancer screening, pelvic organ prolapse, and more, many chapters will be completely rewritten to reflect the latest guidelines, procedures, and methods of care in women’s health. The text additionally includes two new chapters, covering the impact of COVID on gynecology care, and the work-up and surgical management of chronic pelvic pain. This is an ideal guide for practicing gynecologists, family and internal medicine physicians, physician assistants, nurse practitioners, fellows, residents, medical students, and all women’s health care providers. |
age for first gynecological exam: Pediatric and Adolescent Gynecology Sarah M. Creighton, Adam Balen, Lesley Breech, Lih-Mei Liao, 2018-02-08 Pediatric and adolescent gynecology (PAG) is recognized as a specialist area and clinicians working in PAG need specific expertise. A wide spectrum of conditions needs to be addressed, ranging from simple disorders which respond to basic treatment to complex congenital anomalies with a genetic origin and life-long health consequences. Investigations must be appropriate and treatment should reduce symptoms and distress whilst optimizing gynecological and reproductive potential. Centered upon a series of common clinical presentations, this book includes stepwise guidance on the initial investigations, management, and treatment options. Guidance is supported by the most up-to-date evidence-base, written by clinicians with dedicated clinical and research experience in PAG. New techniques - such as laparoscopic surgery - are included and the importance of the psychological assessment of children with specific PAG disorders is highlighted. The book also includes an authoritative chapter on safeguarding - recognizing the unique opportunity for gynecologists in child protection. |
age for first gynecological exam: Acute Care and Emergency Gynecology David Chelmow, Christine R. Isaacs, Ashley Carroll, 2014-10-30 Presents almost 100 common and uncommon gynecologic problems encountered in urgent and emergency settings with an emphasis on practical management. |
age for first gynecological exam: Gynaecological Examinations , 2002 |
age for first gynecological exam: The Bethesda System for Reporting Cervical Cytology Ritu Nayar, David C. Wilbur, 2015-04-13 This book offers clear, up-to-date guidance on how to report cytologic findings in cervical, vaginal and anal samples in accordance with the 2014 Bethesda System Update. The new edition has been expanded and revised to take into account the advances and experience of the past decade. A new chapter has been added, the terminology and text have been updated, and various terminological and morphologic questions have been clarified. In addition, new images are included that reflect the experience gained with liquid-based cytology since the publication of the last edition in 2004. Among more than 300 images, some represent classic examples of an entity while others illustrate interpretative dilemmas, borderline cytomorphologic features or mimics of epithelial abnormalities. The Bethesda System for Reporting Cervical Cytology, with its user-friendly format, is a “must have” for pathologists, cytopathologists, pathology residents, cytotechnologists, and clinicians. |
age for first gynecological exam: Advanced Health Assessment of Women, Second Edition Helen A. Carcio, MS, MEd, ANP-BC, R. Mimi Secor, DNP, FNP-BC, NCMP, FAANP, FAAN, 2010-01-25 This manual-style reference presents the clinical skills needed to assess health and provide care to women of all of ages, with systematic reviews of all aspects of female mental and bodily health. The authors and contributors comprehensively cover female reproduction, anatomy, and physiology as examined at the cellular level. Also discussed are developmental, psychological, and sociocultural dimensions of women. Offering an integrated approach to women's health care, the authors delineate the roles and functions of various health care providers serving female patients, including physician's assistants, nurse midwives, and nurse practitioners. The chapters present assessment strategies that are on the leading edge of the expanded role of the advanced practice clinician. The chapter authors provide full, in-depth discussions of each assessment skill and technique as well as an understanding of the rationale behind each assessment. Key Topics Discussed: Health assessment: physical examinations, assessment of pregnant women, and assessment and clinical evaluation of obesity in women Female Reproduction: anatomy, physiology, and the reproductive cycle Contraceptive devices: the diaphragm, intrauterine contraception, and contraceptive implants Assessment of women at risk: domestic violence, STIs, and sexual assault Assessment of the infertile woman: initial evaluations, donor insemination, and more |
age for first gynecological exam: Female Reproductive Health Nikolai Manassiev, Malcolm I. Whitehead, 2003-10-27 When looking for a book on female reproductive health, you may find weighty tomes of 800 pages or more devoted to a single topic, for example: contraception, infertility, or menopause. Or you may find a general gynecology book that covers reproductive gynecology, but not in depth. Some books may be too theoretical and others too basic. You may find a piece of what you need in every book, but not everything you need in a single book. Until now. Female Reproductive Health provides a careful blend of basic science and clinical information. The authors answer everyday practical questions arising out of everyday practical issues. The book covers the entire range of reproductive health from anatomy and physiology, to sexually transmitted diseases, to hormone replacement therapy, to breast conditions, to sexual function and dysfunction. It contains tables that supply the statistics doctors need on risks/benefits, incidence/prevalence, success rates for assisted reproduction, and more. As an ob/gyn student, resident, or busy family doctor, you don't have time to search through several different books for information. Written by a practitioner for fellow practitioners, the book gives you hands-on advice that you can apply immediately. Female Reproductive Health makes it easy to find the information you need when you need it. |
age for first gynecological exam: DeGowin's Diagnostic Examination, Ninth Edition Richard LeBlond, Donald Brown, Richard DeGowin, 2008-08-17 The perfect “bridge” book between physical exam textbooks and clinical reference books Covers the essentials of the diagnostic exam procedure and the preparation of the patient record Includes overviews of each organ/region/system, followed by the definition of key presenting signs and their possible causes Unrivaled in its comprehensive coverage of differential diagnosis, organized by systems, signs, and syndromes |
age for first gynecological exam: Adolescent Gynecology Hina J. Talib, 2017-11-24 This book offers a comprehensive and clinically relevant survey of adolescent gynecology. Adolescent Gynecology: A Clinical Casebook addresses the many intersecting considerations of gynecologic and reproductive health care for this population using a concise, case-based format. Organized in four sections, the first introduces chapters on adolescent confidentiality, puberty, and well care. Section II covers varied menstrual disorders, while Section III highlights issues in reproductive health care including sexually transmitted infection and adolescent pregnancy. Finally, Section IV addresses special populations of adolescents, including chapters on girls who have sex with girls, girls who are victims of abuse and girls with special health care needs and chronic health conditions. In each section common gynecologic health issues are discussed in the context of these clinical cases, provide the knowledge needed to further improve comprehensive care of adolescent patients. Adolescent Gynecology: A Clinical Casebook is a unique resource that delivers essential clinical information for Adolescent Medicine and Pediatric and Adolescent Gynecology fellowship trainees, as well as for medical students, resident trainees, and primary care practitioners who are the front-line caregivers for adolescent girls. |
age for first gynecological exam: The Immortal Life of Henrietta Lacks Rebecca Skloot, 2010-02-02 #1 NEW YORK TIMES BESTSELLER • “The story of modern medicine and bioethics—and, indeed, race relations—is refracted beautifully, and movingly.”—Entertainment Weekly NOW A MAJOR MOTION PICTURE FROM HBO® STARRING OPRAH WINFREY AND ROSE BYRNE • ONE OF THE “MOST INFLUENTIAL” (CNN), “DEFINING” (LITHUB), AND “BEST” (THE PHILADELPHIA INQUIRER) BOOKS OF THE DECADE • ONE OF ESSENCE’S 50 MOST IMPACTFUL BLACK BOOKS OF THE PAST 50 YEARS • WINNER OF THE CHICAGO TRIBUNE HEARTLAND PRIZE FOR NONFICTION NAMED ONE OF THE BEST BOOKS OF THE YEAR BY The New York Times Book Review • Entertainment Weekly • O: The Oprah Magazine • NPR • Financial Times • New York • Independent (U.K.) • Times (U.K.) • Publishers Weekly • Library Journal • Kirkus Reviews • Booklist • Globe and Mail Her name was Henrietta Lacks, but scientists know her as HeLa. She was a poor Southern tobacco farmer who worked the same land as her slave ancestors, yet her cells—taken without her knowledge—became one of the most important tools in medicine: The first “immortal” human cells grown in culture, which are still alive today, though she has been dead for more than sixty years. HeLa cells were vital for developing the polio vaccine; uncovered secrets of cancer, viruses, and the atom bomb’s effects; helped lead to important advances like in vitro fertilization, cloning, and gene mapping; and have been bought and sold by the billions. Yet Henrietta Lacks remains virtually unknown, buried in an unmarked grave. Henrietta’s family did not learn of her “immortality” until more than twenty years after her death, when scientists investigating HeLa began using her husband and children in research without informed consent. And though the cells had launched a multimillion-dollar industry that sells human biological materials, her family never saw any of the profits. As Rebecca Skloot so brilliantly shows, the story of the Lacks family—past and present—is inextricably connected to the dark history of experimentation on African Americans, the birth of bioethics, and the legal battles over whether we control the stuff we are made of. Over the decade it took to uncover this story, Rebecca became enmeshed in the lives of the Lacks family—especially Henrietta’s daughter Deborah. Deborah was consumed with questions: Had scientists cloned her mother? Had they killed her to harvest her cells? And if her mother was so important to medicine, why couldn’t her children afford health insurance? Intimate in feeling, astonishing in scope, and impossible to put down, The Immortal Life of Henrietta Lacks captures the beauty and drama of scientific discovery, as well as its human consequences. |
age for first gynecological exam: Colposcopy and Treatment of Cervical Precancer [OP] Department of Obstetrics and Gynaecology Walter Prendiville, Walter Prendiville, Rengaswamy Sankaranarayanan, 2017-06 This colposcopy manual was developed in the context of the cervical cancer screening research studies of the International Agency for Research on Cancer (IARC) and the related technical support provided to national programs. It is thus a highly comprehensive manual, both for the training of new colposcopists and for the continuing education and reorientation of those who are more experienced. This manual offers a valuable learning resource, incorporating recent developments in the understanding of the etiology and pathogenesis of cervical intraepithelial neoplasia (CIN), as well as in colposcopy and cervical pathology. Expertise in performing satisfactory, safe, and accurate colposcopic examinations requires high competence in the technical, interpretive, and cognitive aspects, and the capability to develop pragmatic and effective management plans and treatment. This comprehensive and concise manual covers all these aspects and serves as a useful handbook for acquiring the necessary skills for the visual recognition and interpretation of colposcopic findings and for developing the personal and professional attributes required for competence in colposcopy. |
age for first gynecological exam: Sex Rx Lauren F. Streicher, 2015-01-27 Are you missing a vibrant, exciting sex life? Do you avoid sex because it is uncomfortable? Or even painful? Are you coping with diabetes, heart disease, cancer, or another illness that makes sex more challenging? Have you lost interest in sex altogether? Yes, anyone can love sex again, or love sex more, with Sex Rx. For millions of women in America, sex isn't always pleasurable or even possible. Instead, sex has become a low priority as they navigate marriage, motherhood, and work . . . not to mention cope with chronic stress and lack of sleep. Throw in the natural fluctuations in hormone levels that all women experience throughout their lives and it's not surprising that sex can become, well, a little less sexy. Additionally, common gynecological problems can make sex uncomfortable, and medical issues can cause it to be downright painful. Dr. Lauren Streicher, a leading women's sexual health expert, offers women the courage, vocabulary, and knowledge to identify and solve problems in the bedroom, for a wide range of issues—from flagging libido, vaginal dryness, and sex after menopause, to hormone supplements and the effects of medication. Sex Rx offers a wealth of knowledge along with a good dose of humor and plenty of encouragement, so that women of all ages can make having great sex a part of their lives forever. |
age for first gynecological exam: Gynecology, Obstetrics, Menopause Alexander H. P. Leuf, 1902 |
age for first gynecological exam: Practical Guide to Oral Exams in Obstetrics and Gynecology Görker Sel, 2019-11-13 This book, based on non-interactive question-and-answer format, offers an essential guide for medical students who need to prepare for oral exams or clinical visits. Starting from specific clinical situations the volume provides clear questions on the theory related to the cases. Each question is followed by correct answers that summarize the main information. Suggested reading are included to deepen the topics and enhance the readers knowledge. Accordingly, this practical guide will help students get ready for their oral exams, and help prepare young residents for their first clinical cases. |
age for first gynecological exam: Guidelines for Perinatal Care American Academy of Pediatrics, American College of Obstetricians and Gynecologists, 1997 This guide has been developed jointly by the American Academy of Pediatrics and the American College of Obstetricians and Gynecologists, and is designed for use by all personnel involved in the care of pregnant women, their foetuses, and their neonates. |
age for first gynecological exam: Pediatric and Adolescent Gynecology S. Jean Herriot Emans, Marc R. Laufer, Donald Peter Goldstein, 2005 The #1 clinical reference on pediatric and adolescent gynecology is now in its updated Fifth Edition. Written by experts from The Children's Hospital in Boston and other leading medical centers, this handbook presents contemporary approaches to diagnosis and medical and surgical management of gynecologic problems in infants, children and adolescents. This edition features cutting-edge information on urology and complementary and alternative medicine and expanded coverage of surgical techniques for correcting structural abnormalities of the reproductive tract. More than 400 illustrations—including 8 pages of full-color plates—complement the text. The book also includes outstanding algorithms and tables and abundant case examples. |
age for first gynecological exam: Women and Doctors John Martin Smith, 1992 Contains a step-by-step guide to finding Dr. Right and information on the entire range of health problems that affect women. |
age for first gynecological exam: Medical Sexism Jill B. Delston, 2019-10-17 Doctors routinely deny patients access to hormonal birth control prescription refills, and this issue has broad interest for feminism, biomedical ethics, and applied ethics in general. Medical Sexism argues that such practices violate a variety of legal and moral standards, including medical malpractice, informed consent, and human rights. Jill B. Delston makes the case that medical sexism serves as a major underlying cause of these systemic and persistent violations. Delston also considers other common abuses in the medical field, such as policy on abortion access and treatment in childbirth. Delston argues that sexism is a better explanation for the widespread abuse of patient autonomy in reproductive health and health care generally. Identifying, addressing, and rooting out medical sexism is necessary to successfully protect medical and moral values. |
age for first gynecological exam: Public Privates Terri Kapsalis, 1997 The quintessential examination of women, gynecology is not simply the study of women's bodies, but also serves to define and constitute them. From J. Marion Sims's surgical experiments on unanesthetized slave women in the mid-19th century to the use of cadavers and prostitutes to teach medical students gynecological techniques, Kapsalis focuses on the ways in which women and their bodies have been treated by the medical establishment. 34 photos. |
age for first gynecological exam: Selected Practice Recommendations for Contraceptive Use World Health Organization. Reproductive Health and Research, World Health Organization, World Health Organization. Family and Community Health, 2005 This document is one of two evidence-based cornerstones of the World Health Organization's (WHO) new initiative to develop and implement evidence-based guidelines for family planning. The first cornerstone, the Medical eligibility criteria for contraceptive use (third edition) published in 2004, provides guidance for who can use contraceptive methods safely. This document, the Selected practice recommendations for contraceptive use (second edition), provides guidance for how to use contraceptive methods safely and effectively once they are deemed to be medically appropriate. The recommendations contained in this document are the product of a process that culminated in an expert Working Group meeting held at the World Health Organization, Geneva, 13-16 April 2004. |
age for first gynecological exam: A Practical Manual on Visual Screening for Cervical Neoplasia R. Sankaranarayanan, Ramani S. Wesley, International Agency for Research on Cancer, 2003 Cervical cancer is the second most common cancer among women worldwide. This book serves as a concise teaching manual on visual inspection with acetic acid (VIA) and with Lugol's iodine to train health personnel, especially in developing countries, with the aim to detect this disease in the early pre-invasive phase and save women's lives. These two simple low-technology screening tests based on the ability of the trained health-care personnel to detect acetowhite areas, or yellow non-iodine uptake areas, in the cervical transformation zone are being evaluated as potential alternatives to cervical cytology. |
age for first gynecological exam: Williams Obstetrics 26e F. Gary Cunningham, Kenneth J. Leveno, Jodi S. Dashe, Barbara L. Hoffman, Catherine Y. Spong, Brian M. Casey, 2022-04-05 The landmark text that has served generations of obstetrician-gynecologists—fully updated with the most current perspectives of the field A Doody's Core Title for 2023! Williams Obstetrics has defined the discipline for generations of obstetrician-gynecologists. Written by authors from the nationally renowned University of Texas Southwestern Medical Center and Parkland Hospital, the new edition of this authoritative, evidence-based work maintains its trademark comprehensive coverage and applicability at the bedside, while offering the most current information and insights. The culmination of a century of clinical thought, Williams Obstetrics, 26th Edition delivers expert coverage of obstetrical complications, such as preterm labor, pregnancy-related hypertension, infection, and hemorrhage. It additionally offers foundational content on reproductive anatomy, physiology, and prenatal care. The authors have enhanced this edition with 1,000+ full-color illustrations, plus an increased emphasis on the fast-growing subspecialty of Maternal-Fetal Medicine. No other text matches the long-established scientific rigor and accessibility of Williams Obstetrics. With its state-of-the-art design and review of the newest advances and protocols, this not-be-missed clinical companion brings positive outcomes within reach. New and updated content includes: Increased focus on Maternal-Fetal Medicine Greater coverage of hypertension and hemorrhage Deeper insights into in-utero complications Expanded fetal t section includes cutting-edge fetal imaging, genetics, prenatal diagnosis, and fetal disorders and therapy Basic science, physiology of labor, preterm labor updated with contemporaneous publications in the literature More obstetrical sonography figures Eye-catching illustrations, including updated graphs, sonograms, MRIs, photographs, and photomicrographs |
age for first gynecological exam: Gynecology and Obstetrics Seymour L. Romney, 1975 |
age for first gynecological exam: She-ology, The She-quel Sherry A. Ross MD, 2020-02-04 With She-ology—Dr. Sherry Ross’s bestselling book about the questions, answers, and misunderstandings that women have about their vaginas—the proverbial floodgates were opened. After hearing from countless women across the country—from all ages and stages of life—Dr. Sherry realized the necessity to address the topics not covered in her first book. With the same compassion, expertise, and humor she used to answer some of the most probing questions about the care and maintenance of the vagina, Dr. Sherry continues her dialogue to further her vagina revolution…a revolution that’s essential for women in embracing their sexuality, identity, and sense of selves. |
age for first gynecological exam: Essentials of Obstetrics and Gynecology Neville F. Hacker, J. George Moore, Joseph C. Gambone, 2004 This popular resource continues to offer step-by-step guidance on how to evaluate, diagnose, and manage a wide range of obstetric and gynecologic disorders. The 4th Edition of this bestseller has been completely revised and reorganized to present a more up-to-date approach to the field, with less emphasis on traditional hospital-based practice. It uses the APGO/CREOG curriculum objectives as a framework, with a special emphasis on women's health issues. A new, full-color design with many illustrations and photographs complements the text. Plus, a free downloadable PDA software program provides a complete guide to the most common disorders. The smart way to study! Elsevier titles STUDENT CONSULT will help you master difficult concepts and study more efficiently in print and online! Perform rapid searches. Integrate bonus content from other disciplines. Download text to your handheld device. And a lot more. Each STUDENT CONSULT title comes with full text online, a unique image library, case studies, USMLE style questions, and online note-taking to enhance your learning experience. Provides a strong clinical orientation. Focuses on the Ob/Gyn clerkship. Your purchase of this book entitles you to access www.studentconsult.com at no extra charge. This innovative web site offers you... Access to the complete text and illustrations of this book. Integration links to bonus content in other STUDENT CONSULT titles. Content clipping for your handheld. An interactive community center with a wealth of additional resources. The more STUDENT CONSULT titles you buy, the more resources you can access online! Look for the STUDENT CONSULT logo on your favorite Elsevier textbooks! Places a greater focus on women's health issues. Uses APGO/CREOG objectives as the framework for the text. Features a new full-color text design, with many color photographs and illustrations. Comes with a free, downloadable PDA software program that designed to serve as a point of care handbook. |
age for first gynecological exam: European Guidelines for Quality Assurance in Cervical Cancer Screening Marc Arbyn, 2008 Recoge: 1. Epidemiological guidelines for quality assurance in cervical cancer screening - 2. Methods for screening and diagnosis - 3. Laboratory guidelines and quality assurance practices for cytology - 4. Techniques and quality assurance guidelines for histopathology - 5. Management of abnormal cervical cytology - 6. Key performance indicators - 7. Annexes. |
age for first gynecological exam: Obstetric Evidence-Based Guidelines, Second Edition Vincenzo Berghella, 2012-03-15 This book, as well as complementary volume Maternal-Fetal Evidence Based Guidelines, aims to present the reader with the right information, with appropriate use of proven interventions and avoidance of ineffectual or harmful ones. It also rates the evidential base of the key references. The information is presented in an easy-to-access format by summarizing evidence succinctly and clearly in tables and algorithms. This volume reviews the evidence for best practice in obstetrics. New to this edition: New chapters on Jehovah's Witness patients and preconception care New references that have been assessed and graded in terms of their evidence base Management of all common procedures are included: Ultrasound and screening Caesarean delivery First trimester pregnancy loss Preterm birth Induced labour |
age for first gynecological exam: What to Do If You Or Someone You Know is Under 18 and Pregnant Arlene Richards, Irene Willis, 1983 Advice and information for the pregnant teenager on sex, birth control, pregnancy, childbirth, abortion, adoption, marriage, and babies. |
age for first gynecological exam: Blueprints Obstetrics and Gynecology Tamara Callahan, Tamara L. Callahan, Aaron B. Caughey, 2018 Wolters Kluwers is dedicated to providing quality content. This is a reprint of the Seventh Edition, corrected to address typographical errors identified by reviewers. Clinical high-yield content covers what you need to know for the USMLE, shelf exam, and your Obstetrics & Gynecology rotation This best-selling Blueprints title is an ideal resource for the obstetrics and gynecology rotation and board preparation. This is the perfect companion for quick study breaks during rotation downtime, with concise chapters that appeal to students who want a review of key concepts, research, and therapies in today's practice. Blueprints are also utilized by students in physician assistant, nurse practitioner, and osteopathic programs, as well as residents preparing for USMLE Step 3. Features include: Expanded coverage of topics, evidence-based research, therapies, and the latest changes in the management of cervical dysplasia and cervical cancer screening, abnormal uterine bleeding, hypertension in pregnancy, cervical insufficiency, prenatal diagnosis, and preterm labor. Updates on the latest techniques in contraception, sterilization, and hormone replacement, as well as current treatment options for uterine fibroids and ovarian cysts. Updated tables and figures that improve student's assimilation and retention of information. Case-based clinical vignette questions at the end of each chapter help you review the material and prepare for exams. New and updated board-style questions, with full explanations of both correct and incorrect options, increase understanding. |
age for first gynecological exam: The Everything Parent's Guide to Raising Girls Erika V Shearin Karres, 2011-03-18 Raising a girl in today's world is more complicated than ever. How do you help your daughter navigate through her world of school cliques, confusing media messages, and pressures to be a good girl? Newly revised and updated, this guide gives you smart and comprehensive advice on the trials and triumphs of raising a daughter. Parenting expert Dr. Erika Shearin Karres prepares you for every stage, including: Handling tantrums, bad moods, and potty training Dealing with cliques, bullies, and peer pressure Coping with puberty and menstruation Keeping up with texting, social media, and online relationships Addressing the issues of drinking, smoking, drugs, and sex Enforcing rules and discipline Dr. Karres shows you how to raise your girl with ease, skill, and confidence even in today's challenging world! |
age for first gynecological exam: Contraception and Adolescents Robert T. Brown, Paula K. Braverman, 2005 This issue will provide an update on contraception for adolescents. The content will include an overview of contraceptive practices among adolescents with specific articles on hormonal and nonhormonal methods including barrier contraceptives, emergency contraception and the IUD. One article will address contraceptive issues for teens in the developing world. The issue will also include a review of the noncontraceptive benefits of hormonal methods and potential interactions with other medications including herbal products. Specific concerns for teens with chronic illnesses and disabilities will be discussed along with new contraceptive methods under development. |
age for first gynecological exam: Medical Complications in Pregnancy Sabrina D. Craigo, Emily R. Baker, 2005-08-11 Perfect for providing expert care for disorders created or affected by pregnancy. Each disorder-focused chapter opens with a high-yield “pathway” summarizing the best course of action as determined by scientific studies. Useful illustrative case studies, tips, clinical forms, and patient education information are included. |
age for first gynecological exam: The Conscious Parent's Guide to Raising Girls Erika V Shearin Karres, Rebecca Branstetter, 2017-01-01 The tools you need to foster a positive, supportive relationship with your daughter! Raising a confident, self-assured girl in today's world is complicated, but it can be done--with the help of The Conscious Parent's Guide to Raising Girls. Inside, you'll find the strategies you need to help your daughter navigate through her world of school cliques, confusing media messages, and pressures to be a good girl. With smart, comprehensive advice on the trials and triumphs of raising a daughter with patience, this concise guide explains how you can: Deal with cliques, bullies, and peer pressure Communicate effectively and sensitively with your daughter Strengthen self-image, resist peer pressure, and promote self-esteem Build emotionally healthy relationships Rebecca Branstetter, PhD, and Erika V. Shearin Karres, EdD, provide you with the information and support you need for parenting with mindfulness, flexibility, and resilience. You'll be able to create a calm and centered emotional environment for raising well-adjusted, confident girls. |
age for first gynecological exam: The Yale Guide to Women's Reproductive Health Mary Jane Minkin, Carol V. Wright, 2008-10-01 This book is for every woman who has wished for an unhurried, personal conversation with a sympathetic doctor who will answer her questions about reproductive health. Dr. Mary Jane Minkin, a gynecologist practicing for more than 25 years, presents a complete and up-to-date guide to a healthy reproductive system for women in their teens through middle age. With warmth and understanding, Dr. Minkin and coauthor Carol V. Wright respond to questions about the gynecological issues that concern women today, including sexual activity, contraception, and family planning. Readers of The Yale Guide to Women’s Reproductive Health will learn how the female body works, what problems may arise, and what solutions are available—in short, they will become better prepared to participate in their own health care and to make healthy decisions. |
age for first gynecological exam: A Woman's Guide to Sexual Health Mary Jane Minkin, Carol V. Wright, 2005-01-01 A prominent gynecologist explains how to make the best choices for female reproductive health in this authoritative, easy-to-read guide This book is for every woman who has wished for an unhurried, personal conversation with a sympathetic doctor who will answer her questions about reproductive health. Dr. Mary Jane Minkin, a gynecologist practicing for more than 25 years, presents a complete and up-to-date guide to a healthy reproductive system for women in their teens through middle age. With warmth and understanding, Dr. Minkin and coauthor Carol V. Wright respond to questions about the gynecological issues that concern women today, including sexual activity, contraception, and family planning. Readers of The Yale Guide to Women's Reproductive Health willlearn how the female body works, what problems may arise, and what solutions are available--in short, they will become better prepared to participate in their own health care and to make healthy decisions. |
age for first gynecological exam: CPT 2015 American Medical Association, 2014 This codebook helps professionals remain compliant with annual CPT code set changes and is the AMAs official coding resource for procedural coding rules and guidelines. Designed to help improve CPT code competency and help professionals comply with current CPT code changes, it can help enable them to submit accurate procedural claims. |
age for first gynecological exam: A Textbook of Gynecology for Less-Resourced Locations Heleen van Beekhuizen, Regine Unkels, 2012-10 This textbook seeks to support young specialists, non-gynecologist doctors and other health personnel in low-resourced settings by providing evidence-based information about low-tech diagnostic and treatment options for common gynecological conditions such as gynecological cancers, problems in early pregnancy, contraception and gynecological bleeding disorders. |
age for first gynecological exam: The Equal Curriculum James R. Lehman, Kristine Diaz, Henry Ng, Elizabeth M. Petty, Meena Thatikunta, Kristen Eckstrand, 2019-11-01 This first-of-its-kind textbook marks a revolutionary effort to reform medical education nationally by providing a comprehensive, high-quality resource to serve as a foundation for lesbian, gay, bisexual, transgender, and queer (LGBTQ) health education across multiple disciplines. Addressing the decades-long unequal weight of medical education generally offered about the care of LGBTQ people, The Equal Curriculum was created to advance clinicians' competencies in optimizing the health of LGBTQ people. This textbook is designed to be integrated into health sciences curricula and offers pointed strategies to evaluate the integration of LGBTQ health topics. Starting with a brief overview, chapters 1 through 4 cover general content that is highly relevant to all health professionals working with LGBTQ people. Chapters 5 through 12 focus on specific patient populations and clinical specialties, and chapters 13 and 14 cover special topics. Key points in each chapter are highlighted to aid in the comprehension, and case vignettes are provided throughout the textbook, allowing learners to apply the content to clinical scenarios in order to evaluate how the application of relevant knowledge may impact health outcomes. Questions similar to National Board of Medical Examiners (NBME) style are provided in most chapters to assist in the application of content. As major addition to the clinical literature, The Equal Curriculum: Student and Educator Guide to LGBTQ Health should be of great interest to health sciences instructors, medical students in their preclinical and clinical phases, and trainees from other disciplines, such as physician assistants, nurses, social workers, and public health professionals. |
age for first gynecological exam: A Student Guide to Health [5 volumes] Yvette Malamud Ozer, 2012-09-07 This comprehensive, five-volume reference set is aligned with the National Health Education Standards, containing up-to-date, scientifically based information on a variety of health and wellness topics relevant to high school students. A Student Guide to Health: Understanding the Facts, Trends, and Challenges provides straightforward, factual, and accessible information about a multitude of health issues. It is an essential reference set that provides high school students, teachers, and administrators with a comprehensive health and wellness education resource that aligns with National Health Education Standards and common health curriculum. This expansive five-volume set is ideal for students' research projects; highly useful as a resource for community college and public library patrons, librarians, teens, and parents; and is a suitable supplement to any health education curriculum. Each chapter includes up-to-date, evidence-based information that provokes further examination and encourages critical thinking to evaluate the validity of information encountered about health and wellness topics. Each chapter provides an abundance of references and lists of resources for further information, including books, articles, websites, organizations, and hotlines. Special attention is paid to social trends that affect youth health and wellness, such as bullying, eating disorders, steroid abuse, sexting, and the peer pressure associated with drug use and abuse. |
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Well Women -Gynecological Care & Screening Age at first …
Well Women -Gynecological Care & Screening An annual GYN visit can provide preventive care, screening, ... Age at first dose Dose Schedule-14 yrs 2 DOSES 2nd dose: 6 to 12 months after …
Pediatric and Adolescent Gynecology - Doc Ina Ob Gyne
vic exam in an adolescent are listed in Box 12.1. Each adolescent is at a di"erent stage of development, and the approach to the exam may require variations that #t her developmental …
ICD-10 for OB/GYN - Centers for Medicare & Medicaid Services
Z00.01 Encounter for general adult medical exam with abnormal findings Z01.411 Encounter for gynecological examination (general) (routine) with abnormal findings Z01.419 Encounter for …
Preventive Services: Screening for Mammography, Pap Test …
Encounter for gynecological exam (general) (routine) with abnormal findings OR: Z01.419 Secondary Encounter gynecological exam without abnormal findings. 36. ... Early onset of …
Medicare Advantage Preventive Visits - Humana
• Well Woman Exam codes are appropriate when only service performed is a well woman exam. • overed once every 24 months, the same as Original Medicare – Exception: Allowed once …
Effect of Counselling Sessions on Women’s Satisfaction during ...
The following are complaints that would warrant a gynecological exam: ... primary care physicians and gynecologists in females above the age of 21, pain, discharge, pregnancy or postpartum, …
PREVENTIVE CARE IN-NETWORK DESIGNATED PROVIDERS
• 7 exams in the first 12 months • 3 exams from age 13 months to 24 months ... Covered 100% . Routine gynecological care exams. Covered 100% 1 exam and pap smear per year, including …
At Planned Parenthood Hudson Peconic you get
to those who are age 17 and over and we do not require a mental health clearance prior to initiating hormones. Gynecological Care A comprehensive gynecological exam is your first and …
Gyn Info & Gyn Exam Form - Highland Midwife
Gyn Info & Gyn Exam Form Author: Lorri Carr, LM CPM Subject: Patient gyn history and exam form designed for clinical midwifery gyn care. Keywords: gyn history, gyn exam form, annual, …
Women's Preventive Services Initiative (WPSI) 2021 …
Z01.411 Encounter for gynecological exam (general)(routine) with abnormal findings, OR Z01.419 Encounter for gynecological exam (general)(routine) without abnormal findings. Created Date: …
A Practical Overview of Managing Adolescent Gynecologic …
include age younger than 25 years, other STDs, new or multiple sex partners, and inconsistent condom use). Symp-tomatic patients present with mucopurulent vaginal dis-charge that is …
LIST OF ACA PREVENTIVE SERVICES AND CPT CODES - NCSD
NOTE: Most private payers expect that these preventive services (counseling, screening, and immunizations) occur during the annual preventive exam and may not reimburse separately …
Gynecology Questionnaire - MAGNOLIA OB/GYN
Annual Exam Problem: Explain_____ Who is your Primary Care Provider? _____ GYNECOLOGICAL HISTORY. First day of last period: _____ At what age did you start your …
Preventive care covered with no cost sharing - Aetna
• Hepatitis B counseling (at the first prenatal visit) • Expanded counseling on tobacco use • Breastfeeding interventions to support and promote breastfeeding after delivery, including up …
Well-Child Visits in the First 30 Months of Life (W30)
Nov 22, 2024 · Z01.411 Encounter for gynecological examination (general) (routine) with abnormal findings Z01.419 Encounter for gynecological examination (general) (routine) without …
ORIGINAL RESEARCH Urinary Symptoms after a Routine Pelvic …
Urinary Symptoms after a Routine Pelvic Exam Jeffrey D. Tiemstra, MD, and Emily Pela, MA ... J Am Board Fam Med: first published as 10.3122/jabfm.2011.03.100209 on 6 May 2011. …
Educational Topic 46: Dysmenorrhea - tools.apgo.org
Her first two periods were pain-free and 2 months apart. Since then, she has menstruated every 28 days, ... • There are no abnormal physical findings in the gynecological exam for primary …
Example Gynecological Exam Write Up - jomc.unc.edu
Your First Gynecological Exam Estronaut. PEDIATRIC HISTORY amp PHYSICAL EXAM University of Utah. DATA BASE SAMPLE PHYSICAL jomc.unc.edu 4 / 35. EXAMINATION …
Hartford HealthCare Point-of-Service Plan (POS) - Aetna
from birth to age 7 (7 exams in the first 12 months of life;3 exams in the 13th-24th months of life; 3 exams in the 25th-36th months of life; 1 exam per year thereafter) Routine Gynecological …
Chapter 20 The pelvic exam: how to examine a woman’s …
The visual exam is a way to look for any signs of infection on the outside of the woman’s genitals (page 376). 2. The speculum exam is a way to see inside the woman’s vagina and to test the …
5/11/2021 Medicare Wellness Visits - ICN MLN6775421 …
Initial Preventive Physical Exam (IPPE) and Annual Wellness Visit (AWV), and making appropriate referrals for treatment Medicare telehealth uses HCPCS codes G0438 and G0439
Gynecology and Obstetrics ICD-10 Coding Most Commonly …
May 11, 2021 · Z01.411 Encounter for gynecological examination (general) (routine) with abnormal findings C54.1 Malignant neoplasm of endometrium Z32.01* Encounter for …
Annual Visit Guidelines - Molina Healthcare
early childhood (age 1 through 4 years) 99383; late childhood (age 5 through 11 years) 99384; adolescent (age 12 through 17 years) 99385; 18-39 years: 99386; 40-64 years: 99387; 65 …
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pregnancy (if known), their age at their first gynecological exam, and how many screening smears or colposcopies they had undergone in the five years before the study. Only women age 29 …
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The EMT Exam EMT Practice Exam 1 33 EMT Practice Exam 2 57 EMT Practice Exam 3 85 EMT Practice Exam 4 113 EMT Practice Exam 5 133 EMT Practice Exam 6 152 EMT Practice …
The American Congress of Obstetricians and Gynecologists …
an initial visit with an OB/GYN between 13 and 15 years of age. This visit is primarily to help a young woman feel comfortable discussing her health and to answer any questions. This visit …
Coding Guidelines - webstatic.bcbsms.com
within the first 35 months of life beginning with the 8th day of life ... , include breast exam if appropriate for stage of development/ 1 procedure per calendar year ... • Z01.419 Encounter …
TP15 Chap 7 Sect 2.2 -- Clinical Preventive Services - Tricare
Jun 25, 2018 · One or more first-degree relatives diagnosed with sporadic colorectal cancer or an adenomatous polyp before the age of 60 or in two or more first-degree relatives at any age. …
Medicare Screening Services - AAPC
V72.31 – routine gynecological exam (reported when provider performs a full gyn examination) ... exam of other systems age & gender appropriate history Counseling ordering labs & …
Medicare Preventive Services
*Z01.411 Gynecological exam with abnormal findings *Z01.419 Gynecological exam w/o abnormal findings Z12.72 Encounter for screening for malignant neoplasm of vagina Z12.79 …
Aetna HRA Plan
age 7 (7 exams in the first 12 months of life;3 exams in the 13th-24th months of life; 3 exams in the 25th-36th months of life; 1 exam per year thereafter) 100% (deductible waived) 100% …
APGO Clinical Skills Curriculum
Jan 4, 2017 · the exam and to communicate the results and educate the patient ... percent of medical schools utilize Gynecological Teaching Associates (GTA) to teach pelvic examination …
Prepubescent Female Genital Examination Images: Evidence …
Original Report Prepubescent Female Genital Examination Images: Evidence-Informed Learning Opportunities Sarah Campos MD1, Tanya Smith RN2, Adrienne L. Davis MD, MSc1, Martin V. …
U of M -Well-woman visit/gynecological exam - BCBSM
Coverage for a well-woman visit/gynecological exam (see examination elements under Original Medicare heading above) is provided to members under the University of Michigan’s Medicare …
Medical Policy - Highmark Blue Shield
Payment will be made for one annual gynecological examination (G0101, S0610 or S0612) regardless of the patient’s condition, and one routine Pap smear (G0123-G0145, G0141 …
Gynecologic Clinical Examination of the Child and Adolescent
The first two types of hymens are the most common from the age of 3 years to the beginning of puberty, while the third is most commonly found below the age of 3 years. Superficial notches …
Comprehensive Guide on CPT Codes for Gynecology
Transvaginal Ultrasound (76830): This code is used to describe an ultrasound exam of the female pelvis, including the uterus, cervix, and ovaries. It is commonly used to evaluate conditions …
Understanding CPT Code +99459 for Pelvic Examinations
exam (by palpation) to assess the uterus and its attached structures (ovaries and tubes). Sometimes a rectovaginal exam may also be performed but it is frequently omitted.1 The …
Ob/gyn Medical History Questionnaire - Polyclinic
Sexual History: Age at first intercourse_____Are you currently sexually active Yes No Number of sexual partners in the past year_____ Number of current partners_____
ICD-10 Simplifies Preventive Care Coding, Sort Of - AAFP
The Z23 code includes the following note: “Code first any routine childhood examination.” Therefore, when ... a gynecological exam (Z01.411 or Z01.419). Vision or hearing exams
Health First Colorado (Medicaid): Benefits and Services …
• Gynecological exam: No co-pays, 1 exam per year • Prostate cancer screening: No co-pays, 1 exam per year • Routine foot care: No co-pays o 1 service every 60 days o Acute care …
Women's Preventive Services Initiative (WPSI) 2020 Coding …
The code reported is determined by the age of the patient and whether they are considered a new or established patient to the physician and/or practice. Preventive Medicine Services. …
Billing for Gynecological Well Visits - Amazon Web Services
•Z01.411 Encounter for gynecological exam with abnormal findings ... - Every 2 years –age 50 & over, for ages 40-49 at high risk –provider recommendation - For women at higher risk - For …
TRANSITIONING TO ADULTHOOD - premierpedsnc.com
Use of Health Information for Patients 18 Years of Age and Older ... ____ Get a pre-college health exam. ____ Make sure you are up to date with immunizations. ____ Record and evaluate your …
Preventive Medicine and Screening Policy, Professional
vital signs, maintaining and stocking the exam room, etc.) that are duplicated in the reimbursement for an E/M code; these duplicated practice expense services are 50% of the …
The Pelvic Exam: Multiple Positions for Patient-Centered Care
The pelvic exam lithotomy position – where people lie with their back on an exam table and their heels in footrests or legs in legrests – is not physically possible or comfortable for some …
Annual gynecological exam - BCBSM
— A woman of childbearing age who has had a pelvic examination during any of the preceding 3 years that ... The annual gynecological exam (see examination elements under Original …