Balancing Dermatological and Gynecological Considerations: Evaluating the Necessity of Pelvic Exams in OCP Prescriptions for Acne Management  

作　　者：Kelly Frasier Grace Herrick Haily Fritts Erika Esquivel Maddie Moll Aparna Naik Guang Orestes Sarah Lopera Kelly Frasier;Grace Herrick;Haily Fritts;Erika Esquivel;Maddie Moll;Aparna Naik;Guang Orestes;Sarah Lopera(Department of Dermatology, Northwell Health, New Hyde Park, NY, USA;Alabama College of Osteopathic Medicine, Dothan, AL, USA;Idaho College of Osteopathic Medicine, Meridian, ID, USA;Norton College of Medicine, SUNY Upstate Medical University, Syracuse, NY, USA;Medical College of Georgia, Augusta, GA, USA;Noorda College of Osteopathic Medicine, Provo, UT, USA;Kirk Kerkorian School of Medicine at UNLV, Las Vegas, NV, USA)

机构地区：[1]Department of Dermatology, Northwell Health, New Hyde Park, NY, USA [2]Alabama College of Osteopathic Medicine, Dothan, AL, USA [3]Idaho College of Osteopathic Medicine, Meridian, ID, USA [4]Norton College of Medicine, SUNY Upstate Medical University, Syracuse, NY, USA [5]Medical College of Georgia, Augusta, GA, USA [6]Noorda College of Osteopathic Medicine, Provo, UT, USA [7]Kirk Kerkorian School of Medicine at UNLV, Las Vegas, NV, USA

出　　处：《Journal of Biomedical Science and Engineering》2024年第10期194-205,共12页生物医学工程（英文）

摘　　要：Routine pelvic examinations in women prescribed oral contraceptive pills (OCPs) for acne management are scrutinized to assess their impact on dermatological outcomes versus gynecological health. A synthesis of clinical trials, patient surveys, and medical guidelines reveals that these routine exams do not significantly enhance the effectiveness of acne treatment with OCPs but are linked to increased patient discomfort and false-positive results. Evidence suggests that routine pelvic examinations do not significantly impact the effectiveness of acne management with OCPs but are associated with increased patient discomfort and higher rates of false-positive results. The analysis indicates that a more personalized approach, focusing on selective pelvic examinations based on individual risk factors and clinical symptoms, may offer a more practical and patient-centered alternative. The review advocates for a reexamination of existing guidelines to better align with a model of individualized care, emphasizing the need for further research to optimize best practices at the intersection of dermatological and gynecological care. Adopting a personalized approach to pelvic examinations could substantially improve patient care by minimizing unnecessary interventions and discomfort while maintaining the efficacy of acne treatment with oral contraceptive pills.Routine pelvic examinations in women prescribed oral contraceptive pills (OCPs) for acne management are scrutinized to assess their impact on dermatological outcomes versus gynecological health. A synthesis of clinical trials, patient surveys, and medical guidelines reveals that these routine exams do not significantly enhance the effectiveness of acne treatment with OCPs but are linked to increased patient discomfort and false-positive results. Evidence suggests that routine pelvic examinations do not significantly impact the effectiveness of acne management with OCPs but are associated with increased patient discomfort and higher rates of false-positive results. The analysis indicates that a more personalized approach, focusing on selective pelvic examinations based on individual risk factors and clinical symptoms, may offer a more practical and patient-centered alternative. The review advocates for a reexamination of existing guidelines to better align with a model of individualized care, emphasizing the need for further research to optimize best practices at the intersection of dermatological and gynecological care. Adopting a personalized approach to pelvic examinations could substantially improve patient care by minimizing unnecessary interventions and discomfort while maintaining the efficacy of acne treatment with oral contraceptive pills.

关 键 词：Pelvic Examinations Oral Contraceptive Pills (OCPs) Acne Management Dermatological Outcomes Gynecological Health Selective Pelvic Examinations Personalized Approach Reexamination of Guidelines Intersection of Dermatological and Gynecological Care Patient-Centered Care 

分 类 号：X59[环境科学与工程—环境工程]