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Doctor insights on: Doctor Gyno

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Pain during sex I have been complaining to my doctor and gyno. For years about my pain during sex. It's so painful it makes me cry. I don't even like sex now. I never used to have this problem. I always had an awesome sex life until the last few years

Pain during sex I have been complaining to my doctor and gyno. For years about my pain during sex.  It's so painful it makes me cry.  I don't even like sex now.  I never used to have this problem.

I always had an awesome sex life until the last few years

Chronic : Chronic or recurrent pain during, before or after intercourse is called dyspareunia. There are a number of possible physical causes. You mentioned a history of sexually transmitted diseases. One possible complication of sexually transmitted diseases or infections is pelvic inflammatory disease. There are a variety of other conditions such as enodometriosis which could cause pain during intercourse. If the woman’s genital area is not lubricated it could lead to pain. Some medications can cause a decrease in lubrication. You indicated that you developed this problem just prior to leaving your last partner. If there is not a change in your medical status, no injuries, no new medications which might impact sexual arousal or vaginal lubrication, no adverse reactions to new methods of birth control; have not had a baby recently, you are not perimenopausal etc; then it might be appropriate to look at other possible factors. A woman’s vagina becomes lubricated when she is sexually stimulated. If your partner is not aware of how to arouse you or there is inadequate foreplay, you might not be adequately lubricated prior to penile penetration. If there is tension in the relationship with your partner or if there is a lot of stress in general, that can effect your sexual response. If there has been a previous history of sexual abuse, even if you have been having satisfactory sex, it might create symptoms at a later time. I recommend that you give your partner feedback if there is inadequate foreplay or provide specifics about what you find stimulating. I recommend that the next time you talk with your doctor or gynecologist that you tell him/ her directly that painful sex is impacting your life and that you want to be evaluated specifically for this problem. It is important however, that if you want the focus to be on dyspareunia that you don’t bring it up in the context of a number of different medical issues. Hopefully, your medical provider will be responsive to your concern using this approach. ...Read more

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I'm an 18 year old girl & I was wondering, can I ask questions about sexuality to a regular doctor? (Not a gyno) I'm just confused about some things

I'm an 18 year old girl & I was wondering, can I ask questions about sexuality to a regular doctor? (Not a gyno) I'm just confused about some things

Certainly: Your primary care doctor is a great resource. Write down your questions so that you don't forget anything and schedule a visit. Good luck! ...Read more

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My primary physician recommended i see a gyno for my bacterial vaginosis, how do I find a really good gyno doctor?

My primary physician recommended i see a gyno for my bacterial vaginosis, how do I find a really good gyno doctor?

Recommendation: Seek out someone who is board certified and convenient to your home or work. You can always check online for health grades as well. Bv is easily treated, but recurrent BV may require more than one visit and changes to you vaginal hygiene. You local hospital should have a list of board certified gyns on their websites physician search. ...Read more

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I have got itching in my vagina, doctor gave me gyno-pevaryl 150 mg ovules for 3 days.I used a day n next day got my period. Can it be used during it?

I have got itching in my vagina, doctor gave me gyno-pevaryl 150 mg ovules for 3 days.I used a day n next day got my period. Can it be used during it?

Yes: This type of medicine is an antifungal ovule that is mostly used in the UK. It is econazole. It can be effective but less so as the infection may gain ground during your period. You may need retreated one the period has completed. ...Read more

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First 2 annual gyno apt, doctor has not preformed a breast exam or rectal exam- only does pap & bimanual quickly. Is this something I should ask for?

First 2 annual gyno apt, doctor has not preformed a breast exam or rectal exam- only does pap & bimanual quickly. Is this something I should ask for?

Possibly: At least, ask your doctor why you don't need them. It's your health- speak up. They may have a good reason. This is best handled in a conversation with your doctor. ...Read more

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Need doctor's help! what do you do at your first gyno exam?

Need doctor's help! what do you do at your first gyno exam?

Depends: On age of patient and expectations. Sometimes with youngest patients or those very anxious we may try to reset expectations and ask patient to come back; otherwise, a Gyn exam comprises a regular physical exam, speculum exam, pelvic (bimanual palpation), and rectovaginal exam. ...Read more

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Should I see a primary doc, gyno, or a specific specialist for pain in bladder area? Who is best to see?

Should I see a primary doc, gyno, or a specific specialist for pain in bladder area? Who is best to see?

Start with Primary: All specialismts appreciate a full history & physical & basic bloodwork when consulted. Sometimes, say if your symptoms are due to a simple bladder infection, your primary doc can manage it. Some primary care docs do gyn exams too and diagnose gyn infections. So that is a good place to start. Trust me, you will be referred if necessary (99% of the time). Hope it is something easy to treat! ...Read more

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Any advice? I have never had a paps smear and know i should. Do i just go to my regular doctor or do I need a gyno?

Any advice? I have never had a paps smear and know i should. Do i just go to my regular doctor or do I need a gyno?

Start with regular: doctor. You should have a primary care provider for a general assessment. The primary care provide can perform PAP test. S/he may refer you to a gynecologist, if needed. ...Read more

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Minor cp, gyno exams a bit difficult b/c of tensing. My doc is great but i get embarrassed. How to relax? Dreading internal exams as result, advice?

Minor cp, gyno exams a bit difficult b/c of tensing. My doc is great but i get embarrassed. How to relax? Dreading internal exams as result, advice?

Talk to your doc: Often i will have my patients do breathing exercises to help them relax before the exam. If you are not comfortable with your gynecologist you may want to seek another. ...Read more

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What makes a Gyno an excellent doc? What should patients look at & search for?How many years in profession to become a good doc? When's a Gyno expert?

What makes a Gyno an excellent doc? What should patients look at & search for?How many years in profession to become a good doc? When's a Gyno expert?

Regardless of : specialty & it does include OB GYN, a great doctor is one who is competent, compassionate, a good listener & truthful or honest w/U. The years in practice is relative. Any doctor graduating from medical school whether they're the top or bottom of their class, graduate with a MD or DO. he years spent in internship & residency is up to 110 hours/week of training (mine did!) Go by positive referrals! ...Read more

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Why are all doctors so aged?

Why are all doctors so aged?

Too much school.: After at least twenty years of formal education, we're about 30-35 years old before we even start working. And we usually never retire. And we don't sleep nearly enough, so we always seem to look tired. Or maybe we just look that way because we're always so deep in thought. ...Read more

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