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Doctor insights on: Pelvic Exam Doctor Accidently Tear Hymen

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When having a pelvic exam can the doctor accidently tear the hymen while looking at the cervix?

When having a pelvic exam can the doctor accidently tear the hymen while looking at the cervix?

Yes: If the hymen is intact, with rare exceptions, the doctor should not be looking at the cervix. Virginal women cannot have cervical disease. If there is some reason to be looking at the cervix, such as unexplained bleeding or pain or exposure before birth to DES or trauma, the exam should be done by a doctor equipped with methods of exam that are less invasive. ...Read more

Dr. Srbislav Brasovan
322 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'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

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I need help with my pelvic exam report. What is having a Virginal Introitus (It's Not vaginal introitus) mean on a pelvic exam? Is my hymen intact?

I need help with my pelvic exam report. What is having a Virginal Introitus (It's Not vaginal introitus) mean on a pelvic exam? Is my hymen intact?

Description: The vaginal orifice is an introitus that leads to the vaginal canal. Virginal simply refers to the fact that the Doctor dictating the report (whom did your pelvic exam) is under the impression that you are a Virgin. You cannot infer that your hymen is intact purely from this description. Hope this helps. ...Read more

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What's the pecess of a pelvic exam? To test the hymen

What's the pecess of a pelvic exam? To test the hymen

A pelvic exam: Is done to check the vagina and cervix and to do a pap smear to look for pre cancerous cells the hymen is not a part of the exam ...Read more

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Could Virginal Introitus on a pelvic exam in my medical records mean I have an imperforate hymen? It does not say vaginal introitus, but virginal?

Could Virginal Introitus on a pelvic exam in my medical records mean I have an imperforate hymen? It does not say vaginal introitus, but virginal?

No: "Virginal introitus" doesn't have much meaning. It does not mean "imperforate hymen". The reason "virginal introitus" doesn't have much meaning is because a doctor usually cannot tell by looking, whether or not a woman has technically had sexual intercourse (a penis has entered the outermost space of her vaginal area). ...Read more

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What is my doctor checking when he does my pelvic exam?

Pelvic exam: During pelvic exam one does general evaluation of external genital organs, vagina and muscular support of it, cervix appearances and pap s, ear is done. Internal bimanual exam tells us size and position of uterus and ovaries. ...Read more

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Tips on how to decline a pelvic exam during my doctor's visit?

Why Pelvics?: You will not have to convince your doctor--a simple refusal is adequate. However, think twice about refusing if you are due for an exam. Early detection is the key to successfully treating cancers of the breast, cervix, and endometrium. ...Read more

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Can my doctors feel blocked ovaries during pelvic exam?

Can my doctors feel blocked ovaries during pelvic exam?

Enlarged Ovaries: A physician performing the appropriate physical exam could feel enlarged ovaries, but the term "blocked ovaries" is not something that is noted on a typical exam. ...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 don't: 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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Doctor wants to do pelvic exam. What is involved and will it hurt?

Doctor wants to do pelvic exam. What is involved and will it hurt?

Routine exam: Not pleasant, but not generally painful for most.
Abdominal and vaginal palpating. Most will include rectal digital exam.
A device called a speculum is inserted to allow visual exam of cervix and vaginal walls to determine irritation, infections, cancer etc. ...Read more

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During a pelvic exam, what kind of things is the doctor usually testing for?

During a pelvic exam, what kind of things is the doctor usually testing for?

Depends on age: Routine gynecologic tests for cervical cancer and sexually transmitted infections (gonorrhea and chlamydia) are the most common tests under age 25, over age 25 it is usually just a pap smear. Swabs may be obtained to rule out infections if an unusual discharge is noted. ...Read more

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Can a doctor tell if you're sexually active through a pelvic exam?

Doctors and Sex: Most unlikely. That is unless the hymen is obviously damaged or not intact. But, I doubt that any physician would be surprised or judgmental if they thought you were or are sexually active. Most people of a certain age have become sexually active.... Now a physician may be concerned that you need to learn birth control and how to prevent stds. That would be my guess if any reaction is evident. ...Read more

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How do doctor's see/confirm someone was raped when doing a pelvic exam?

How do doctor's see/confirm someone was raped when doing a pelvic exam?

See answer: A "rape kit" is used: consists of small boxes, microscope slides + plastic bags for collecting + storing evidence such as clothing fibers, hairs, saliva, semen or body fluid, which may help identify the assailant and provide evidence supporting prosecution in a criminal trial. Done properly, the process of collecting evidence for the kit can take hours. Victim can accept/decline any part of exam. ...Read more

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If I had herpes inside my urethra would a doctor know after doing a pelvic exam?

If I had herpes inside my urethra would a doctor know after doing a pelvic exam?

Only if visible: Dr. Would be able to see it only if clearly visible on the outside of the urethra. If the lesions are even inside by 1/8 of an inch, this would not be visible. If you are concerned, you should see a urologist and a cystoscopy could be done in the office to check this out. The procedure is not painful, and will put your mind at ease. ...Read more

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Do doctors have to do a biopsy to see if I have vaginal eczema or just a pelvic exam?

Do doctors have to do a biopsy to see if I have vaginal eczema or just a pelvic exam?

It depends: There are many skin diseases that may mimic eczema in the vagina area. This is why your dr. May be suggesting that you have a skin biopsy. ...Read more

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Is it normal to become sexually aroused during a pelvic exam? When this happens can my doctor tell this is happening to me?

Yes and no: It is normal to get aroused during the exam and no the doctor will not be able to tell during a normal exam. ...Read more

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Do I need family doc. For check ups? Only have specialists. What happens during a check-up? Will they re-do a pelvic exam if I had one w/ gyno in feb?

Do I need family doc. For check ups? Only have specialists. What happens during a check-up? Will they re-do a pelvic exam if I had one w/ gyno in feb?

Family doctor: Yes you do need a family physician to correlate all the data relating to your health. You may see fewer specialists with fewer unnecessary tests done. I doubt your physician (family) would find it necessary to redo recent exams unless there was a concern. ...Read more

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I am having pelvic pain and have some inflammation will I have to be examined by a doctor to have a pelvic exam or can I just tell him, scared of it?

I am having pelvic pain and have some inflammation will I have to be examined by a doctor to have a pelvic exam or can I just tell him, scared of it?

Pelvic exam: Tell the doctor (it might be a female gyn) that you are sensitive and scared of the pelvic exam. They will try to make the examination a better experience. They need to visualize the pelvis external and internal and take some samples of tissues to find out what is causing the pain and inflammation. Good luck! ...Read more

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Intense cramp pain following pelvic exam. Should I call doc? Is this normal? Exam was also painful.

Intense cramp pain following pelvic exam. Should I call doc? Is this normal? Exam was also painful.

Pain correlation: The painful exam may be correlated to the present cramping pain. Give your examining MD a call and see if there were other findings at the exam that also may have been a cause. ...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 your doc told you they didn't want to do a pap smear because they did not want to hurt you bc the vaginna was the size of a babys why a pelvic exam?

If your doc told you they didn't want to do a pap smear because they did not want to hurt you bc the vaginna was the size of a babys why a pelvic exam?

Fear of Pelvic Exams: Perhaps this doctor does not have the experience at this time to do the pelvic exam. But a pelvic exam is needed to check for disease such as cervical disease and ovarian disease and especially if she is sexually active or has had children. Usually women over a certain age do not get them especially after 75 and not sexually active. ...Read more

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If I go to the doctor, when do they have to do a pelvic exam/pap smear/mammogram?

If I go to the doctor, when do they have to do a pelvic exam/pap smear/mammogram?

Yearly mammogram: It is recommended that women over 40 get a yearly mammogram with a clinical breast examination. As far as the frequency of pelvic exam and pap smear it would be best to check with your primary health care provider or gynecologist. Perhaps another expert on HealthTap can answer that for you. ...Read more

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Can a doctor diagnosis vaginal pain w/ symptoms and blood work or do they have to do a pelvic exam?

Pelvic exam needed: Asking a doctor to diagnose vaginal pain symptoms without a pelvic exam is like taking your car to a mechanic and asking him/her to tell you what the problem is with it without opening the hood. ...Read more

Hymen (Definition)

A membranous fold of tissue that partly or completely occludes ...Read more