Danish women's preferences regarding gynecological examination support international recommendations: A cross‐sectional study

Author:

Laschke Alexander12ORCID,Blaakær Jan13ORCID,Jensen Charlotte Floridon4,Larsen Mette Bach5ORCID

Affiliation:

1. Department of Clinical Research University of Southern Denmark Odense Denmark

2. Speciallægeselskabet Alexander Laschke ApS Aabenraa Denmark

3. Department of Obstetrics and Gynaecology Odense University Hospital Odense Denmark

4. Gynækologisk Klinik Holbæk Holbæk Denmark

5. Department of Public Health Programmes, Randers Regional Hospital University Research Clinic for Cancer Screening Randers Denmark

Abstract

AbstractObjectiveGynecological examinations (GEs) are challenging for many women. Several recommendations and guidelines have emerged, partly based on common sense and clinicians' consensus. However, there is a lack of knowledge regarding women's opinions. Therefore, this study aimed to describe women's preferences and experiences in relation to GEs and investigate whether they are dependent on their socioeconomic status.MethodsIn Denmark, GEs are typically performed by general practitioners or resident specialists in gynecology (RSGs) in gynecological hospital departments. This cross‐sectional questionnaire and register study included approximately 3000 randomly selected patients who visited six RSGs from January 1, 2020, to March 1, 2021. The main outcome measurement involved women's preferences and experiences regarding GEs.ResultsOverall, 37% of the women thought that a changing room was important, 20% preferred a garment to cover themselves, 18% preferred a separate examination room, and 13% thought that the presence of a chaperone was important. Compared with working and retired women, more women outside the workforce felt insufficiently informed, considered their experience with RSGs unprofessional, and found GEs painful.ConclusionOur results support existing recommendations regarding GEs and the related environment, confirming that privacy and modesty are factors to take into consideration as they are of concern for a relatively large group of women. Thus, providers should focus on women outside the workforce, because this group appears to feel vulnerable in this environment.

Publisher

Wiley

Subject

Obstetrics and Gynecology,General Medicine

Reference35 articles.

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2. Women's attitudes and expectations regarding gynaecological examination

3. European Board & College of Obstetrics and Gynaecology.Standards of Care for Gynaecology Services [EBCOG website].2014. Accessed: 12.02.2023.https://www.uems.eu/__data/assets/pdf_file/0020/8750/Item‐5.3.8‐EBCOG‐Standards‐of‐Care‐for‐Gynaecology‐PDF‐FEB‐11‐2014‐FINAL‐DRAFT.pdf

4. Royal College of Obstetricians and Gynaecologists.Providing quality care for women: standards for gynaecology care [RCOG website].2016. Accessed: 12.02.2023.https://www.rcog.org.uk/media/mgnejcft/gynaestandards.pdf

5. Royal College of Obstetricians and Gynaecologists.Standards for Gynaecology: Report of a working party [RCOG website].2008. Accessed: 12.02.2023.rcog.org.uk/media/obojmsot/wprgynstandards2008.pdf

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