Doctor insights on:
Pelvic Exams Breaking Hymen
I'm a virgin and pelvic exams are still uncomfortable. Was recomm vaginal dilators. Would these break hymen? Not my intention. I just want ease w/exam
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
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 moreSee 1 more doctor answer
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
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 moreSee 2 more doctor answers
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
Look and feel:
We use speculum (duckbill thing) to separate vaginal walls so we can see the vaginal canal&the cervix. It also allows us to place things in the vagina/cervix such as swab/brush for Pap smears (that take the superficial, shedded cells in cervix/vaginal for exam) and instruments for biopsy.
We do the bimanual and rectovaginal exams to feel if there is any abnormal masses, tenderness, or scarring ...Read more
Not usually: A pelvic exam really should not be painful, if it is then that tells the examiner that something is wrong, and that needs to be investigated. Some patients have pain just with touch in the genital area, that may be a reflex response that relates to past experiences, it needs to be dealt with so a patient can have sexual relations. I have never sedated a patient for a normal exam. ...Read more
What is the recommendation for a 28 yr old virgin regarding pelvic exams? Do I need to do them? Thanks.
Standards: The common standard for this exam is starting within 6 months of initial sexual activity or age 21. There are ways to modify the exam on virginal patients, using ultrasound and special speculums. Verifying the presence and size of uterine and ovarian structures is important. There are risks of having the equipment whether you are sexually active or not. ...Read more
Pelvic exam: A pelvic exam is an uncomfortable exam both physically and sometimes mentally for some patients. It should not cause pain. If it did you should take to the health care provider who did the exam to make sure that they know so they can look for the reason. ...Read moreSee 1 more doctor answer
You're in charge: First and foremost, know that you are in charge. You need to voice your concerns and fears with your MD. He or she should then be able to talk you through it. Keep breathing, otherwise you will tense up and make it more uncomfortable. ...Read more
1st gyne exam: You'll want to let the doctor know it's your 1st exam. Stay dressed to meet ; talk. The doctor will have you undress, lay back ; put your feet in "stirrups". He/she will gently examine the outside, place a "speculum" in the vagina to hold the walls open to be examined, look at the cervix ; finally place 1 or 2 lubricated fingers inside to feel the uterus ; ovaries. Ideally, this will not hurt. ...Read more
Not usually: The first pelvic exam is usually more scary than painful. If you have used a tampon, it should feel no more painful than that. If not, it may be a strange sensation to have any touching in that area, but concentrating on letting your muscles go loose and letting your legs fall apart is helpful. Your doctor will help explain what to expect to avoid any surprises. ...Read more