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Healthcare 2015, 3(3), 683-694; doi:10.3390/healthcare3030683

Factors Affecting Gynecologic and Sexual Assessment in Older Women: A Lesson for Primary Care Providers

College of Nursing, University of Arkansas for Medical Sciences, 4301 West Markham, Slot 529, Little Rock, AR 72205, USA
College of Medicine, University of Arkansas for Medical Sciences, 4301 West Markham, Slot 518, Little Rock, AR 72205, USA
These authors contributed equally to this work.
Author to whom correspondence should be addressed.
Academic Editors: Tracey Yap and Melissa Batchelor-Murphy
Received: 1 June 2015 / Revised: 19 July 2015 / Accepted: 7 August 2015 / Published: 11 August 2015
(This article belongs to the Special Issue Nursing Care of the Older Adult)
View Full-Text   |   Download PDF [103 KB, uploaded 11 August 2015]


Guidelines for screening of cervical cancer and pelvic exams for older women have recently changed. These changes may have unexpected sequelae in women over 65 years of age. This manuscript provides a review of gynecologic screening recommendations for older women in the U.S. and potential ramifications of these recent changes. Peer reviewed guidelines from the American College of Obstetrics and Gynecology, U.S. Preventative Task Force Services, the American Cancer Society, The Centers for Disease Control, and multiple original research articles and reviews were reviewed for this manuscript. Women over 65 are at greatest risk to develop late stage diagnoses of cancers, pelvic organ disease, incontinence, and infections. Clinicians will need to acutely consider this fact when communicating and screening this population. We conclude that practitioners should be aware of the new guidelines and should consider including gynecologic health history and symptom analysis as part of annual exams in women of all ages. View Full-Text
Keywords: older women; gynecologic screening; guidelines; primary care older women; gynecologic screening; guidelines; primary care
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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Thomason, A.; Capps, N.; Lefler, L.; Richard-Davis, G. Factors Affecting Gynecologic and Sexual Assessment in Older Women: A Lesson for Primary Care Providers. Healthcare 2015, 3, 683-694.

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