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Doctor insights on: How To Get Over Fear Pelvic Exam

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I have an irrational fear of pelvic exams? What can I do?

I have an irrational fear of pelvic exams? What can I do?

Possibilities: Might your fear of pelvic exams extend to other situations also? This is a common issue with women who have been traumatized in some way, and psychotherapy may help. If you do need a pelvic exam very soon though, it will help to tell the doctor's office before your appointment so they can be aware and responsive. Your doctor may also prescribe a small dose of Ativan or xanax (alprazolam) to help you. ...Read more

Dr. Srbislav Brasovan
323 Doctors shared insights

Pelvic Exam (Definition)

Physical exam involving examination of the outside of the female genitalia (vulva), the inside (vagina), as well as an examination of the cervix, uterus, tubes, ovaries, and tissue around the uterus (parametria). A bimanual exam then involves 2 fingers in the vagina with the other hand on the abdomen. A rectovaginal exam is one finger inthe vagina, one finger in the rectum with ...Read more


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I think I have a fear of internal exams. How do I get over this?

I think I have a fear of internal exams. How do I get over this?

Tell your doctor: Let your doctor know your concerns before examination. He or she can talk you through this and help to take some of the anxiety from the situation. Being well educated about a process or procedure is invaluable. ...Read more

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I have never had a pelvic exam, should I get one yet?

I have never had a pelvic exam, should I get one yet?

HPV testing: A 41 y/o woman, who is sexually active should have HPV testing done to assess her risk for cervical cancer (this is done by a swab from the cervix through the vagina). If she has a family history of breast cancer, she may also want to have a screening mammogram done. ...Read more

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Am I able to get a full pelvic exam while menstruating?

Am I able to get a full pelvic exam while menstruating?

Depends: If your bleeding is very heavy, it may be difficult to read your pap smear, even with the liquid based paps. However, if you only have light bleeding this should not be a problem. ...Read more

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Can you be forced to get a pap smear or pelvic exam?

Can you be forced to get a pap smear or pelvic exam?

No.: Even if it is medically recommended. You cannot be forced a medical exam such as a pap smear or a pelvic exam. Obviously not getting tests or exams done has pros/cons. Make sure you weigh the risks of deciding or not deciding to do a certain exam or test. If pregnant, you're not just making decision for yourself, but also for baby. ...Read more

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I'm 16 and haven't started my period yet, should I get a pelvic exam?

I'm 16 and haven't started my period yet, should I get a pelvic exam?

More involved: Pelvic exams are recommended for those who are sexually active to screen for std's or by age 21 if not. An external exam and an ultrasound can often yield significant information for your lack of menses.Contact an obgyn if you want to go this route, but I recommend a pediatric endocrinologist. ...Read more

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I got a pelvic exam and everything looks good except for a fyrbriod in my uterius. Now why do they want me to get a biopsy fone in my uterius?

I got a pelvic exam and everything looks good except for a fyrbriod in my uterius. Now why do they want me to get a biopsy fone in my uterius?

Uterine Biopsy: Vaginal bleeding in the elderly population is assumed to be cancerous until proven otherwise. Biopsy of the uterus will give the doctor a sample to analyze for normal or cancerous tissue. While fibroids cause uterine bleeding, it is not the only cause. It is better to be safe and catch a disease process early if possible so that treatment can be started. ...Read more

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6 week checkup after birth do I have to get a pelvic exam? I had a 4th degree tear I tore all around & internally. I feel like it will be extrem painful

6 week checkup after birth do I have to get a pelvic exam? I had a 4th degree tear I tore all around & internally. I feel like it will be extrem painful

Short answer is yes: You should see your OB/GYN for an examination. You may have developed some scar tissue and if not remedied will make intercourse painful and may also cause a problem with next pregnancy. The doctor has some good choices to help relieve any pain in the exam & should give you instructions to help stretch the vaginal opening. It will take time but worth the effort. ...Read more

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Is there a way to get birth control without pelvic exam?

Yes.: Frequently a doctor doesn't need to do a pelvic exam before prescribing the pill. Occasionally it is important. Sometimes an ultrasound can be substituted instead of an exam. ...Read more

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Do you need a pelvic exam in order to get birth-control?

Hormonal, yes: Hormonal forms of contraception are still dispensed in the usa at the md's physical examination to rule out medical conditions that might preclude their use that exam for females does include a pelvic exam. ...Read more

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Do they force you have a pelvic exam in order to get birth-control?

No: You do not need to have a pelvic exam in order to get birth control medication, but you should be open and honest with your physician about your sexual practices and concerns so that he or she can be best equipped to treat you. ...Read more

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Can there be any way I can get birth control without a pelvic exam?

Can there be any way I can get birth control without a pelvic exam?

Depends on the docto: If you are not having pain, have regular periods, then you may not 'need' to have a pelvic exam in my opinion. Screening for sexually transmitted infections (gonorrhea/chlamydia) is usually recommended for young, sexually active women, but this could be done with a urine sample. Really, it will depend on the doctors personal opinion and preference. ...Read more

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My docter wants me to have a pelvic exam in order to get my refill in birth control. Why?

My docter wants me to have a pelvic exam in order to get my refill in birth control. Why?

Standard practice: This is more than a refill for an asthma inhaler. Surveillance for cancer, infection and a review of potential new risks for continuing the drugs are all part of routine use of this class of drugs. Any abnormalities on a previous exam may warrant a more frequent exam and testing. This is a simple question that you should feel comfortable asking the doc or his staff, and the answer should make sense ...Read more

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What do you suggest if my docter wants me to have a pelvic exam in order to get my refill in birth control.?

Get tested: This is a routine part of women's health. If you don't get it done, you might loose out on a chance to pick up cervical or uterine cancer in the early treatable stages. ...Read more

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I think I may have an STD and want to be checked, can I still get a pelvic exam while menstruating?

Yes and no: Many women hesitate to have pelvic exams during their periods, but their docs generally don't care. The main STD tests (e.g. gonorrhea and chlamydia) and exam of sores are fine any time. However, infections that depend on tests of vaginal fluid (trichomonas, yeast, bacterial vaginosis) are best at other times. If your symptoms are severe, disregard your period and get seen ASAP. Otherwise wait. ...Read more

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How is it that I should get a pelvic exam?

For various reasons: There are age appropriate screening tests that are recommended by appropriate authorities even though you do not have any condition. One of them is the pap smear. You can not have the test without kind of pelvic examination. On the other hand if you have pap smear done to you, it is really important you have your uterus, ovaries and the vaginal wall checked with one go. If pelvic organ complaint. ...Read more

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Can't seem to relax during pelvic exam. Get really tense and makes whole thing painful and stressful. What can I do?

Deep breathing: First off - let the medical provider know that you are uncomfortable. Second, breath in deeply through the nose, fill the lungs and hold for a count of five before slowly exhaling through an open mouth. Repeat x 12. ...Read more

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Do I need to get a pelvic exam for a yeast infection?

Do I need to get a pelvic exam for a yeast infection?

Depends on doctors.: Physical exam is the best way to see a yeast infection. Some doctors feel comfortable prescribing antifungals without physical exam. If the problem persists, though a physical exam is highly advisable. ...Read more

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Do men usually go back to the exam room with their wife or girlfriend when they get their full physical & pelvic exam?

No: Most men go with their wife for a pregnancy check or ultrasound. Usually for gynecological exam like infection check, it is best for women to go alone so they can discuss their issues in privacy and openly. ...Read more

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Will I need to get a pelvic exam to get birth control pills?

Will I need to get a pelvic exam to get birth control pills?

It depends: If you're healthy and have no risk factors for cervical disease, you need to be examined every 3 years. ...Read more

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Can you suggest how to get birth control pill without the pelvic exam?

Would not recommed: I would recommend if you see your family doc to have a very good history, physical examination and any risk factor against taking the pill. It is also important that the right kind of pill should be selected and given to you. Pelvicc examination is not mandatory but pregnancy test need to be done and breast examination also should be done ...Read more

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Went to get a pelvic exam. It felt like the doc. Scratched me, when I went to pee I saw white w/blood glob. What does this mean? First time ever

Went to get a pelvic exam. It felt like the doc. Scratched me, when I went to pee I saw white w/blood glob. What does this mean? First time ever

Hard to say: Sometimes the first pelvic exam can be a little uncomfortable. I don’t think we can guess at what sort of discharge you had without an exam. You could ask the doctor who did your exam if any abnormalities were found. Sometimes the normal vaginal discharge, cervical mucus and a small amount of blood are expelled after an exam. ...Read more

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Get myself very worked up about pelvic exam. Get upset, and tense up so doctor can't do it. Have to see a gynecologist how can I get through an exam?

Get myself very worked up about pelvic exam. Get upset, and tense up so doctor can't do it. Have to see a gynecologist how can I get through an exam?

Talk to your doc: Often I will have my patients do breathing exercises to help them relax before the exam. If you are not comfortable with your gynecologist you may want to seek another. ...Read more

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If you get referred to a gynecologist for pcos at age 17 could you deny to having a pelvic exam if you do not want to?

If you get referred to a gynecologist for pcos at age 17 could you deny to having a pelvic exam if you do not want to?

Yes: No one can force you to have pelvic exam done against your will. If you've never had sex, it may be of limited value anyway. If you've been sexually active, it will help rule out infections, cervical abnormalities on pap smear, etc. ...Read more

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How to know if I need a pelvic exam or a pap smear to get birth control?

How to know if I need a pelvic exam or a pap smear to get birth control?

Expect to: Most recommend pelvic exams by 21 or within two years of starting sexual activity. Birth control requests would fall in this category. Any sexual activity requires surveillance for evidence of cervical dysplasia or std's. Your primary care provider may refer you for specific consultations when necessary. ...Read more

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Do you have to have a pelvic exam to get birth control to regulate your period?

Do you have to have a pelvic exam to get birth control to regulate your period?

YES AND NO: IF YOU ARE STILL A VIRGIN, THEN WE DON'T USUALLY DO VAGINAL EXAMS, IF NOT, YOU NEED A PAPSMEAR AT LEAST EVERY 2 YEARS WITH AN EXAMINATION OF UTERUS AND OVARIES.
discuss THIS WITH YOUR GP TO GET THE BEST ADVICE ...Read more

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What if you don’t want to have a pelvic exam can you still get the birth control to regulate your period?

Maybe: It depends on the setting. If you are sexually active and thus at risk of sexually transmitted diseases, it is not ethical to prescribe pills without a full evaluation. If you are not, there are ways to gather basic information without a pelvic exam that are reasonable. This is something you can ask the office crew or doctors nurse before you schedule an evaluation. ...Read more

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Unbalance harmones, I have gotten birthcontrol pills, pelvic exam, they help me get my period but I stop taking them now I don't have a period again?

Unbalance harmones, I have gotten birthcontrol pills, pelvic exam, they help me get my period but I stop taking them now I don't have a period again?

Why did you stop?: You were put on the pills to balance your hormones, so you would have regular menstruation. If you stopped them, particularly if any underlying condition not found yet, then you should go back exactly as before. Discuss this with your gyn in more detail. ...Read more

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Why do you spot blood or get brownish spotting after a pelvic exam/pap smear? Only notice on toilet paper after urination.

Why do you spot blood or get brownish spotting after a pelvic exam/pap smear? Only notice on toilet paper after urination.

Maybe just ok...: Give at least one week to pass by and I would not worry as long as getting better and better day by day.

If any doubt, see and talk with professionals with a proper urinalysis to clear and address your personal concern.

Meanwhile practice healthy lifestyle and avoid any forms of overindulgence and obsession.

Best wish... ...Read more

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Do obstetricians get mad when women refuse pelvic exams or ask for c sections because of previous trauma and sexual abuse?

Do obstetricians get mad when women refuse pelvic exams or ask for c sections because of previous trauma and sexual abuse?

Refusing exam: You should never be afraid or ashamed to discuss your preferences.

When choosing a doctor call and ask about sexual trauma experience / or request a referral from a therapist / rape hotline/support group.

Every doctor is different choose one that respects and works with you. Seek counseling about your trauma and how it reframed life, Some procedures are important like PAPs. ...Read more

Fear (Definition)

I would define fear as an insecure feeling, a feeling of impending doom! This is a sort of defense mechanism we developed that help us to survive. Fear helps us from falling "off the cliffs, " as we know the consequences; and help us survive. Children unknowingly, fall off, as ...Read more