Experience of the first pelvic examination
S Gupta1, R Hogan, R J Kirkman
1Forest Healthcare NHS Trust, Hurst Road Health Centre, Walthamstow, UK.
Summary
Women reported positive first pelvic examination experiences when a female doctor sought permission and when they were older. These findings can inform better clinical practice for young women undergoing this sensitive procedure.
Area of Science:
- Women's Health
- Gynecological Care
- Patient Experience Research
Background:
- The first pelvic examination is a significant event in a young woman's healthcare journey.
- Understanding patient experiences is crucial for improving clinical practice and patient satisfaction.
Purpose of the Study:
- To analyze women's experiences of their first pelvic examination.
- To identify factors contributing to positive and negative experiences.
- To develop a model for optimal clinical practice based on patient feedback.
Main Methods:
- An open, cross-sectional study utilizing self-administered questionnaires.
- Inclusion of women under 25 years attending family planning or young persons clinics.
- Questionnaire design focused on comparing expectations with experience and identifying key components.
Main Results:
- 167 women reported on their first pelvic examination, occurring at a mean age of 17.3 years.
- Positive experiences were associated with examinations by female doctors, in family planning clinics, after permission was sought, and with increasing age.
- No significant difference in outcome was noted with the offer or presence of a chaperone.
Conclusions:
- Key elements for a positive first pelvic examination include a friendly female clinician who obtains consent.
- Examinations should be conducted without interruption to enhance patient comfort and trust.
- These components are vital for establishing a model of good clinical practice.
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