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Doctor insights on: Rectal Exam And Pelvic Exam Same Time

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Do you have a rectal exam during a pelvic exam?

Do you have a rectal exam during a pelvic exam?

Yes: With rare exceptions, i recommend a rectal exam with the pelvic exam. It allows the doctor to feel behind the uterus making it easier to detect ovarian cysts or nodularity of endometriosis, in women over 40, it provides an exam of the rectum which can show occult polyps or even cancers. I feel the rectal exam adds to the completeness of the pelvic exam allowing a true clean bill of health. ...Read more

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Dr. Srbislav Brasovan
317 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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Do GYN's normally do a rectal exam with a yearly pelvic exam? I go every year and have never heard of it until Internet searching. I'm 24

Do GYN's normally do a rectal exam with a yearly pelvic exam? I go every year and have never heard of it until Internet searching. I'm 24

Thorough exam: A thorough pelvic exam includes rectal examination. Some medical providers might not do a rectal examination at every exam for every patient. Physicians often tailor well exams to the needs of the individual patient. ...Read more

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Can i ask gastro dr. If i can be nude for pelvic / rectal exam (instead of gown)?

Can i ask gastro dr. If i can be nude for pelvic / rectal exam (instead of gown)?

Yes, but....: You can ask - but physicians are trained to protect a patient's sense of modesty. Normally a gastroenterologist does not perform pelvic examinations. I think that if this request was made of me, as a physician i would wonder why. I would probably want a standby in the room through out. ...Read more

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Went to gyno recently for Papsmear & realized later on that my dr. did not do the usual pelvic exam part. Is this bad that she skipped it this time?

Went to gyno recently for Papsmear & realized later on that my dr. did not do the usual pelvic exam part. Is this bad that she skipped it this time?

Not bad: If you do not have any symptoms, missing a pelvic examination at the time of PAP smear is not something to be concerned about. You should bring it up with your gyno at the next visit. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, low fat milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex. Get HPV vaccine. ...Read more

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Pain on lower ab by ovaries, no period after taking pill. Do i need to see the gyno again for pelvic exam last time it was when almost 18, 2 yrs ago?

Pain on lower ab by ovaries, no period after taking pill. Do i need to see the gyno again for pelvic exam last time it was when almost 18, 2 yrs ago?

Yes: I believe that you are implying that you were not getting a period, and were not able to 'induce' a period using the pill. I hope that my assumption is correct - if i am, this is called 'secondary amenorrhea' if you previously did get a period. This should prompt a more thorough workup of causes and yes, you should see your doctor. ...Read more

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I had a ultrasound and pelvic exam done and the doctor said it was a miscarriage and my hcg levels at that time were 15. I just don't understand.

I had a ultrasound and pelvic exam done and the doctor said it was a miscarriage and my hcg levels at that time were 15. I just don't understand.

See below: It is likely that you had spontaneous loss of an early pregnancy, which is not uncommon. About 25% of early pregnancies are lost, mostly due to chromosomal defects in the embryo. Usually the only manifestation is a slightly heavy, delayed period. Your HCG at 15 suggests that you were pregnant but lost the embryo. An HCG level greater than 25 is diagnostic of pregnancy. You may consult this site: http://www.mayoclinic.org/diseases-conditions/pregnancy-loss-miscarriage/home/ovc-20213664 ...Read more

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Postcoital bleeding most times wen dry for over a yr, no std, pap smear and pelvic exam are normal, what could be the cause, becoming a bother :/?

Postcoital bleeding most times wen dry for over a yr, no std, pap smear and pelvic exam are normal, what could be the cause, becoming a bother :/?

Lubricant: If you have had a negative pelvic exam this may simply be due to trauma to the mucosal wall of the vagina because of lack of lubrication. There are numerous OTC products available. Check Amazon, CVS, etc. Also, Cosmopolitan magazine has had articles about this. Good luck and I hope this helps. ...Read more

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Dr diagnosed external hems 4 weeks ago. Had rectal bleeding 3 times last week. Rectal exam showed none today. Was blood caused by rhoids or cancer ?

Dr diagnosed external hems 4 weeks ago.  Had rectal bleeding 3 times last week.  Rectal exam showed none today.  Was blood caused by rhoids or cancer ?

Probably: If the blood was bright red and not mixed with stool, it is quite likely that you bled from the hemorrhoids. However to be sure, I recommend that a proctologist or colorectal surgeon start with a simple flexible sigmoidoscopy which visualizes the descending colon and would be good evidence in ruling out internal hemorrhoids, benign polyps, ulcerative colitis,or malignant growths. ...Read more

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Lower left abdominal pain, fever of 99.7. my physical last Tuesday, at that time my doctor did a rectal exam, test pos. for blood, ?

Lower left abdominal pain, fever of 99.7.  my physical last Tuesday, at that time my doctor did a rectal exam,  test pos. for blood, ?

LLQ pain: Left lower quadrant pain with low grade fever and stool positive for blood probably related to colon pathology. Some common causes are infection, colitis, diverticulitis or inflammatory bowel disease. Contact your physician, even though you had a recent physical you may need to be checked out when you are symptomatic, ...Read more

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Bright red blood in stool one time. Rectal exam showed no evidence of internal or external hemorrhoids. No pain. Drank 3 beers previous night. 30 yrs.

Bright red blood in stool one time. Rectal exam showed no evidence of internal or external hemorrhoids. No pain. Drank 3 beers previous night. 30 yrs.

Need further eval: 3 beers should have nothing to do with having rectal bleeding, but are at the upper limit of what is considered a safe drinking range for women (4 or fewer and average of 1 or less drink per day). If a rectal exam did not show any cause, it would be prudent to get a referral to a GI specialist to see if they felt that a proctoscopy or colonoscopy was indicated, depending on personal/family history. ...Read more

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I am 20 years old and I have been trying toget pregnant . Been off birth control for some time so what's theproblem . My pelvic exams are fine , my spouses sperm count is good. Any advice ?

I am 20 years old and I have been trying toget pregnant . Been off birth control for some time so what's theproblem . My pelvic exams are fine , my spouses sperm count is good. Any advice ?

An : An ovulation predictor kit is a good idea. If you have ever had chlamydia, gonorrhea, or a pelvic infection then there is a chance your tubes may be blocked. This can be checked by your ob/gyn with a dye x-ray test (hysterosalpingogram). For most young people, you just need more time. ...Read more

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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

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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

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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

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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

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What does it mean when you have pain in a pelvic exam ?

Many reasons: There are a lot of possible reasons. It depends on where the pain is located. You should let the examiner know about the pain. The possible reasons include thinning tissue as a woman enters menopause, infections, muscle spasms, pelvic masses, scar tissue and others. ...Read more

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A pelvic exam is recommended for females, what about for males?

A pelvic exam is recommended for females, what about for males?

Good question: Men do not much pelvic content as their organs of reproduction are external. The prostate gland, which only males have, is behind the lining of the pelvis, and can and should be examined rectally in men. ...Read more

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Is 15 to young to have a pelvic exam because have feeling somethings wrong?

No, but she may : Need time alone with her pediatrician, an adolescent medicine specialist or a gynecologist who is comfortable treating adolescents. All pediatricians have training in adolescent medicine. Start by taking her to her trusted pediatrician, who will either be able to make a diagnosis or determine if she needs to see a specialist. ...Read more

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I'm aged 22 and I'm a virgin and I just wondered if its still required for me to have a Pelvic Exam?

I'm aged 22 and I'm a virgin and I just wondered if its still required for me to have a Pelvic Exam?

Recommended: I recommend that anyone sexually active have a GYN exam. If as in your case, you are not, I recommend having an initial exam somewhere around your age as good routine healthcare and so that any questions you may have can be addressed. ...Read more

Rectal Exam (Definition)

A rectal exam is where a practitioner examines the last part of the colon (or rectum) by placing a finger or small plastic scope through the anus. This is important to detect issues such as prostate problems, continence disturbances, rectal cancers, and more. While often uncomfortable for patients it is very short and gives a lot of ...Read more