• Rationale and Comments

    Hormonal contraceptives are safe, effective, and well-tolerated for most women. Data do not support the necessity of performing a pelvic or breast examination to prescribe oral contraceptive medications. Hormonal contraception can be safely provided on the basis of medical history and blood pressure measurement.

    Sponsoring Organizations

    • American Academy of Family Physicians


    • American College of Obstetricians and Gynecologists


    • Gynecologic


    • Stewart FH, Harper CC, Ellertson CE, Grimes DA, Sawaya GF, Trussell J. Clinical breast and pelvic examination requirements for hormonal contraception: current practice vs evidence. JAMA. 2001 May 2;285(17):2232-9.
    • Henderson JT, Sawaya GF, Blum M, Stratton L, Harper CC. Pelvic examinations and access to oral hormonal contraception. Obstet Gynecol. 2010 Dec;116(6):1257-64.
    • Committee on Gynecologic Practice. Committee opinion no. 534: well-woman visit. Obstet Gynecol. 2012 Aug;120(2 Pt 1):421-4.