Abstract

Gender bias in medicine is not a new issue, with treatment bias known to affect outcomes. In settings such as cardiovascular disease, such disparities have been shown to lead to under-representation or even exclusion of women from clinical research. The intersection of this bias along with the historically taboo topic of sexual and genital health has naturally led to delayed progress in female genital disease. As recently as 2017, the US Preventative Health Taskforce reported that primary gynaecological physical assessment lacks utility when performed in asymptomatic women, apart from the detection of cervical cancer or specific genital infections, highlighting the paucity of evidence in this area.

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