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New guidelines may alter practice: many gyns. fail to offer Chlamydia screening.(Gynecology)
PHILADELPHIA -- Gynecologists may start offering more Chlamydia screening to their patients now that the American College of Obstetricians and Gynecologists has endorsed screening for all sexually active adolescents and women younger than 26 years old.
As recently as last year, the rate at which screening was being offered to these patients was strikingly low, especially among women aged 20-25 years, based on results from a survey of 410 gynecologists in private practice in the United States, Dr. Joanne Armstrong reported at the annual meeting of the American College of Obstetricians and Gynecologists (ACOG).
Until last November, ACOG had recommended that Chlamydia screening be offered only to young-adult women whose sexual behavior put them at an increased risk of infection. This recommendation meant that before offering screening, a gynecologist had to ask a patient if she had multiple sex partners, a history of having a sexually transmitted disease, or a partner with such a history, or if she used a condom during every intercourse.
The survey results showed that many gynecologists believe these questions are unacceptable to patients and make them uncomfortable, said Dr. Armstrong, an ob.gyn. at Baylor College of Medicine in Houston.
The survey results also showed that many gynecologists follow the practice recommendations of ACOG over recommendations from other sources, such as the United States Preventative Services Task Force and the Centers for Disease Control and Prevention. For a few years, ACOG's recommendations were not consistent with those of these other groups, which may have led to confusion among some ob.gyns.
But last November, ACOG's Committee on Gynecologic Practice revised its Chlamydia screening recommendations as part of a new policy on primary and preventive care periodic assessments. The revised policy recommended that Chlamydia screening be offered to all sexually active adolescents and women younger than 26 years, regardless of other sexual behavior risk factors. This revision both simplified the ...
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Source: HighBeam Research, New guidelines may alter practice: many gyns. fail to offer Chlamydia...