Doctor insights on:
Pelvic Exams Menstruating
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 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 moreSee 1 more doctor answer
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
The menstrual cycle begins with the shedding of the uterine lining, resulting in bleeding from the vagina. A few weeks later, one ovary releases an egg and the uterine lining thickens in preparation for a potential pregnancy. Pregnancy can occur at this stage if sperm fertilizes the egg. If the egg is not fertilized, the egg will leave your body and ...Read more