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Letters Gynaecological examinations

Good not bad medicine

BMJ 2011; 342 doi: (Published 23 March 2011) Cite this as: BMJ 2011;342:d1760
  1. John Butler, specialist registrar1,
  2. Desmond Barton, gynaecological oncologist1,
  3. John Shepherd, professor of gynaecological oncology1,
  4. Karina Reynolds, consultant gynaecological oncologist2,
  5. Sean Kehoe, president3
  1. 1Royal Marsden Hospital, London, UK
  2. 2St Bartholomew’s Hospital, London, UK
  3. 3British Gynaecological Cancer Society, Oxford Radcliffe Hospitals, Oxford, UK
  1. john.butler{at}

We read with interest Dr Spence’s article “Bad medicine: gynaecological examinations” and agree with the assessment of the low sensitivity and specificity of bimanual pelvic examination and the importance of ultrasound imaging for patients with pelvic or abdominal symptoms.1

We read with great concern, however, the recommendation that …

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