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Doctor insights on: Vaginal Examination

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Why are women forced to undergo a per vaginal examination every year?

Why are women forced to undergo a per vaginal examination every year?

None: No one should be "forced" to have a pelvic examination. However, it is recommended to have yearly exams to evaluate for conditions you would not normally find on your own such as prolapse (dropping of organs), growths, masses, skin/mucosal disease, abnormal discharge, periodic cancer screening... If these exams are uncomfortable for you please communicate this to your doctor. He/she can address ...Read more

Dr. Srbislav Brasovan
322 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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What occurs during a vaginal examination?

What occurs during a vaginal examination?

Speculum: A doctor uses a bivalve instrument, called a speculum, by inserting it gently into the vagina to unfold the vagina to get a look specifically at the cervix and potentially to do swabs for infections and for cervical cancer screening. A bimanual exam is when the doctor enters one or two fingers of the one hand into the vagina and palpates the ovaries and the uterus with the opposing hand. ...Read more

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How infection caused by per vaginal examination?

How infection caused by per vaginal examination?

Pelvic examination: An infection after a pelvic examination would be very, very, very rare. More likely there was already a vaginal infection starting that was not bad enough to be picked up yet. ...Read more

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Vaginal swelling and itching day after annual pelvic exam. No symptoms prior to exam. What caused this?

Vaginal swelling and itching day after annual pelvic exam. No symptoms prior to exam. What caused this?

Irritation: Possible irritation reaction to the exam instrument or lubricant if used. Topical steroids may relieve symptoms. ...Read more

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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

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Do doctors have to do a biopsy to see if I have vaginal eczema or just a pelvic exam?

Do doctors have to do a biopsy to see if I have vaginal eczema or just a pelvic exam?

It depends: There are many skin diseases that may mimic eczema in the vagina area. This is why your dr. May be suggesting that you have a skin biopsy. ...Read more

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I've had beige vaginal discharge for the past 24 hours. I had a pelvic exam 5 days ago during which I bled from cervix. Could this be related?

I've had beige vaginal discharge for the past 24 hours. I had a pelvic exam 5 days ago during which I bled from cervix. Could this be related?

Yes likely: If you had bleeding during your pelvic exam then yes it is likely the discharge is related to the bleeding and will likely resolve on its on. ...Read more

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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

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Can a doctor diagnosis vaginal pain w/ symptoms and blood work or do they have to do a pelvic exam?

Can a doctor diagnosis vaginal pain w/ symptoms and blood work or do they have to do a pelvic exam?

Pelvic exam needed: Asking a doctor to diagnose vaginal pain symptoms without a pelvic exam is like taking your car to a mechanic and asking him/her to tell you what the problem is with it without opening the hood. ...Read more

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I'm having very heavy vaginal bleeding every other week I went to ER my pelvic exam and blood tests were all normal what do I do bleeding is back?

I'm having very heavy vaginal bleeding every other week I went to ER my pelvic exam and blood tests were all normal what do I do bleeding is back?

Hormonal pills: It seems you need pills to regulate your menses. They also confer upon you protection from unintended pregnancies. Talk to your GYN for options or set up a consult on healthtap.
Best Wishes
Dr M ...Read more

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I have lower left pelvic pain, intense vaginal cramps and bright red bleeding. I'm a virgin can I have PID? Normal pelvic exam. Douched days earlier.

I have lower left pelvic pain, intense vaginal cramps and bright red bleeding. I'm a virgin can I have PID? Normal pelvic exam. Douched days earlier.

See doctor: Depending on when the pain started and when your period is due there are many causes of pelvic pain. The only way to figure this out is to see your doctor for a physical exam and possible testing. If you have never had unprotected intercourse then there is no way you would have PID. ...Read more

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Can the gyn doctor see if you have any STDs from looking at your vaginal area when he does the pelvic exam?

Can the gyn doctor see if you have any STDs from looking at your vaginal area when he does the pelvic exam?

Sometimes: There are some std's that cause vaginal discharge that can be quite distinctive on examination but usually you need confirmatory tests by looking under a microscope or doing a lab test to be sure. Some std's don't have any signs or symptoms in girls and the only way to diagnose them is to do a routine screen. For example gonorrhea and chlamydia are tested routinely in girls under 25 due to risks. ...Read more

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I have severe vaginal burning. Been tested for uti, bacterial vaginosis, sti's and have have a pelvic exam. Everything is normal they are saying.

I have severe vaginal burning. Been tested for uti, bacterial vaginosis, sti's and have have a pelvic exam. Everything is normal they are saying.

Vaginitis: Most cases are due to infection. Irritant vaginitis can be to allergies to condoms, spermicides, soaps, perfumes, douches, lubricants and semen. It can also be caused by hot tubs, abrasion, tissue, tampons or topical medications. Foreign bodies (most commonly retained tampons or condoms) cause extremely malodorous vaginal discharges. Hormonal deficiency is rare at your age. ...Read more

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In bimenual pelvic exam of daughter, how doctor check labia minora and majora & anus internally-not externally by inserting 2 fingers in vaginal wall?

In bimenual pelvic exam of daughter, how doctor check labia minora and majora & anus internally-not externally by inserting 2 fingers in vaginal wall?

Please Clarify: I am sorry, but I do not get the question or the concern. Please explain what you are worried about. Do you think the doctor missed something? ...Read more

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Pelvic exam Pap - blood work -good - vaginal sores =ingrown hair - why does it still feel like my vagina is on fire don`t see my doc again for 7 days?

Pelvic exam Pap - blood work -good - vaginal sores =ingrown hair - why does it still feel like my vagina is on fire don`t see my doc again for 7 days?

Vaginal sores?: Did the doctor see those vaginal sores and ell your what they were? If not, see the MD again be sure to have them evaluated and treated. In grown hair infections can produce soreness, but so does herpes. ...Read more

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In a checkup for GW, the Dr touched my public area by gloves then performed a pelvic exam with the same gloves. Can hpv transmit to my vagina by glove?

In a checkup for GW, the Dr touched my public area by gloves then performed a pelvic exam with the same gloves. Can hpv transmit to my vagina by glove?

Already there: If you had HPV in your pubic area it would already have plenty of access to your vagina. Past sexual activity or routine self care in the area would provide more exposure than a simple exam with a set of gloves. The gloves are there to prevent germ transfer from the examiners hands to you (and back to them). New gloves for every stage of an exam are unnecessary. ...Read more

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Cramping pain after trans-vaginal ultrasound and pelvic examination, why? And normal?

Cramping pain after trans-vaginal ultrasound and pelvic examination, why? And normal?

Normal: It is not uncommon to have cramps after a transvaginal US or pelvic exam, since a foreign body - ultrasound probe or gloved hand often causes release of prostaglandins leading to uterine cramping. Try taking ibuprofen or naproxen for symptoms, then night before and morning of procedure next time to reduce symptoms. ...Read more

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Cramping pain after trans-vaginal ultrasound and pelvic examination, why? And normal? Not virgin.

Cramping pain after trans-vaginal ultrasound and pelvic examination, why? And normal? Not virgin.

Normal...: During a transvaginal ultrasound (and pelvic exam) pressure is applied to your internal organs and they are moved around quite a bit. This can cause some cramping. Its common and not abnormal when it happens. Best wishes! ...Read more

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Hi I am getting thick and lots of vaginal discharge my Dr. Says that it don't have thrush. She did a physical examination?

Hi I am getting thick and lots of vaginal discharge my Dr. Says that it don't have thrush. She did a physical examination?

Chlamydia or Candidi: I would still treat it as thrush or Chalmydia. Col our is important for identification which what I think the doctor did. But I would er on the side of one of the two ...Read more

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Having my first pelvic exam and breast examination, I need advice please?

Don't worry!: Your examining physician should be told (by you) that this is your first exam, so s/he can explain the steps and reassure you. Neither examination is painful if properly performed, and you need not be embarrassed or worry one bit. Best wishes. ...Read more

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How to cure vaginal cuts?

How to cure vaginal cuts?

Depends on size&caus: It depends on the size of the cut and what caused the cut. Large cuts may need to be sutured and small cuts will heal by itself just use a local antibiotic cream like Bacitracin to prevent infection but not inside the vagina. ...Read more

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What's the cause of vaginal cuts?

What's the cause of vaginal cuts?

Vaginal Environment: I am not sure what you mean by 'cuts' but this is not common or normal. I would advise an urgent visit to be evaluated at the family medicine clinic. ...Read more

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How do you cure/fix vaginal odors?

How do you cure/fix vaginal odors?

Diet and exercise: Often the flora (bacteria) of our vagina is affected by things like our diet and exercise and sleep and stress. Sometimes an odor can occur in response to outside, e.g. Change in soap, detergent, lubricant, new sex partner, etc. I recommend trying to find reason for odor first, and then try to treat with probiotics or making more of the good bacteria, lactobacilli. If still bothersome, see a md. ...Read more

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