Are Annual Pelvic Exams Necessary? Expert Opinions and Guidelines

Many women are used to getting a pelvic exam every year as part of their annual well-woman checkup. During this exam, the doctor inserts gloved fingers into the vagina to feel the cervix, uterus, and ovaries. But recently, some experts have started questioning if annual pelvic exams are actually necessary for healthy women.

Differing Expert Opinions on Pelvic Exam Necessity

Major medical organizations have varying recommendations on pelvic exams for healthy women:

• In 2014, the American College of Physicians (ACP) advised against routine pelvic exams for women who are not pregnant and have no symptoms of pelvic diseases.

• However, the American College of Obstetricians and Gynecologists (ACOG) continues to recommend yearly pelvic exams for women 21 and older.

• In 2017, the U.S. Preventive Services Task Force (USPSTF) concluded there is not enough evidence to recommend for or against regular screening pelvic exams.

Reasons for Differing Pelvic Exam Guidelines

The varying guidelines stem from a lack of definitive research on the benefits and harms of annual pelvic exams for low-risk women. Some key points:

• The exam's ability to detect ovarian cancer or other pelvic diseases in women with no symptoms is not clearly proven.

• False positive results from the exam can lead to unnecessary worry and invasive diagnostic procedures.

• However, some doctors believe the exam is a helpful way to detect problems and counsel patients.

The Bottom Line on Pelvic Exams

With major expert groups divided on pelvic exam recommendations, there is no definitive answer on whether healthy women need this exam yearly. Ultimately, it is a personal decision that each woman should make in consultation with her own trusted doctor. A candid discussion of your individual risk factors, preferences, and concerns can help you decide if annual pelvic exams are right for you.

Learn More About Pelvic Exam Guidelines

For more information on pelvic exam recommendations, consult these trusted sources:

• ACOG Committee Opinion on Pelvic Examinations

• USPSTF Recommendation Statement on Pelvic Examinations

• American Academy of Family Physicians Article on Pelvic Examination