Doctor insights on:
Gyn Exam Stirrups Speculum
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
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
What would you say to a pt in need of gyn exam but the thought of it induces panic attacks? Is there anything they can do? Or any advice you can give?
Panic and GYN exam: This may be a specific phobia or a more generalized condition. In any case, please see a clinical psychologist for diagnosis and treatment. One treatment is systematic desensitization. Another modality is clinical hypnosis w/self-hypnosis training (www. Asch. Net). Share your fears w/a trusted friend or relative who has had a GYN exam. Peace and good health. ...Read more
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
Days: It should not take more than a few days. Two weeks would be the upper limit. ...Read more
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
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
Yesturday I went to dr and she took my gyn exam and then gave me clycin-v, contimycin and folic acid. Plz tell me is there any serious or I m alright?
Seek clarification: Ask your doctor why you were given those particular medications and for what diagnosis. ...Read more
During last gyn exam felt 9 pinches. Still having pain &fullness a month after exam. Have had 2 very heavy periods since the exam, which was Jan.20th.
Return to GYN MD: You need to return to the GYN MD who did the exam and discuss the heavy periods and pain as there may be a resolvable problem present. ...Read more
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
Saw GI doctor for firm small mass inside anus felt like during gyn exam. He only did side exam and missed it. What now?
Missed pathology: Go back to the doctor and show him. He'll be happy you did. ...Read more
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
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
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
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
Sharp shooting pains through left breast- feels like in the breast tissue. I don't think its my heart. Good gyn exam 2 months ago and clean heart history?
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
Hi. Is annual gyn exam part of "risk for infection/bleeding" list during low counts? Wbc <3, rbc <4, hgb 11.8, plt 101 & anc 0.6 cuz of SLE flare. Thx
Unclear question: Your blood count and SLE need attention. Please consult a rheumatologist for proper care. ...Read more
6 CM ruptured ovarian cyst on 9/21, just finished period, extreme nausea and severe pelvic pain just started today, normal gyn exam 10/1, spotting, ?
Daily Pelvic pain 1 yr. Gyn exam ok. Pee 15 times/day no burning w/urination. Urinalysis no WBC or nitrate, but abnormal Leuk esterase +1. Urine Cytology, ok. CT scan small kidney cyst. Why Leuk but no WBC? Still in Pain What test should I ask for
Fatigue. Recurring low mid-pelvic pressure/pain. Worse w/full bladder but gone w/ urination. I'd rate the pain a "7". GYN exam ok. No periods w/ depo provera. Abdomen/Pelvic CT scan found small cyst upper pole left kidney. Should I ask for more test?
Pelvic pain: You should get examined again and possibly tests ...Read more
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
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 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
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
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
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'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
When I have pelvic exam doctor always struggles to find my cervix and it hurts when they move the speculum to find it. Why is this?
Tipped cervix: You may have a tipped uterus one either up or down making it a little more difficult to find your cervix. It should not hurt that much though. ...Read more
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
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
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
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
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
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
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
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
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