Doctor insights on:
First Gynecology Exam
Not till 21: The USPST recommends Pap test once every 3-5 year for women 21-65. They no longer recommend a yearly test. However, they also recommend women younger than 25 who are sexually active get screened for sexually transmitted diseases even if they do not engage in high risk activity. Pap is easy you sit in a chair and a speculum gently inserted/opened and a sample taken by your OB/GYN. Good luck. ...Read more
Yes!: Absolutely! please continue seeing your gynecologist annually even after having a hysterectomy. At this visit, your physician will discuss your overall health and well-being. Also, since you are now surgically post-menopausal, your doctor will help you prevent problems such as osteoporosis. Importantly, you will still benefit from a regular pelvic and breast exam. ...Read more
Gyn exam: When I do an annual GYN exam I exam the head, eyes, ears, nose and throat. Neck is examined. Heart and lungs are examined. abdomen and extremities are examined. A breast exam is done. A pelvic exam is done with a Pap smear. Labs are ordered, other tests, immunizations etc are ordered as needed. Medications are filled and medical advice given and questions answered. ...Read more
Many do, some dont: Board certified family docs are trained to do pap smears and pelvic exams during their residency training. Some choose to offer that service once they get into private practice, some choose not to. The same applies to many procedures including obstetrics, office surgery etc. ...Read moreSee 1 more doctor answer
Some or: all of the things you mentioned. It depends upon the findings and practices of your doctor. You'll just have to wait and see. ...Read more
Depends: Currently am college of obgyne recommends that adolescents have 1st visit age 13-15 w/o exam to meet gyne, discuss issues related to gyne/ reproductive health. Pelvic exam is not required to intiiate birth control. Pelvic exam at 19 years old, depending on medical history. Pap testing beginning no later than age 21. ...Read moreSee 1 more doctor answer
Is this order for a transvaginal or abdominal ultrasound?" US-S-PELVIS; NON-N OBSTETRIC, COMPLETE(76856)"
Neither: Code 76856 is for a pelvic ultrasound (not an abdominal U/S), and includes evaluation of the female pelvic anatomy. This examination includes a description and measurements of the uterus and adnexal structures, measurement of the endometrium, measurement of the bladder, etc. If a transvaginal U/S probe is used, the would be billed as 76830 (an extra charge). Codes may change from year to year. ...Read more
Yes: With rare exceptions, i recommend a rectal exam with the pelvic exam. It allows the doctor to feel behind the uterus making it easier to detect ovarian cysts or nodularity of endometriosis, in women over 40, it provides an exam of the rectum which can show occult polyps or even cancers. I feel the rectal exam adds to the completeness of the pelvic exam allowing a true clean bill of health. ...Read moreSee 1 more doctor answer
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?
You may: You may ask, but both of these are very low yield examinations at your age. More important would be to get HPV vaccine. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, low fat milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex. ...Read more
For what reasons might a doctor order an abdominal ultrasound after seeing a transvaginal ultrasound?
Guesses: I could guess many things, such as partial visualization of a structure, vascular engorgement (pelvic congestion) that may be caused by compression of proximal vessels, or a negative pelvic ultrasound that was done for symptoms that can be caused by abdominal structures. But it would be best answered by the ordering physician. ...Read more
GP recommended general surgeon for colonoscopy. gastroenterologist have always done before. Since 1998. This is 1yr checkup. Cancer history family. ?
Good for you: I applaud you for seeing a gynecologist. All women should see their gynecologist annually for a pelvic examination. At the visit, you can get all your questions answered about birth control, prevention of stds, any issues with your menstrual cycle, pregnancy preparation/advice, and other women's health issues like mammograms, vaccinations, vitamins, etc. Just stay relaxed. ...Read moreSee 1 more doctor answer