You may be worried about your first pelvic exam. It's very normal to be anxious about something when you don't know what to expect. Hopefully after reading this information, you will be reassured that it is simple, isn't painful and takes only about 5 minutes. It is also normal to feel embarrassed or uneasy about your first exam. However, if you know what to expect, it may help you relax. Your health care provider understands how you feel and will be sensitive and gentle, and answer any questions you have.
What is a pelvic or gynecological exam?
A pelvic exam is a way for your health care provider to examine your female organs and check for any gynecological problems.
When should I have my first pelvic exam?
There are no definite rules as to when you should have your first pelvic exam. Most health care providers agree that you should have your first exam in the first few years after you become sexually active or when you turn 21, whichever comes first. There are other important reasons to have a pelvic exam. These may include:
Unexplained pain in your lower belly or around the pelvic area, where your vagina is;
Vaginal discharge or wetness on your underwear that causes itching , burns or smells bad;
No menstrual periods by age 15 or 16;
Vaginal bleeding that lasts more than 10 days;
Missed periods; especially if you are having sex;
Menstrual cramps so bad that you miss school
Remember, it doesn’t matter how old you are or if you are sexually active, if you have any of the above symptoms, you should make an appointment with your health care provider or gynecologist.
Will I need a pelvic exam if I'm a virgin?
Even if you are a virgin (you've never had vaginal intercourse), you may need a pelvic exam if you are having any of these problems. Having a pelvic exam doesn't change anything, just as using tampons doesn't change your hymen (the skin that partly covers the opening to your vagina).
What should I do before the exam?
When you make your appointment, be sure to let the secretary or nurse know that this is your first pelvic exam. The nurse can answer your questions and help explain what to expect so you won't be worried.
Do NOT have sex, use vaginal creams or douche for 24 hours before the exam.
What kinds of questions will my health care provider ask me?
Your health care provider will ask you questions about:
Your general health, allergies and medications you are taking;
Your menstrual period, such as how old you were when you first got it, how long it lasts, how often it comes, how much you bleed , the first day that your last period started, if you have cramps; and at what age your breasts started to develop.
Whether you have ever had sex or have been sexually abused.
If you have vaginal itchiness or an unusual discharge (drainage) or odor from your vagina.
Getting Ready
If you find it comforting, your mom, friend or sister can stay with you. The nurse or a medical assistant will too.
After you have given your medical history, been weighed and had your blood pressure checked, you will be asked to put on a gown.
You will need to remove your clothes including your underwear and bra. A breast exam is often done as a routine part of this check-up.
What happens during the exam?
Your health care provider will explain the steps to the exam and ask you to lie down on the exam table. You will be given a sheet to put over your stomach and legs.
You will then be asked to move down to the end of the table and place your feet in stirrups (these are holders for your feet).
With your knees bent, you will be asked to let your knees fall to each side allowing your legs to spread apart.
This is usually the part when most adolescent and adult women feel embarrassed. This feeling is normal too. Just remember that although this is your first exam, this is routine for health care providers and their only concern is for your health.
There are 3 parts to this exam. Sometimes not all parts of the pelvic exam are necessary. Ask your health care provider which part(s) will be done for your examination.
The External Exam
Your health care provider will first look at the area outside of your vagina, (clitoris, labia, vaginal opening, and rectum).
The Speculum Exam
The speculum is an instrument made of metal or plastic. Your health care provider will place the speculum into your vagina. After it is inserted, it will be gently opened so that your health care provider can see your vagina and your cervix (the opening to your uterus). If you like, you can ask your health care provider for a mirror so that you can see what your cervix looks like.
After checking your vagina and cervix, your health care provider may take a thin plastic stick and a special tiny brush or a small “broom” and gently wipe away some of the cells from your cervix. This is a Pap test, which detects early changes of the cervix before they become cancer. Most girls have normal Pap tests.
If you are having vaginal discharge, your health care provider will take another sample to check for yeast and other causes of discharge.
If you are having sex, your health care provider will take another sample from the cervix to check for sexually transmitted diseases. When all of these samples have been taken, your health care provider will close the speculum and gently take it out.
The Bimanual Exam
The last part of the pelvic exam is done to check your female organs (your tubes, ovaries and uterus or womb). Your health care provider will insert one or two gloved fingers into your vagina. With the other hand, your doctor will gently apply pressure to the lower part of your belly. You may feel slight discomfort or pressure when he or she presses in certain places, but it shouldn't hurt. If you do feel pain, it is important to tell your health care provider.
Sometimes your provider will do a rectal exam. This involves inserting one finger into your anus (the opening where bowel movements leave your body) This is usually done at the end of the bimanual exam. Like other parts of the exam, if you relax and take slow deep breaths, it should not be uncomfortable.
What happens after the exam is over?
When the exam is over, your health care provider will answer any questions you have and tell you when to make your next appointment. He or she will also talk to you about any medications you may need and tell you when and how you will get the results of the exam.
2006-12-29 05:57:04
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answer #1
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answered by Komsat/sad 4
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13 is pretty young and unless somthing serious happens you probably do not need to go until you either become sexually active or around the time you turn 18. Itching could be somthing as simple as not being clean enough down there or it could be a yeast infection which can itch horribly, and you just need some cream for. You do not need to go to the gyno for either. Talk to your mother or someone you feel comfortable around and see what they think. Chances are its not somthing big and you do not need to go yet.
2006-12-29 02:35:04
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answer #2
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answered by Jen B 1
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dont know what gyno is but still i can tell the cure.
keep in mind a line that "whoever is a brave person god protect him" and if ur mom wants u to go there go. and ur mom will first think that if it is good for u i must send her.
or if this cure does not work thers a book name as "the 7 habits of highly effective teenagers" written by "sean covey".
2006-12-29 02:50:04
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answer #3
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answered by goldy 1
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Don't worry! I assume you aren't having sex, since you are only 13. If you're not having sex, chances are you have a simple yeast infection. Your mom can buy something over the counter for you so you don't have to go to the dr. If you are having sex, then you might want to get to a dr incase it's something else.
2006-12-29 02:33:46
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answer #4
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answered by ஐ♥Gin♥ஐ 6
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Yeast infection? Just relax and go. It will be the first of many doctor visits to come and after a while you get used to it. It's a woman thing.
2006-12-29 03:27:04
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answer #5
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answered by Suga 3
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Sweety, your a young lady, and if anything is itchy you definitly need to go ASAP. Its nothing to be afraid of. I have been plenty of times for female issues. Your doc will just ask your symptoms and take a peak down there. You have to get use to it because this is what we women have to do. Trust me, you'll be fine. Good Luck Sweety and dont be nervous.
2006-12-29 02:35:18
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answer #6
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answered by Anonymous
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don't be afraid she will only take a sample from ur vagina as in insert a cotton swab and just take a sample to test wutever is bothering you. itz not that bad atleast itz good that u r going rather than something else more goes on other than itching and u spread it or wutever
2006-12-29 02:37:34
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answer #7
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answered by Legant 3
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It's probably a yeast infection. Try an over-the-counter treatment (ask the pharmacist what the best thing is) and if that doesn't work, then you should see a doctor.
2006-12-29 02:33:30
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answer #8
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answered by DrugRep 2
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Might have thrush you wouldn't have to get checked for this. you shouldn't worry about that till your 18. Just go to a gp and tell them the problem. they will just prescribe some antibiotics. then again you could just be abit itchy nothing wrong with it.
2006-12-29 02:34:24
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answer #9
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answered by Louise 4
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Sounds like a yeast infection,go to the store and get monostat cream for it.
2006-12-29 02:36:39
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answer #10
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answered by Anonymous
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