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[Gynecologic examination, a role-playing for two]

B Wijma1

  • 1Kvinnokliniken, Universitetssjukhuset, Linköping.

Lakartidningen
|April 29, 1998
PubMed
Summary

Pelvic examinations (PE) require careful consideration of patient experience and examiner conduct. Gynecologists must recognize and manage patient distress, ensuring PE is a positive, supportive experience.

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Area of Science:

  • Gynecological practice
  • Patient-centered care
  • Medical education

Context:

  • Pelvic examination (PE) is a common gynecological procedure with limited discussion on decision-making, indications, and contraindications.
  • Examiner approach and body language during PE reflect attitudes toward women, influencing the patient's experience.
  • PE can trigger past traumatic memories and emotions, requiring examiners to provide support and recognize signs of distress, post-traumatic stress reactions, or vaginismus.

Purpose:

  • To highlight the importance of the examiner's role in shaping the patient's experience during pelvic examinations.
  • To emphasize the need for gynecologists to discuss decision-making, indications, and contraindications for PE.
  • To underscore the necessity of training examiners to manage patient distress and create a positive, supportive PE environment, especially for first-time examinations.

Summary:

  • The decision-making process, indications, and contraindications for pelvic examinations (PE) are often underexplored in gynecological practice.
  • Examiner conduct during PE significantly impacts patient experience, potentially triggering distress or past trauma.
  • Training in empathetic communication and distress recognition is crucial for gynecologists to ensure positive and supportive pelvic examinations, particularly for young women undergoing their first PE.

Impact:

  • Improved patient outcomes and trust in gynecological care through enhanced communication and sensitivity during pelvic examinations.
  • Development of specialized training programs for gynecologists focusing on patient-centered pelvic examination techniques.
  • Increased recognition of the psychological aspects of pelvic examinations, leading to better management of patient anxiety and potential trauma.
  • Potential to transform the pelvic examination from a potentially distressing procedure into a beneficial and empowering experience for patients.

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