Doctor insights on:
Pelvic Exam Sexually Abused Handle
I am scared of having a pelvic exam because I was sexually abused as a child. How can I handle it?
Tell Your Doctor!: Your ob/gyn physician will have experience treating patients with a history of childhood sexual abuse, and he or she can help you through it by discussing the details of the procedure beforehand and doing whatever you need to feel comfortable, including having people you trust with you for the exam. Inform your doctor well in advance of the exam and you can create a plan for the office visit. ...Read moreSee 1 more doctor answer
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
Memory flashes suggest i was sexually abused as a kid. If true, could it have caused lax ligaments in si joints/pelvis? Sacrum slips in/out of place.
Can an ultrasound substitute pelvic exams? I have a phobia of pelvic exams becz of previous sexual abuse?
No but U/S can help: Sorry to hear about your abuse. Hopefully you getting help to help heal from that. An ultrasound can be an adjuvant to pelvic exam but shouldn't replace it. Maybe ask your family, friends, colleagues if they know of a compassionate, gentle physician/practitioner who can perform the exam. Discuss it first also with whatever practioner before hand so they know the situation and can help you through ...Read more
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 moreSee 1 more doctor answer
Severe phobia of intimate medical exams (especially pelvic exams and such) due to previous sexual abuse. What can I do? Therapy didn't help :-(
Xanax (alprazolam) before exam: In situations like these, i will typically provide a med such as xanax (alprazolam) or Lorazepam or valium prior to the exam. It's taken approximately one hour prior to the exam and someone should be with you to drive you home in case you are over sedated. It will calm down the anxiety and hopefully allow you to get through the exam without any major complications.Your family doc or gyn can prescribe it. ...Read moreSee 1 more doctor answer
Can i refuse all pelvic exams if i opt for C-section 'phobia of birth, sexual abuse, over sensitivity'?
You have rights: Which allow you to defer any examination. But remember an OB make choose not to care for you if you don't allow for appropriate monitoring due to the dangers that stem from this. Someone needs to monitor your cervical health during pregnancy as it provides doctors with important information, particularly if something concerning is happening. ...Read moreSee 2 more doctor answers
Trust a problem: There is usually a problem with trust. Since the abuse is usually at the hands of someone she trusted, it is hard for her autonomic system to trust that you, too, won't abuse her someday. Maybe today. So sexual responses can be inhibited - or even exaggerated. Hard for her to know she is loved for herself (how valuable could i be if someone could do that to me? But with therapy+time it can work! ...Read moreSee 1 more doctor answer
Quite possibly: Some parents of children who have been sexually abused have felt overwhelming guilt and self-blame that they could not protect their child. Also, a child being sexually abused is more than enough to traumatize the parent. Any of these feelings and others can be worked through safely with a trusted psychologist/therapist. ...Read more
I am feeling comfortable talking to my brother. Could I have been sexually abused in the past a child and i can't remember it, what to do?
Be careful: If you are being cared for by a therapist, professional or lay, competent or not, and that therapist is focusing on trying to get you to remember "forgotten sexual abuse", then please get a second opinion. You may be under the care of a gravely misguided individual who can do enormous harm to you and those you love. ...Read moreSee 1 more doctor answer
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