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Invited Commentary
January 6, 2020

Unnecessary Bimanual Pelvic Examinations and Papanicolaou Testing in Adolescents and Young Women—Learning How to Unlearn

Author Affiliations
  • 1Department of Obstetrics and Gynecology and Center for Health Equity Transformation, Robert H. Lurie Comprehensive Cancer Center, Northwestern University Feinberg School of Medicine, Chicago, Illinois
JAMA Intern Med. 2020;180(2):281-282. doi:10.1001/jamainternmed.2019.6291

In this issue of JAMA Internal Medicine, Qin and colleagues1 report that more than half of bimanual pelvic examinations and about 70% of Papanicolaou (Pap) tests performed among girls and women aged 15 to 20 years in the United States are potentially unnecessary. The findings of their cross-sectional study demonstrate what happens to vulnerable populations (in this case, girls and young women) when clinicians do not keep up with or do not adhere to new guidelines.

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