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Doctor insights on: Gynecology Exam Table

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Digital rectal exam lithomy position?

Digital rectal exam lithomy position?

May depend on doctor: A good position for a rectal exam is a one where the anus is accessible to the doctor's finger, and the doctor feels he is able to get a really good exam: lying on the side, bent over the examination table, or lying down with feet in stirrup (lithotomy position), etc... The position is not that important. What's important is that the dr. Is able to reach and feel everything he wants to examine. ...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


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Age 52. Family hist ovarian c.Inter menstral bleeding. Doc visit NO bimanual exam. Book ultrsound. Concerned. Shouldnt doc bimanual?

Age 52. Family hist ovarian c.Inter menstral bleeding. Doc visit NO bimanual exam. Book ultrsound. Concerned. Shouldnt doc bimanual?

They can: You can request a bimanual exam. Typically that is done. A sonogram is probably a better way to evaluate the ovaries than with simple palpation. If you have a family history of ovarian cancer you should have BRCA testing done ...Read more

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Is an annual gynecology exam necessary after a total hysterectomy?

Is an annual gynecology exam necessary after a total hysterectomy?

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

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First pelvic/ pamp smear exam what to ecpect ?

First pelvic/ pamp smear exam what to ecpect ?

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

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Do family doctors include a pelvic exam/pap during physicals?

Do family doctors include a pelvic exam/pap during physicals?

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 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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Will a post-rape STI screening involve an internal examination?

Will a post-rape STI screening involve an internal examination?

Rape exam: After a rape, evaluation involves interview, physical exam and tests. Hopefully, one receives all from a very sensitive person. The physical exam does involve a genital exam to evaluate for trauma. Usually, an internal exam is done and a long q-tip takes a sample from inside to assess for std exposure. Call your md or the er you will go to and ask questions to help you be more comfirtable. ...Read more

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Will a pelvic exam and pap smear detect pcos and/or endometriosis?

Will a pelvic exam and pap smear detect pcos and/or endometriosis?

No: Not really. The pelvic exam can rule out any masses or major abnormalities. Pcos is diagnosed based on clinical findings and abnormalities in blood work(hormonal). Endometriosis is diagnosed by laparoscopy. ...Read more

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What happens during an annual gynecological exam?

What happens during an annual gynecological exam?

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

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What to expect at my OBGYN visit for PCOS? Pelvic Ultrasound? Pelvic Exam? Blood test?

What to expect at my OBGYN visit for PCOS? Pelvic Ultrasound? Pelvic Exam? Blood test?

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

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What's an institutional review board needed for?

What's an institutional review board needed for?

Depends: It depends on what type of institutional review board it is. If for an individual it may focus on performance or conduct. Sorry, the question is too general to provide a more definitive response. ...Read more

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How do a comprehensive eye exam and a routine eye exam differ?

How do a comprehensive eye exam and a routine eye exam differ?

Less detailed: In many practices a routine eye exam will be a brief exam that does not include a detailed exam of all of the parts of the eye. In addition there is typically no discussion of any medical issues associated with the eye. ...Read more

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Would a gyno exam include an armpit exam?

Would a gyno exam include an armpit exam?

Yes: A complete gynecological exam includes breast exam, axilla, supraclavicular and neck lymph nodes. Pelvic exam to include inguinal area examination as well. ...Read more

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What procedures go into doing an eye exam for myopia?

What procedures go into doing an eye exam for myopia?

Refraction: Refraction would be the main thing to determine the amount of myopia. However, many other tests would be done to check the health of the eye. ...Read more

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Is this order for a transvaginal or abdominal ultrasound?" US-S-PELVIS; NON-N OBSTETRIC, COMPLETE(76856)"

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

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Do the annual pelvic exams and pap tests also show something about a woman's fertility?

Mostly no: Paps tell nothing about fertility; a grossly abnormal exam might identify a fertility issue but otherwise no. ...Read more

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Would cancer show up on a obstetric transvaginal ultrasound?

Would cancer show up on a obstetric transvaginal ultrasound?

Possible: Manifestations of abdominal spread of malignancy like ascites (fluid) or masses could be detected on a tv exam. ...Read more

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Is a board certified and licensed optician qualified to perform a refractive eye exam for an eyeglass prescription using digital eye exam equipment?

Is a board certified and licensed optician qualified to perform a refractive eye exam for an eyeglass prescription using digital eye exam equipment?

Eye professionals: An optician strictly fits glasses. An optometrist is trained and qualified to do regular eye exams as you describe, along with some eye care. An ophthalmologist is a physician who performs medical and surgical eye care. ...Read more

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Gynecologic oncology and a gynecologist?

Gynecologic oncology and a gynecologist?

Big difference: One is a cancer specialist and the other is not. Most invasive/malignant diseases will require a gynecologic oncologist to treat since this is a different specialty. ...Read more

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