8 Module 3 – Part 2, Additional Considerations: Learning Activities

Jean Wilson


1. Complete the Readings

Recommended Readings

  1. Bates CK, Carroll N, Potter J. The challenging pelvic examination. J Gen Intern Med. 2011 Jun;26(6):651-7. doi: 10.1007/s11606-010-1610-8. Epub 2011 Jan 12. PMID: 21225474; PMCID: PMC3101979. https://pubmed.ncbi.nlm.nih.gov/21225474/ 
  2. Bourns, A. et al (2021) Guidelines for Gender-Affirming Primary Care with Trans and Non-binary Patients https://www.rainbowhealthontario.ca/wp-content/uploads/2021/06/Guidelines-FINAL-4TH-EDITION-c.pdf
  3. Canadian Cancer Society (2020): https://www.cancer.ca/en/prevention-and-screening/reduce-cancer-risk/find-cancer-early/screening-in-lgbtq-communities/lesbian-bisexual-and-queer-women-and-cervical-cancer/?region=on
  4. Obedin-Miver, & de Haan, G. (2017). Gynecologic Care for Transgender Adults. Current Obstetrics and Gynecology Reports, 6(2), 140–148.al https://doi.org/10.1007/s13669-017-0204-4 also available at: https://www.researchgate.net/publication/316638504_Gynecologic_Care_for_Transgender_Adults
  5. Registered Nurses’ Association of Ontario (2021). Promoting 2SLGBTQI+ health equity. Toronto (ON). 2SLGBTQI_BPG_FIINAL_WEB_2.0.pdf (rnao.ca)
  6. Sudduth, & Linton, D. (2011). Gynecologic Care of Women with Disabilities. Nursing for Women’s Health, 15(2), 138–148. https://www.sciencedirect.com/science/article/abs/pii/S1751485115305596?via%3Dihub 

2. Review the Practitioner Lectures

Part 1. Pelvic Exam Considerations: Hesitancy, Anxiety, History of Trauma


Part 2. Pelvic Exam Considerations: Differently Abled


Part 3. Pelvic Exam Considerations: 2SLGBTQI+


Experts Tip

Speculum with condom over top and tip cut off to assist with exam of individuals with high BMI

  • When completing a pelvic exam in an individual with increased body mass index (BMI), consider putting a condom with the tip cut off onto your speculum prior to inserting it for cervix examination. This can help hold back surplus vaginal wall tissue from the field of view.

3. Continue to the next section for summary, knowledge check quiz and reflection


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Gynecological Assessment Copyright © 2022 by Jean Wilson is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, except where otherwise noted.

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