American College of Physicians published a controversial guideline this spring
stating that annual pelvic exams are unnecessary in asymptomatic women who are
not pregnant. Visual inspection of the
cervix and periodic pap smears are still recommended.Many gynecologists disagree with the
guideline because a number of abnormalities such as pelvic floor weakness,
ovarian cysts, and uterine fibroids can be detected by the exam.It would appear that women on hormone
replacement therapy should still have annual exams.