Hey guys, it's Dr. Casperson coming to you on my lunch break from clinic today.

And the topic I wanted to talk to you about today is pelvic exams, specifically the

pelvic type of pelvic exam that I do as a urologist who specializes in female health and female sexual dysfunction.

So I think when people typically think about pelvic exams,

they think about pap smears because pap smears are the common screening test for cervical cancer

that most women have gone through or should have gone through at some point in their life.

What's interesting about pap smear guidelines, and again, I'm not a gynecologist, so I miss

all the updates on pap smear guidelines.

But what's happening is that they're recommending that you don't start until later in life.

So certainly back when I was a teenager, PAP smear started really early.

And then they just kept going on until the end of your life.

And they've really narrowed that down to about 65 and then it's like

age of first sexual experience or early 20s. So they've really narrowed the window down.

And so what's happening is I'll see a lot of women, young women, who've never had a pelvic exam

before because they haven't had kind of the inaugural initiating pap smear

that women used to have. And then a lot of older women because they no longer need pap smares,

either their post-historectomy or they kind of have aged out of that screening guidelines.

Remember, pap smearers are screening for cancer. So you don't have,

as the guidelines change and say these women are really low risk, let's not subject them to

unnecessary exams. Fair enough. But so I see a lot of women in the older ages, 70s and 80s, and

they say, I thought I was done with this. I didn't think I'd ever need a pelvic exam again.

But the story is, if you come to see a gynaecologist,

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