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

Sources

• American College of Obstetricians and Gynecologists

Disciplines

• Gynecologic

References

• 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.