Some physicians are aloof or awkward in addressing concerns regarding the female reproductive system as there are certain practices, beliefs, knowledge, and attitudes that can affect the patient’s interaction with a physician. Because of this, the physician may not be able to offer the proper management and the physician may be at risk for lawsuits. For instance, a patient with gynecologic problem refuses internal examination of the genitalia; the physician cannot make an objective examination and management will be compromised.