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what will she or he do ? is it painfull ?

2006-06-27 17:24:39 · 6 answers · asked by Jazzie 1 in Health Women's Health

6 answers

Going to the doctor's office for an annual gynecological examination isn't exactly something that women eagerly anticipate. And if you add in the fact that it is a young woman's first gynecological exam, that heightens anxiety even more.
During the appointment, it is important that women be ready with information about their family medical history, especially patterns of breast disease or cancers of the reproductive organs. In addition to inquiring about the family, the physician will ask questions about personal health. Among the most common questions are the following:

* At what age did you start menstruating?

* When did your last period start? The physician will want to know the actual date your last period began.

* How long does your period usually last?

* Do you tend to have a light, medium or heavy flow?

* How many pads or tampons do you use the first day of your period?

It's Exam Day-What Can You Expect?
The exam consists of a variety of steps.
First, you sit down with the physician and talk about your medical history, both personal and family. During this time, you can also bring up any questions you may have about birth control, sexually transmitted diseases (STDs), menstruation or other issues.

The next step is that you change into an examination gown. Usually, you will be given a sheet to drape over yourself as well.When the physician returns to the room, he or she will perform a breast exam to look for lumps that may be a sign of cancer. If you have never done a self exam, the physician can show you how to do it and tell you what to look for.
Women over the age of 20 should get a clinical breast exam performed by a physician or a nurse every year and should perform a self-exam every month.
The Dreaded Pelvic Exam
Next comes that part that you probably have been dreading the most-the pelvic exam. Dr. Henwood makes it a point to explain this procedure beforehand as well as during the exam. However, if your physician does not provide explanations, and you want some answers, just ask. At this point, you will be instructed to slide to the end of the table and place your feet into stirrups. Staying relaxed is very important because you will be more comfortable and the exam can be more complete.

The first step in the pelvic exam is for the physician to examine the external genital area for any signs of irritation, discharge, cysts, genital warts or other problems. Next, the physician inserts a speculum. This instrument, which is made of metal or plastic, is used to separate the walls of the vagina. Once placed inside, it is opened up so that the doctor can examine the cervix and the vaginal walls.

If you need to be tested for any STDs, the physician will collect cervical mucus on a cotton swab. If you are at risk for any STDs, you need to tell your physician up front.
"It's so important for patients to be honest about their sex lives and their risk for contracting STDs," stresses Dr. Henwood."For instance, human papilloma virus (HPV), more commonly known as genital warts, causes 95 percent of cervical cancers."
The American Cancer Society estimates that, in the year 2000, just under 13,000 new cases of invasive cervical cancer will be diagnosed and about 4,600 women will succumb to this disease.
If tests do not need to be conducted for STDs, a Pap smear will be done. This involves using a small brush or spatula to collect cells from the cervix. This test can detect the presence of pre-cancerous or cancerous cells, infections of the cervix and thinning of the vaginal walls due to lack of estrogen.

With the speculum now removed, you've reached the halfway point of exam. Next, the doctor inserts gloved fingers into the vagina while pressing on your abdomen to examine your internal organs-the uterus, the fallopian tubes and the ovaries.
Lastly, the physician will insert a gloved finger into the rectum to check the condition of the muscles in between the vagina and the rectum. Sometimes the doctor will have one finger in the rectum and one in the vagina for a more thorough exam.

When that test is completed, you will have successfully completed your first gynecological examination. Results from the Pap smear are usually ready in 7-10 working days. If the results come back normal, you will not need another exam until the next year. If the results are abnormal, your physician will schedule you for follow-up exams and possibly advise you about other treatments.

Knowing what to expect during the first gynecological exam can alleviate many anxieties young women have. Not only does this exam provide an opportunity to catch health problems in their early stages, it is also an opportunity to learn about ways to maintain good gynecological health.

2006-06-27 17:42:01 · answer #1 · answered by purple 6 · 0 0

A gynocologist will usually check your breasts for lumps and do a pelvic exam. The exam is done by inserting an instrument called a speculum into your vagina so that the doctor can see your cervix, the bottom of the uterus. The doctor will use a long Q-tip (applicator) to take a "pap smear" from the cervix. This is put on a slide and sent to the lab to determine if there is any abnormality . Then a rectal exam is done to feel the uterus and the ovaries to determine if there are any lumps or if there is any irregularity in the shape or placement. It's a little uncomfortable, especially the first time because you don't know what to expect. It should not be painful. Ask questions. Be sure to let the doctor know it's your first time and you are uncomfortable. . If the doc is a good one s/he will take this into consideration and carefully explain what s/he's doing and why. If s/he doesn't do this, find another doctor. You're gonna' have a lot of exams during your lifetime and you need to have confidence in the physician.

2006-06-27 17:50:12 · answer #2 · answered by levigreyhound 1 · 0 1

Well, seeing a gynocologist can be frightening the first time but I can assure you that even though you might feel uncomfortable you should not be. The doctor might examine your breasts for lumps, then they will take samples of vaginal tissue (whipping a large Q-tip around inside of you) but before they do the whole tissue thing they will slip a small duck bill looking thing inside of you that expands you a little so they can get the tissue sample they need. The whole process should only take less than half an hour. Believe me it will go by fast and painlessly. Just be glad you are not pregnant because the doctor would do alot of that.

2006-06-27 17:33:00 · answer #3 · answered by shawna4berry 1 · 0 0

Talking from major expeience every gyno in Wv has looked at me LOL.. For your first time it is very embarrassing but you have to remember this .. They do this everyday they see probably 20 to 30 women a day, you have nothing they haven't seen.. They will have you totally undress tell you to put a gown on they will check your breast for lumps then do a pelvic exaam. They will litterally stick three fingers up inside you pressing on your stomach where your repo organs are they can tell if there's any lumps etc.. Then they will take a giant Q-Tip looking thing and stick it in and take a swab of mucas and thaat is called your pap test they send it off to a lab and they look at it under micrascopes and they can tell if you have any infections or precancerous cells. It depends on the Dr if it is painful the swab doesn't hurt just if you have a cyst on your overy and he pushes on it.. Just close your eyes and imagine it 's your boyfriend

2006-06-27 17:36:01 · answer #4 · answered by Theresa 1 · 0 0

Get a female doctor. I have had both and often the men are to rough and use cold instruments...and I find it a bit weird that a man would choose this specialty. It can be unpleasant to have the speculum* opened but the more you can relax, the better. Also a warm speculum is more comfortable for the patient.
*the instrument used to open your cervix enough for them to do a pap and see inside.

2006-06-27 17:35:15 · answer #5 · answered by Victoria S. 3 · 0 0

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2016-11-29 21:05:03 · answer #6 · answered by ? 3 · 0 0

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