Top
30
Doctor insights on: Pelvic Exams Breaking Hymen

Share
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


2

2
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

3

3
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

4

4
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

5

5
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

6

6
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

7

7
What do doctors do at pelvic exams?

What do doctors do at pelvic exams?

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

9

9
At what age do they stop doing pelvic exams? Hysterectomy

At what age do they stop doing pelvic exams? Hysterectomy

For life: We recommend that pelvic exams be done for your entire life. Sometimes pap smears are not necessary later in life, though. The frequency of both should be recommended by your gynecologist based upon your individual history. ...Read more

10

10
Can one be sedated or given pain medication if pelvic exams are painful?

Can one be sedated or given pain medication if pelvic exams are painful?

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

11

11
How do doctors handle pelvic exams for virgins? Quick answer would really help

How do doctors handle pelvic exams for virgins? Quick answer would really help

You don't need one: If you have never been sexually active you do not need an internal exam unless you are having a concern, like pain, discharge, bleeding problems. ...Read more

12

12
Pelvic exams are always very painful for me. I do have endometriosis. What does this mean?

Pelvic exams are always very painful for me. I do have endometriosis. What does this mean?

Makes sense: Those two very often go together. If you do not have a certain (surgical) diagnosis of endometriosis, painful exams doe snot mean that's what it is. Treatment of the endo is the solution to the problem. Good wishes. ...Read more

13

13
I have endometriosis and pelvic exams are always very painful for me. What does this mean?

I have endometriosis and pelvic exams are always very painful for me. What does this mean?

Multiple reasons: You could have multiple different reasons for pain during and after exams. You may have pelvic floor muscle spasms, vulvodynia, endometriosis, painful bladder syndrome among others. You should be carefully evaluated by pelvic pain specialist. ...Read more

14

14
What should I expect for a first pelvic exam?

Pelvic Exam: You should expect an examination of your pelvic area, vaginal exam, pap smear and other tests as needed. ...Read more

15

15
What is the recommendation for a 28 yr old virgin regarding pelvic exams? Do I need to do them? Thanks.

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

16

16
What is a pelvic exam?

What is a pelvic exam?

Genital (gentle)check: It is a gentle examination both with an instrument (specula) and digitally of the pelvic and surrounding structures conducted by a MD in his/her office to check for abnormalities. It often includes a pap smear to check to cervical cancer. ...Read more

17

17
Why does my pelvic exam hurted?

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 more

18

18
How can I relax during pelvic exam?

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

19

19
First pelvic exam, what is involved?

First pelvic exam, what is involved?

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

20

20
Will a pelvic exam hurt if I'm a virgin?

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

21

21
What happens during a female pelvic exam?

What happens during a female pelvic exam?

A lot: A pelvic exam is an uncomfortable part of being a woman. The goal of the pelvic exam is to look at the vulva, vagina and cervix, and ensure there are no problems. That is done with a speculum. The uterus and ovaries are then palpated to evaluate for any large masses. The entire exam is usually less than 5 min. ...Read more

22

22
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

23

23
What happens when going in for a pelvic exam?

What happens when going in for a pelvic exam?

Its quick: You and your doctor will chat about why you are there. If an exam is needed, a small speculum is inserted into the vagina. Swabs of the cervix and other samples will be taken. Your doc may need to insert a gloved finger to check the uterus and ovaries. Its very quick and you are done. Best wishes! ...Read more

24

24
When I took my pelvic exam it hurted my pelvic?

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. They need to look for the reason. ...Read more

25

25
How do you know that your pelvic exam was normal?

Ask the doctor: A pelvic exam includes a bimanual exam as well as a pap smear and a visual evaluation of the cervix. The pap smear results usually take 4-5 days to come back. The rest, the doctor or nurse practitioner who did the exam can tell you during the exam. ...Read more

26

26
At what age should I receive my first pelvic exam?

21: Previous guidelines recommended that every woman have a pelvic exam by the age of 21 or 3 years after the onset of sexual activity. However, newer recommendations omit the 3-year rule and simply state that women should have their exam by age 21. ...Read more

27

27
What can I expect when going in for a pelvic exam?

What can I expect when going in for a pelvic exam?

Cancer check: A pap test looks for cervical cancer. The doctor will inserrt a speculum into the vagina to look at the cervix and take a sample of cervical cells to send to the lab. ...Read more

28

28
Please explain what happends during a pelvic exam?

Please explain what happends during a pelvic exam?

Its quick: You and your doctor will chat about why you are there. If an exam is needed, a small speculum is inserted into the vagina. Swabs of the cervix and other samples will be taken. Your doc may need to insert a gloved finger to check the uterus and ovaries. Its very quick and you are done. Best wishes! ...Read more

29

29
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

30

30
What is the definition or description of: pelvic exam?

Pelvic 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 other hand up top. ...Read more

Hymen (Definition)

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