Is routine vaginal examination necessary for asymptomatic women attending sexual health services?
DM Lee, MY Chen, CS Bradshaw, CK Fairley
INTERNATIONAL JOURNAL OF STD & AIDS | ROYAL SOC MEDICINE PRESS LTD | Published : 2006
The aim of this study was to determine whether our sexual health service could be streamlined by dispensing with routine vaginal examination of asymptomatic women, without missing important diagnoses. This was an audit of asymptomatic women presenting to the centre who had had a Papanicolaou (PAP) smear in the previous two years. Of the 421 women who were eligible, no abnormalities were found on genital inspection in 392 (93%) individuals. Abnormalities detected on clinical examination included one case (0.2%) with mucopurulent cervicitis that tested positive for Chlamydia trachomatis, four (1%) with warts or molluscum contagiosum, and one with an asymptomatic genital ulcer of unknown cause...View full abstract