Doctor insights on:
Pelvic Exam Vs. Pap Smear
Pap vs Pelvic Exam:
For a pap, the doctor places a speculum in the vagina and uses a small soft brush to sample some cervical cells. The cells are sent to a lab to check for cervical cancer.
A pelvic exam includes a bimanual exam where the provider places a finger in the vagina and uses her other hand on the abdomen. By doing this, the doc/np is able to tell the size of uterus and ovaries. ...Read more
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
At age 21: Current guidelines recommend the first pap smear at age 21. Pap smears are to be taken every other year until age 30 and then every 3 years thereafter if you have 3 normals in a row and no abnormals for the previous 10 years. Pelvic exams should begin when you are sexually active to monitor for infections, or if you are having problems with menstrual cycles, etc. ...Read more
No.: Even if it is medically recommended. You cannot be forced a medical exam such as a pap smear or a pelvic exam. Obviously not getting tests or exams done has pros/cons. Make sure you weigh the risks of deciding or not deciding to do a certain exam or test. If pregnant, you're not just making decision for yourself, but also for baby. ...Read more
When you get a pelvic exam or an pap smear is it supposed to hurt and if its not and it do what do that mean?
Pelvic ex: Yes it can be uncomfortable.Get a more detailed 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
Is it possible to get cervical or vaginal damage during a pap smear/pelvic exam? Is there a test that can detect this problem? Or can it heal by itself?
If your doc told you they didn't want to do a pap smear because they did not want to hurt you bc the vaginna was the size of a babys why a pelvic exam?
Fear of Pelvic Exams: Perhaps this doctor does not have the experience at this time to do the pelvic exam. But a pelvic exam is needed to check for disease such as cervical disease and ovarian disease and especially if she is sexually active or has had children. Usually women over a certain age do not get them especially after 75 and not sexually active. ...Read more
Expect to: Most recommend pelvic exams by 21 or within two years of starting sexual activity. Birth control requests would fall in this category. Any sexual activity requires surveillance for evidence of cervical dysplasia or std's. Your primary care provider may refer you for specific consultations when necessary. ...Read more
Yearly mammogram: It is recommended that women over 40 get a yearly mammogram with a clinical breast examination. As far as the frequency of pelvic exam and pap smear it would be best to check with your primary health care provider or gynecologist. Perhaps another expert on HealthTap can answer that for you. ...Read more
Is it ok to start using depo before a pelvic exam or Pap smear? And what should one do to prevent bone loss on depo?
Yes: Yes. Depo Provera (medroxyprogesterone) will not affect your pelvic exam or Pap smear. Bone density that is lost while taking Depo is likely to be recovered naturally once Depo is stopped. Your risk of fracture as you age will be similar to that of someone who never took Depo. That said, you can help prevent bone loss by exercising and getting adequate calcium. ...Read more
My last pap smear/pelvic exam was 7yrs ago&came back abnormal. Because getting examined triggers my rape, I haven't seen a doctor&want to. I'm scared?
Talk to your obg/yn: Speak wit your doctor about your experiences. Let them know about the abuse and that the exam triggers flashbacks. They can work with you to help reduce tha anxiety. If you are in therapy have your therapist consult with your doctor. If your pap smear was irregular you do not want to neglect following up. Take care of yourself don't let the trauma control you or impede your health. ...Read more
Why do you spot blood or get brownish spotting after a pelvic exam/pap smear? Only notice on toilet paper after urination.
Maybe just ok...:
Give at least one week to pass by and I would not worry as long as getting better and better day by day.
If any doubt, see and talk with professionals with a proper urinalysis to clear and address your personal concern.
Meanwhile practice healthy lifestyle and avoid any forms of overindulgence and obsession.
Best wish... ...Read more
A couple skin tags now 1 tiny one inside vagina one outside. Had Pap smear in April was normal also pelvic exam, doctor said all was well. What could it?
Warts?: You need to be checked again to be sure these are not venereal warts, which can be sexually transmitted. See your doctor again. Good luck! ...Read more
I was dxed with a UTI on 12/23. I have a ob/gyn appt 12/30 for a pelvic exam/pap smear. Would the UTI effect this? Should I reschedule?
No problem: If you have a UTI now and are being treated, the infection should be gone by the time of your exam 12/30. Having just had a UTI will not interfere with an exam. ...Read more
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
What do they test for during an obgyn pelvic exam? Pap smear and then they swab for something? Do they check for non-std infections?
Some: The pap smear with ancillary testing is quite useful, not only in evaluating for cancerous and precancerous lesions, but there are also a variety of infections (both sexually and non-sexually transmitted) that can be identified in the pap smear (hpv, trich, herpes, bacterial vaginosis, candida, gonorrhea and chlamydia). However, not all infections can be seen in a pap smear. ...Read more
On oc pills for years. Spotting last month. Dr. Advises pap smear (normal in 2011) & pelvis exam. Necessary? I thought spotting on oc is not a concern
Although: Breakthrough bleeding and spotting can occur while on coc, there are many other reasons someone can spot, i.e. Cervical infection or abnormality. Your doctor wants to make sure nothing else is wrong. I would schedule a visit or give him or her a call for clarification. Good luck! ...Read more
Yesterday Routine pap smear and pelvic exam. Next day and I am having severe abdominal bloating. I look like I'm 9 months pregnant. Not sexually activ?
I spot between EVERY period. Pelvic exam, ultrasound, MRI, pap smear, blood work all normal. Can this just be normal for me? Can I stop it somehow?
Poistcoital bleeding, no std, pelvic exam and pap smear are normal only bacterial vaginosis, I don't bleed on second rounds, what is the cause?
Cervicitis?: Postcoital bleeding often means cervicitis, which often goes along with BV. Gonorrhea, chlamydia, and trichomonas are common causes, but most cervicitis has unknown causes. Ask your doctor if you have cervicitis; about the newer DNA test for trich (the older microscope exam and culture miss many cases); and maybe trying antibiotics. Anyway, keep working on it; the answer shouldn't be difficult. ...Read more
Postcoital bleeding over a yr and becoming more frequent, pelvic exam, STD tests, and pap smear all normal, only have bacterial vaginosis, wats wrong?
Cervicitis?: Spotting after sex often means inflammation of the cervix (cervicitis) or cervical ectopy, a common condition on birth control pills or other hormone contraception. It can be gonorrhea or chlamydia, but these would show up on standard STD tests. Sometimes a uterine problem. Keep working with your doctor; it should be possible to find an explanation and perhaps treatment, e.g. cervical cautery. ...Read more
I have had a great deal of tension in my pelvic floor for years. My pelvic exams and pap smears are normal. What might cause this ongoing discomfort?
Muscle imbalance: Not uncommon:pelvic floor muscle imbalance; +/- paradoxical spasm/contraction when relaxation should occur, vice versa. Can be rel. Extl (vaginismus), or intl. Can be assoc w/ dropped bladder and/or rectum commonly associated with pregnancy, pelvic surgery, e.g. Hysterectomy, internal hernias, ; some can be assoc with history of abuse. May be related to bowel issues. Physical and radiol/sono tests. ...Read more
On and off lower left pelvic pain for a year now. What can be the cause? Numerous ultrasounds, pelvic exams, pap smears & 1 CTscan. Becoming depressed
Could you have: Spasm of muscles in area, leading to pain. This would not necessarily be seen on testing. Have you ever tried a muscle relaxer from your Dr? It might help. ...Read more
I'm having immense pelvic and vaginal pain starting this morning what could it be? I've had a clear pap smear
Inadequate info: It is not feasible to provide a meaningful opinion without more history, physical examination and may be lab tests. Clean pap smear does not rule out pelvic pathology. If the pain has persisted, you should consult your doctor or go to an emergency room depending on the intensity of pain and any associated symptoms. ...Read more
So im having real bad pelvic pain got s pap smear and they found a large hard mass just had an ultrasound waiting for results what can it be?
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