Are routine breast and pelvic examinations necessary for women starting combined oral contraception?

Abstract:

:Millions of women worldwide use combined oral contraception (COC). Most of them are in good health and have no contraindications to using any contraceptive method. Although extremely safe for the vast majority of women and even though the absolute risk of complications is very small, COC is associated with an increased relative risk of serious conditions including cardiovascular disease and breast and cervical cancer. In many countries, breast and pelvic examinations are routinely undertaken annually for all women using hormonal contraception. Breast and pelvic examination have low detection rates for abnormality and may yield clinically irrelevant results, causing anxiety and inconvenience to the patient for no obvious gain. There is no good evidence to support routine breast or pelvic examination either for women starting hormonal contraception or for monitoring long-term use.

journal_name

Hum Reprod Update

authors

Scott A,Glasier AF

doi

10.1093/humupd/dmh031

subject

Has Abstract

pub_date

2004-09-01 00:00:00

pages

449-52

issue

5

eissn

1355-4786

issn

1460-2369

pii

dmh031

journal_volume

10

pub_type

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