utility of routine pelvic exams

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Related to the birth control, I think the "Choosing Wisely" family practice and gyn recs both say you dont need a pelvic to prescribe hormonal contraception.
 
The thing is, for most women, getting prescription bc is damn near impossible without the pelvic/pap if you are do for that as well. Is there a reason why a pelvic must be done each year for women on bc? I've always wondered if it's just screening for other stuff or if it has anything to do with hormonal birth control.

Sorry if that's a stupid question

I can't think of any reason a pelvic would be mandatory prior to a pelvic exam.
 
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