Doctor insights on:
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: Usually, cervicitis...Inflammation of the cervix, has an easily detectable cause, such as bacterila vaginosis, yeast infections, gonorrhea, trichomonas, etc. If not, it can be cultured. Exam is almost always needed, unless you want to try treating a guess. ...Read moreSee 1 more doctor answer
Pap, Pelvic, Breast: During a routine well-woman exam (gynecology exam), the clinician will typically perform three exams: 1. Pap smear - collect cells from your cervix using a small plastic brush/collection device. 2. Pelvic exam - palpate your cervix, uterus and ovaries to make sure they are not enlarged or tender. 3. Breast exam - palpate your breasts and axilla to make sure their are no masses or discharge. ...Read more
Normal: If no u/s has been done then its doubtful that cysts are the issue. You probably have pelvic pain, and ovaries make cysts - its what they are supposed to do, they are rarely a sourc of ongoing pain. A sono is reasonable, but you should have be asked q's about your bladder and bowel function as well as the timing of your pain related to your menstrual cycle. ...Read more
Gyn exam: For a routine exam- undressed and gowned-open in the front. I check the heart and lungs and then do a breast exam-laying flat and seated-I then palpate the abdomen before placing patient up in stirrups for a visual inspection of the ext genitalia and then exam the cervix and take a sample from cervix for pap smear, then check the ovaries and uterus with hand in vagina. The rectal exam is last. ...Read more
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
A few things: The regular, general exam you get from every physician (since we are also primary care docs), speculum exam (the metallic/plastic duckbill thing that goes in the vagina to allow the doc to see you vagina and cervix), maybe Pap smear (brush collecting surface cells from the cervix/vagina), rarely a biopsy (which your doctor should let you know beforehand), bimanual exam, maybe rectovaginal exam,etc ...Read more
Either one: If your GP does gyn exams, that's a great starting point since you already know that person, and have a trusting relationship hopefully. If problems are found that require specialist referral you can then be referred to one your doc trusts and respects. Seeing a new doctor for an exam that is so intimate is always disconcerting, so having a doc you know and like 1st takes some of the dread away. ...Read more
Either of these: medical providers can begin your careful and competent evaluation for pelvic pain. The initial evaluation is straight-forward and includes a careful history and physical evaluation, possibly some lab tests and imaging such as ultrasound. It partially depends on the level of confidence you have in your PCP...if you have a good relationship with her/him, I would start there. Good wishes:) ...Read more
Gyn visit: First pelvic exam and Pap smear with cultures for sexually transmitted diseases, if you are sexually active, begin at age 21. A health history, full physical exam including a breast exam, as well as a visual exam of the vulva(outside), the vagina, and the cervix. The uterus as well as ovaries and tubes are checked by feel between the fingers of both hands, one in the vagina, one on your belly. ...Read moreSee 1 more doctor answer
Irregular periods: Irregular periods (having a cycle further apart than 35 days) is not considered normal. You could have something more serious than just the irregular period. It's definitely worth seeing your gyn for more evaluation - likely an us and bloodwork for starters, and maybe some medication as well. Call your doc for an appointment, and bring a calendar tracking your period for the past six months. ...Read moreSee 1 more doctor answer
Mostly history: The exam you have will depend on whether you are sexually active. If you are, then you will have a speculum exam and a test called a Pap smear to look at the cells of your cervix. The doctor will also examine your uterus and ovaries using his fingers . It is a good time to talk about birth control and protection from disease. It is also a good time to ask about the HPL vaccine. BP check/blood work ...Read more
I had enlarged ovary at last gyno visit & now hitting something inside that causes discomfort during sex. Also harder to get aroused. Possible causes?
May be unrelated: Painful intercourse from an enlarged ovary is possible and usually positional. The cervix may be what is being hit and uncomfortable for you. If your enlarged ovary is cystic and producing hormones, it could affect your libido but i'd say your libido is decreased because of painful intercourse. ...Read moreSee 1 more doctor answer