Dr. Jen Gunter

And I think that also is what is making a lot of doctor's jobs difficult in the office because people come in with this certainty from social media, this absolute certainty.

And the doctor's like, well, I gotta be honest with you, like maybe, but we should talk about it so you can be informed.

And then, you know, I've spoken to people who've been

I would believe misled by people online and you explain it and they still want to do the thing that I don't agree with.

And then you have to decide, well, is this a risky proposition or is it not a risky proposition?

And then kind of go from there.

What can the literature support?

What it can't?

And then how can I explain to somebody the risks and benefits?

And then they can take that information and then use it how they want to.

Well, I think it sort of depends.

And I think, again, it depends on the investment in the follow-up.

And so...

there are times when I've absolutely ordered a pelvic ultrasound that I would feel absolutely not indicated.

But there wasn't any other way I was gonna reassure that patient.

And I think that, you know, what is the goal?

Is the goal reassurance?

Now, when I see someone who's had maybe a pelvic ultrasound every six months for reassurance, and it's not indicated based on what genetic screen or anything like that.

you know then that's a different conversation and that's what i might say you know because there's there definitely are also i believe studies that show that sometimes doing the test then reinforces the test is needed and then when that anxiety comes back again are you going to do it again and so i think that you have to look at you know the history you know so someone coming in whose best friend was just diagnosed with ovarian cancer and you you aren't able to reassure them in another way

I would say that that test may have benefit that hasn't been measured in studies.