If a patient experiences significant pain during a pelvic examination, what is the recommended action?

• A. Continue the exam to minimize disruption
• B. Stop and reassess to avoid traumatizing the patient
• C. Apply more pressure to reduce pain
• D. Complete the exam as planned

Answer: (B)

Significant pain during a pelvic examination means the procedure should be paused to protect the patient and address their distress. Stop and reassess to avoid traumatizing the patient, explain what happened, check for possible causes of the pain, and consider adjustments such as changing technique, positioning, or offering analgesia if appropriate. Decide whether it’s safe and appropriate to proceed, or to reschedule with informed consent after the pain is managed. Continuing or applying more pressure would increase harm and undermine safety and trust, so completing the exam as planned isn’t appropriate when the patient is in significant pain.