What menstrual disorders are indications for a pelvic examination? (Select all that apply.)
a. Amenorrhea
b. Dyspareunia
c. Impaired fertility
d. Irregular uterine or vaginal bleeding
e. Dysmenorrhea unresponsive to therapy
ANS: A, D, E
Indications for a pelvic examination include amenorrhea, irregular uterine or vaginal bleeding, and dysmenorrhea unresponsive to therapy. Impaired fertility is not an indication for a pelvic examination; it can be a result of endometriosis. Dyspareunia (painful intercourse) is not an indication for a pelvic examination but may be a sign of endometriosis.
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