Top
40
Doctor insights on: Gyn Exam Stirrups Speculum

Share
1

1
I'm a vigin, and I will go to a gyn exam soon, mom says its time, im 22, what should I expect? Will the speculum break my hymen? Will it hurt?

I'm a vigin, and I will go to a gyn exam soon, mom says its time, im 22, what should I expect? Will the speculum break my hymen? Will it hurt?

It may be stressful: Cervical dysplasia, what look for by pap, is only relevant in the presence of a sexually transmitted virus, hpv. Though recommended to get a pap at 21, you may kindly decline the speculum and pap. They will want 2 check your organs by hand exam;no symptoms, unlikely to find a problem there either. Tell doctor the situation and decline speculum if stressed; we don't want 1st vist 2 b too stressful. ...Read more

Speculum (Definition)

Refers to an instrument that can be placed inside a structure and the arms open to expose the interior of that structure. In gynecology, a speculum refers to the instrument placed in the vagina, opened slightly to expose the cervix for examinations such ...Read more


2

2
How does an ob/gyn decide what size speculum to use during pelvic exam?

How does an ob/gyn decide what size speculum to use during pelvic exam?

Speculum: The speculum size is usually chosen based upon patient age and birth status. It helps the physician with visualization to use the largest speculum that fits comfortably. There should be no pain or discomfort during an exam. If so, ask your ob/gyn to use a smaller speculum. ...Read more

3

3
First gyn exam? Nervous the doctor won't realize t

Communication: This is vital. Please you will get a better relationship with your physician if you express your concerns, ask for clarification, take the time to ask questions. Let the physician know this is your first exam and are nervous. You are beginning a new relationship that may become one of the most significant in your life. You will have more success if you enter it as their partner in your health. ...Read more

4

4
What is done during the gyn exam for birth control?

What is done during the gyn exam for birth control?

History & Physical?: The exam for birth control can be varied. In part, it depends on your age. If younger than 21, no internal exam is usually needed or performed. This is a relatively new experience and some providers or physicians may continue to examine. It does not seem as though it is helpful in the absence of symptoms. Pap smears start at 21 and should be performed before birth control is distributed. ...Read more

5

5
How long does it take for your pap test (yearly gyn exam) results to come back now?

How long does it take for your pap test (yearly gyn exam) results to come back now?

Days: It should not take more than a few days. Two weeks would be the upper limit. ...Read more

6

6
To a female doctor: is it normal to become aroused or even orgasm during my gyn exam, and what can I do about it.

To a female doctor: is it normal to become aroused or even orgasm during my gyn exam, and what can I do about it.

Concerned Gay Doctor: I hope you won't mind, but arousal during an examination of one's private sensitive parts is normal and common. There is absolutely nothing to be ashamed or concerned with. Believe me this happens to many patients at 'inconvenient' times. Your physician will have some experience with this and I would hope continue with you in a very gentle and professional way. But, the message is you are fine. ...Read more

7

7
Week late, all home pregnancy tests neg. Thoughts? Have a gyn exam in 3 days. Is their test more sensitive? Harmful to get a gyn exam if false neg?

Week late, all home pregnancy tests neg. Thoughts? Have a gyn exam in 3 days. Is their test more sensitive? Harmful to get a gyn exam if false neg?

Trust the test: Home pregnancy tests are very accurate. They are the same tests used in a doctors office. They can detect a pregnancy 7-10 days after conception. The best time to take one is when you miss your period. If you doubt the result you can repeat it in 1-2 days. If you were pregnant the hormone level would rise enough for detection. ...Read more

10

10
Just had annual ob/gyn exam and had a list of symptoms which through research look as hormonal. Labs came back normal, low in vit d. What can I fo now?

Just had annual ob/gyn exam and had a list of symptoms which through research look as hormonal. Labs came back normal, low in vit d. What can I fo now?

Take Vit D3 and...: Vit d deficiency occurs in everyone who does not supplement in fall & winter. It can cause many symptoms including fatigue, muscle pain & weakness, headaches, depression & can also increases risk of infections, heart disease & cancer. Most adults need 5000 iu of d3/day; don't take d2! see http://www. Drfranklipman. Com/symptoms-diseases-associated-with-vitamin-d-deficiency & my comment:. ...Read more

12

12
Severe sudden pain in left side of abdomen next to belly button that is relieved by urination. UA w/micro was perfect. GYN exam was perfect?

See a urologist: If your urine is clean and your GYN examination is normal then you need to see a urologist to make sure you are emptying the bladder every time you urinate by checking the residual volume. If it is high that will explain the pain if not at least they can figure out what else causing this pain that get relieved by urination ...Read more

13

13
MRI (for other purpose) found 3 cm. Ovarian cyst. Post-menopausal, hysterectomy/one ovary. Wasn't felt 4 months ago at gyn exam. Expect follow-up?

MRI (for other purpose) found 3 cm. Ovarian cyst. Post-menopausal, hysterectomy/one ovary. Wasn't felt 4 months ago at gyn exam. Expect follow-up?

Very likely benign: If a pelvic sonogram confirms that your 3 cm ovarian cyst has thin walls, clear fluid, no septation and normal blood flow, it is most probably benign. If you have a personal history or a family history of breast-colon-endometrial-thyroid tumors, have never been pregnant, never used oral contraceptives, have symptoms and risk factors for ovarian tumors...consult a Gyn oncologist for evaluation. ...Read more

14

14
I'm recovering from a broken elbow (radial head &coronoid). Does limited ROM in elbow/shoulder present a problem during a CBE at an annual gyn exam?

I'm recovering from a broken elbow (radial head &coronoid). Does limited ROM in elbow/shoulder present a problem during a CBE at an annual gyn exam?

No: The "clinical breast exam" should the same level of usefulness with or without the patient having a broken elbow. However, if there was a larger area of trauma, with swelling and injury into the armpit area where the tail end of the breast extends to, then one might wait until after healing that area, to do her annual breast exam. ...Read more

15

15
Dryness and itching on labias, how can it be treated? Pap smear and gyn exam/lab done, no infection.

Dryness and itching on labias, how can it be treated? Pap smear and gyn exam/lab done, no infection.

Your doctor can help: Your gynecologist should have given you some medication to relieve the itching. If he/she has not been able to figure out what to do, you may benefit from seeing a dermatologist (skin specialist). There are many causes for itching in this area so a skin specialist can may be able to help you better. ...Read more

17

17
Diagnosed with gastritis/GERD & IBS via EGD&colonoscopy. Can any of these cause cramps in the middle of the night on occasion? Gyn exam also normal.

Diagnosed with gastritis/GERD & IBS via EGD&colonoscopy. Can any of these cause cramps in the middle of the night on occasion? Gyn exam also normal.

Yes both can: Gastroesophageal reflux disease GERD can cause severe cramps, especially if severe with lining compromise. Gastritis and Irritable bowel syndrome IBS can also cause less severe cramps. Night cramps can be more associatedvwith GERD after a full heavy meal esp with alcohol, where acid food mixture bridges thru esophageal gastric area and could cause dull chestvpain, cramps and nausea. ...Read more

22

22
Really nervous about vaginal exam, speculum always hurts and I can never relax enough. What can I do and how uncomfortable is rectal exam?

Uncomfortable: Both the vaginal and rectal exams are uncomfortable, but should not be painful. You can request a smaller speculum. They come in different sizes. Try to relax the muscles on the inside of your thighs by letting your legs fall open. That will reduce the pressure of the speculum. ...Read more

23

23
What do you do when the speulum breaks inside you during a yearly exam, and your left feeling embarssed? I went for my yearly exam today and while the doctor was adjusting (opening) the speculum, the speculum broke inside of me. She turned to the nurse an

What do you do when the speulum breaks inside you during a yearly exam, and your left feeling embarssed? I went for my yearly exam today and while the doctor was adjusting (opening) the speculum, the speculum broke inside of me. She turned to the nurse an

I: I am sorry you had such an unpleasant experience. Your doctor definitely could have handled the situation a little differently. Her saying "i have to get out of here" and walking out so abruptly was inappropriate and inconsiderate because it made you feel uncomfortable.
Please take into consideration the fact that doctors are human and make mistakes like everyone else. Where you go from here is completely up to you. You can chalk it up as an unfortunate situation forgive the doctor and move on; you can call or visit the doctor and tell her that her words and/or actions made you uncomfortable and embarassed, lastly you can contact the doctor's supervisor (if applicable) or office manager and ask how you make a formal complaint.
The choice is yours. Regardless of how what you do, I hope you can find a way to get over what happened.
Take care. ...Read more

24

24
Plastic speculums for pelvic exams are pre-opened. Why do they have to be open all the way? .

Plastic speculums for pelvic exams are pre-opened. Why do they have to be open all the way? .

Speculum: The speculum has to be opened a little more to spread apart the wall of the vagina so that the cervix can be seen. ...Read more

25

25
If nothing--sex, etc.--has torn the hymen around introitus, then how is it that the dr. Had to stitch it up during the exam under anesthesia? He stitched it up after he hit it with the speculum.

If nothing--sex, etc.--has torn the hymen around introitus, then how is it that the dr. Had to stitch it up during the exam under anesthesia? He stitched it up after he hit it with the speculum.

Uncertain findings: Call the examining physician. A torn hymen does not usually require suturing; however if there was extensive tearing, that may be the reason. Good idea to call the examining physician. ...Read more

26

26
Can a speculum from a vaginal exam cause an injury that leads to pain in the perineum area (while wiping) and a swollen lymph node in groin for a week?

Probably not, but...: It's unlikely the speculum exam caused this problem. I wouldn't say it's impossible, but I would want to know the reason for your pelvic exam a week ago and whether that problem is the cause of your symptoms. Either way, contact the doctor's office; they'll want to check this out. Good luck. ...Read more

27

27
I have a pelvic exam with speculum and it really hurts. Now I have sharp pains in vagina when I sit down or move. I'm 25 weeks and very worried for baby?

I have a pelvic exam with speculum and it really hurts. Now I have sharp pains in vagina when I sit down or move. I'm 25 weeks and very worried for baby?

Pain: It's probably round ligament pain and certainly you can try taking some tylenol (acetaminophen) or acetominophen to see if it relieves it. However, it never hurts to call your OB physician or midwife and ask if they want you monitored for labor and checked for infection. ...Read more

28

28
I'm considering going for my first pelvic exam & Pap smear. I'm 21, a virgin, & concerned about pain. Will the speculum hurt or tear my hymen?

I'm considering going for my first pelvic exam & Pap smear. I'm 21, a virgin, & concerned about pain. Will the speculum hurt or tear my hymen?

Not to worry.: Women and girls may be judged by their happiness, their friendliness, and many other wonderful traits, but not by the condition of their hymens. It makes absolutely no difference whether a person has a big hymen, little hymen, broken hymen, unbroken hymen, etc... One need not worry about hymens when seeing her doctor, as it cannot matter in a free, modern, equitable society. ...Read more

30

30
How can my gyn* help me through and exam after I was raped? My annual appt is Tues. And I'm terrified. I was raped in Nov. And never saw a Dr.

How can my gyn* help me through and exam after I was raped? My annual appt is Tues. And I'm terrified. I was raped in Nov. And never saw a Dr.

Exam: Your doctor is there to help you and not judge you. I would also URGENTLY suggest a referral to a reputable psychotherapist who specializes in rape trauma. Lastly, depending on the severity of your symptoms, consider medication (which will take the edge off symptoms.) The real grunt work, however, takes place in psychotherapy. Good luck to you. ...Read more

31

31
What is the difference between gyn annual exam and a postpartum exam?

What is the difference between gyn annual exam and a postpartum exam?

Different purposes: Your annual gyn exam is your yearly well woman exam. You will undergo a pelvic exam with or without a pap, a breast exam, and be offered std screening depending on your age/risk factors. Your postpartum exam occurs approximately 6 weeks after your baby is born. Its purpose is to make sure that your vagina has healed, your body has returned to normal, and to discuss future contraceptive plans. ...Read more

32

32
Hi Dr. I am on lo-estrin for endometriosis. Two days ago I started having bleeding and I went to my gyn and after exam

Hi Dr. I am on lo-estrin for endometriosis. Two days ago I started having bleeding and I went to my gyn and after exam

LoEstrin can cause: Lo estrin in known to cause bleeding from vagina in between periods.
I will suggest that you discuss this with your Gynecologist and have it checked ...Read more

33

33
How much does it cost to visit gyn without insurance? Maybe including internal exam and ultrasound. I know it varies. Please tell me average.

How much does it cost to visit gyn without insurance? Maybe including internal exam and ultrasound. I know it varies. Please tell me average.

It depends: It depends on the doctor/facility you attend. It may be several hundred dollars if you are self pay. If you have no insurance and low income you may visit a 'federally qualified' community health center. They use a sliding scale fee and depending on your income it may be free or very low cost and the care is usually excellent. Also, plan parenthood offer cancer screenings (pap) at very low cost. ...Read more

34

34
I'm seeing a gyn for the first time tomorrow and I'm extremely nervous. How can I relax about this before and during the exam?

I'm seeing a gyn for the first time tomorrow and I'm extremely nervous. How can I relax about this before and during the exam?

Stay calm: Nobody wants to visit a doctor for any reason but the doctor may find something that could save your life one day. Just remember that your gynecologist has seen thousands of patients like you and has experience in dealing with whatever issues you may encounter. Also if for any reason you don't like your encounter, you can always switch to another practitioner. ...Read more

35

35
During an exam with your gyn, is there a way for him to feel your ovaries? Vag u/s are $$ and I feel I may have a cyst. It's not chronic or persist

During an exam with your gyn, is there a way for him to feel your ovaries? Vag u/s are $$ and I feel I may have a cyst. It's not chronic or persist

An exam can detect: Ability to detect cyst depends on several issues: the size of the cyst, experience of the examiner and an individuals body habitus. An ultrasound is a much more accurate evaluation of a cyst though not always necessary. ...Read more

36

36
Should I go to a general practice doctor or a gyn for my annual exam?

Should I go to a general practice doctor or a gyn for my annual exam?

Either: Pick one you are comfortable with. Depending on age, make sure your doc will cover more than a pap test: std (prevention/ screening), birth control, sexuality, breast health, bone health, menstrual health (no one should bleed to anemia), hormone replacement, and cancer screening taking family history into account. ...Read more

37

37
Gyn thinks I have a vaginal ulcer. Sent tissue for analysis. What happens next. Silver nitrateif tissue ok. The exam really hurt. Burned like crazy!

Gyn thinks I have a vaginal ulcer. Sent tissue for analysis. What happens next. Silver nitrateif tissue ok. The exam really hurt. Burned like crazy!

Yes: Silver nitrate is one option if this isn't herpetic or malignant and doesn't heal on it's own. Unfortunately ulcers do really hurt when they are touched. I hope every thing is fine and it heals on its own. Best wishes. ...Read more

38

38
Gyn left ins so I'm looking for new dr, but I was raped 1yr ago & just thinkin about having a pelvic is making me panic. How do I get through the exam?

To start: To start you need to tell your new doctor about the rape and explain your fears. If the doctor understands the problem he or she will be able to help you feel more in control of what is going on during the exam. If you feel that you have more control it usually makes the exam easier for both of you. Hope this helps. Best wishes. ...Read more

39

39
Hello, I am a 41 year old woman who is in good health. At a recent GYN visit, my dr did a digital rectal exam. While I was getting dressed Aftet the dr left the room, I noticed a test called Hemasure on the counter and it was becoming positive. When I met

Hello, I am a 41 year old woman who is in good health. At a recent GYN visit, my dr did a digital rectal exam. While I was getting dressed Aftet the dr left the room, I noticed a test called Hemasure on the counter and it was becoming positive. When I met

Hemosure: Hemosure is used to test for blood on stool and is an immunlogical test with increased accuracy. You should discuss consideration of a colonoscopy with your MD to determine the reason for a positive test. Best of luck. ...Read more

Dr. David Kurss
457 Doctors shared insights

Gynecology (Definition)

Gynecology is health care of women, particularly focused on women's reproductive health, but considering the whole woman. Typically health care is provided by physicians trained in obstetrics ...Read more