What is done at the reception at the gynecologist. Vaginal examination - examination by a gynecologist. The indicators of the presence of the disease are
![What is done at the reception at the gynecologist. Vaginal examination - examination by a gynecologist. The indicators of the presence of the disease are](https://i1.wp.com/colady.ru/wp-content/uploads/2014/01/pervyj_priem_ginekologa.jpg)
Anna Mironova
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A visit to the gynecologist is not an easy task for some, but it is necessary to cope with it, because sooner or later you will have to make this important visit to a specialist for health.
Today, together with the magazine site, we will try to understand the intricacies of this process.
When should you plan your first trip to the gynecologist?
Teenage girls and young women are most afraid of the first gynecological examinations, considering this procedure quite intimate, feel shame and fear. But believe me, you should not be afraid of these tricks - it’s better to check everything in time so that do not miss the moment for treatment
if needed.
The fear of visiting a gynecologist is often associated with the incompetence of many specialists, and with a careless attitude towards the patient, and with a lack of understanding of medical terms. All this can frighten patients who next time will try to delay the moment of visiting a gynecologist.
The problem of shame and fear can be solved by passing the first examination in a specialized medical center , where the percentage of qualifications of specialists and the attentiveness of the staff is still higher than in ordinary medical clinics.
When should you go to the gynecologist for the first time?
The first visit to the gynecologist should be done after the onset of the first menstruation - at about 15-17 years old, or after the onset of sexual activity . Doctors recommend getting tested Twice a year , regularly taking tests to prevent the possibility of developing various diseases. A health check is also required. when changing sexual partner .
Often doctors may look or speak accusingly. But always remember that You don't have to make excuses
for certain actions before the doctor - this is your life. Doctors are only obliged to warn you or give a recommendation. Therefore, at the doctor's office always tell the truth, be confident
when communicating.
How to prepare for the first appointment with a gynecologist - important rules
- For a neater look you can shave off the hairs in the genital area - but again, it's up to you. It is better to shave in advance - 1-2 days before the appointment, so that irritation does not appear if this procedure is irregular for you.
- Reception in the morning, of course, suggests that take a shower in the morning and you will look decent. With a reception in the evening, of course, it is more difficult, but still find an opportunity to wash yourself with warm clean water without any means.
- Absolutely do not douche or wipe with napkins for intimate hygiene, as this may show a false picture during the examination, and the doctor will not notice the true problem in your health, if any.
- If you have recently been treated with antibiotics - postpone the visit to the gynecologist for 1-1.5 weeks . Such drugs affect the microflora of the vagina, and also, when taken, they will show a false picture of health.
- Tests for infections should be taken before or immediately after menstruation , visits to the doctor are better to do on day 5-6 of the cycle . During menstruation, visits to the doctor without the necessary reasons are not recommended.
- Take a diaper with you to lay on the gynecological chair and socks to wear them during the reception. In paid medical centers, this is usually not required, since disposable diapers and shoe covers are used.
- Also prepare doctor's list of questions if you have them.
The first gynecological examination - how does the first gynecological examination take place?
The first examination by a gynecologist consists of several steps:
![](https://i2.wp.com/colady.ru/wp-content/uploads/2014/01/pervyj_priem_u_ginekologa.jpg)
The entire appointment with a gynecologist takes approximately 10-15 minutes , during this time you will have time to "talk", undergo an examination on a chair, undress and dress.
We hope our story will help you no longer be afraid of going to this specialist and your very first visit to the gynecologist will pass. without fear or doubt.
Medicine includes many different areas and directions. These are specialists involved in neurology and the locomotor apparatus, physicians who help treat blood vessels, and neurosurgeons. Also, often a person has to turn to therapists, cardiologists, ophthalmologists and other doctors. What is a gynecologist? This question often arises among the fairer sex. After all, it is they who have to deal with this health worker. This article will tell you about what you will learn about some of the varieties of this industry.
What is a gynecologist?
First of all, a gynecologist is a specialist who graduated from a higher medical educational institution. Also, this person must undergo an internship and practice. Only after that he is allowed to conduct his own medical activities.
What is a gynecologist? engaged in the regulation and control of women's health. It is worth noting that men do not have to visit this doctor. Representatives of the weaker sex, throughout their lives, periodically fall for this reception. It is worth noting that a gynecologist is consulted not only if there are any complaints. This is a unique profession. Many healthy women regularly go to this specialist for confirmation of their normal condition.
Such different gynecologists
Gynecologist - who is it? You already know that this is a specialist in women's health. However, gynecologists are different. Perhaps for some this will be a revelation.
- Obstetrician-gynecologist. This specialist conducts pregnancy and delivers.
- Gynecologist-reproductologist. This branch of medicine appeared relatively recently. These doctors are engaged in procreation of a married couple with the help of the latest technologies and in vitro fertilization.
- Gynecologist-endocrinologist. This specialist deals with the hormonal background of a woman. Also, the doctor is well versed in the patient's thyroid gland.
- Children's gynecologist. This specialist is in almost every hospital, unlike the above. A health worker examines girls under the age of 18.
- Gynecologist-surgeon. This doctor specializes in surgical intervention.
Which gynecologist you need to contact depends on the complaints. Most often, women come to see their local gynecologist. After that, if necessary, the specialist sends them for additional consultations.
At the doctor
If you need a gynecologist, a women's consultation is exactly the institution you need to contact. You must have documents with you. You can also get an appointment with a private gynecologist. Such doctors practice their activities in many cities. However, you will have to pay for the examination and all additional tests. Be prepared for this.
During the appointment, the doctor first interviews the patient. All existing complaints are recorded in the card. Be sure to remember the date of your last period. The doctor will probably ask you to name her. An inspection is also carried out after the interview. If there are relevant complaints, the doctor probes the mammary glands. However, this manipulation is performed exclusively in the first half of the cycle. Next, the gynecologist will ask you to sit on a chair. If you are not yet sexually active, then the uterus and ovaries are probed through the anus. In other cases, the classic vaginal method is used. At the end of the manipulation, the specialist takes a smear that can be examined for flora, the presence of sexually transmitted diseases, and so on.
Holiday
In Russia, the Day of the Medic is celebrated, and separately there are holidays for narrow specialists. The female doctor was no exception. Gynecologist's Day is celebrated on July 15th. If at this moment you are going to an appointment with a specialist, then do not forget to congratulate him. Surely the doctor will be pleased to hear kind words from his patients. In the country, the specified date is not a day off. Therefore, a narrow circle of people knows about the holiday.
Diseases that the doctor fights
What diseases does a gynecologist deal with? First of all, the doctor monitors the state of the microflora of the vagina. After all, it depends on the patient. At each examination, the health worker determines the state of the flora. This is done quite quickly with the help of a smear and a laboratory test. A gynecologist deals with issues such as:
- inflammatory diseases of the pelvic organs (vulvovaginitis, bacterial vaginosis, adnexitis, metritis);
- infectious pathologies (chlamydia, candidiasis, trichomoniasis);
- pathology of the cervix (erosion, dysplasia);
- neoplasms of the small pelvis (myoma, ovarian cyst, polyps of various localization);
- ectopic pregnancy or infertility;
- hormonal imbalance;
- disruptions in the menstrual cycle and frequent breakthrough bleeding;
- decreased sexual desire, dryness in the vagina;
- menopause correction;
- endometriosis and so on.
In addition to treating diseases, the doctor conducts preventive examinations, conducts pregnancy. Also, representatives of the weaker sex, who are only planning to become mothers, turn to the gynecologist.
Gynecologists-surgeons
Who is a gynecologist - you already know. A separate step in this area is occupied by surgeons. These are doctors who can not only treat with conservative methods, but also perform operations. Most often, these specialists have to do a caesarean section or gynecological curettage. Also, specialists often perform excision of cysts, removal of fibroids and extirpation of the uterus. All these operations require further conservative therapy and rehabilitation course. Appropriate recommendations are given by the same gynecologist-surgeon.
The described profession provides for the ability to conduct (laparotomy) and minimally invasive interventions (laparoscopy, hysteroscopy, and so on). Most often, gynecologists-surgeons work in hospitals. Rarely they can be found in antenatal clinics.
Instead of a conclusion
After reading the article, you can probably answer your question about who a gynecologist is. The information provided only superficially describes the work of these doctors. For a more detailed study of the spectrum of work of specialists, it is necessary to separately consider each area of work of gynecologists. Remember that a woman needs to visit this specialist every year (in the absence of complaints). The first visit is carried out after the onset of menstruation (menarche). Take care of the health of your genital area and do not get sick!
Taking care of your reproductive health is essential to a woman's life. Feeling nervous and anxious before a gynecological examination is quite natural, especially for the first time. Knowing what to expect and preparing ahead of time can help reduce your nervousness. Prepare a list of questions in advance about any problems you have and options for contraception. Remember that your conversation with the doctor is confidential, so you can be completely calm and discuss any concerns you may have.
Steps
Preparing for an inspection
- Your family member or friend may wait in the waiting room or come with you into the examination room.
-
Prepare your questions in advance. You will have the opportunity to ask a question about your reproductive or sexual health. These may be questions about different methods of contraception, safe sex, sexually transmitted diseases, physiological changes in your body, and future possible problems.
Also be prepared to report your sexual activity, the doctor needs to know if you are sexually active.
Sign up for an appointment. Regular check-ups should be scheduled between the last and future periods. Otherwise, the doctor will not be able to conduct a complete examination.
Take a bath or shower as usual. You need to take a bath or shower within 24 hours of the date of the appointment, and you should not use hygiene products that you have not used before.
Take an escort with you. If this makes you feel more comfortable, bring a family member with you, such as your mother, older sister, or friend.
Preparing for a breast and groin exam
- These shirts are made from a special paper material. Additional paper covering can cover the area below the knees.
Get a urine test. This analysis is part of a routine general examination and may be needed by your doctor.
Be prepared for additional routine procedures. The nurse can measure your blood pressure, weight and height. You may also have a blood test if you have current or undiagnosed problems.
Take off your clothes. After a series of routine questions and medical procedures, you will be given a special shirt and asked to undress. Remove all clothing, including underwear, unless instructed to do so by the nurse.
Put on a shirt. The gynecological examination garment is open at the front so that the doctor can examine your breasts.
Passing the inspection
-
Ask your doctor to explain the steps of this procedure. During some of them, you may feel uncomfortable. In this case, a conversation with the doctor directly during the examination can help you. Ask your doctor to explain to you exactly what and how he does.
The first step is to examine the mammary glands. The doctor will feel your breasts in a circular motion.
Sit in a special chair. You need to place yourself so that your feet lie on special supports.
Visual inspection. During this procedure, the doctor examines the vaginal and urethral area for signs of irritation, infection, or tissue changes. The urethra (urethra) carries urine out of the bladder.
- The doctor will examine these areas, then may feel the tissue for a more detailed examination. For example, if the labia is inflamed, the doctor may examine them in more detail in order to identify possible abnormalities.
-
Get ready to insert the dilator. Next, the doctor will introduce a special tool, a gynecological retractor. It can be plastic or metal. During the insertion of a metal dilator, you will feel cold when the instrument comes into contact with the skin.
Learn about what a Pap test is. After the doctor has examined your vagina and cervix, he will insert a small swab or brush through the hole in the dilator to take a few swabs from your cervix for analysis. This test is called a Pap smear and is not recommended until age 21.
Palpatory examination. At the next stage of the examination, the doctor will insert one or two fingers into the vagina while pressing on the abdomen.
At the end of the examination, consult your doctor again. After completing the inspection, you will be able to take off your shirt and change into your clothes. The nurse will take you to the doctor's office or waiting room, or the doctor will tell you about the results of the examination in the same room.
- The doctor will study in detail the results of the examination in your presence and answer your questions. They will also write a prescription for you if needed, such as birth control pills.
Further actions
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Appointment of annual inspections. While tests such as Pap smears do not need to be done every year, once a year you need to see a gynecologist if you care about your sexual and reproductive health.
See your doctor if you have any concerns. Symptoms such as abdominal pain, vaginal discharge, burning sensation, bad smell, severe pain during menstruation or spotting between cycles are a reason to visit a gynecologist.
Talk to your doctor about possible methods of contraception. After you begin to live sexually, the gynecologist will select the most suitable method of protection for you. This may be a prescription for a drug that your doctor will write for you.
Call your gynecologist if you suspect you are pregnant. If you have a delay, even though you are using protection, be sure to tell your doctor.
Do a self-examination of the mammary glands. Your doctor will show you how to properly examine your breasts for possible tumors. You should have these checkups regularly and tell your doctor right away if you find a lump or lump in your breast tissue.
- Be honest with your doctor, even if you feel embarrassed. Knowing what hurts or bothers you, including your sex life, will help your gynecologist find the best treatment options.
- As a rule, gynecological examinations are carried out by qualified specialists. However, nurse practitioners, physician assistants, and midwives may also perform a routine examination.
- You can bring a family member or friend with you as support. Try to be honest with questions about your sex life, smoking habits, and possibly drugs.
- During the examination, try to breathe deeply to help you relax. Inhale slowly and deeply through your nose and exhale through your mouth.
- You must understand that a man may turn out to be a gynecologist, but for them this is quite a common examination procedure. A female nurse will be with you during the examination. If you do not want a male to examine you, please let us know before you make an appointment.
- If your feet are cold, you can keep your socks on.
- In addition to the gynecological examination, a standard mammogram may also be included. It is currently recommended to have an annual mammogram if you are over 50 years old, as the risk of breast cancer increases with age.
- If this is your first gynecological exam and you don't want your parents to know about it, get an exam at a specialized family planning center or local teen clinic. These facilities have specialized, trained staff who respect your right to privacy, although different states have different privacy policies regarding adolescent health. Your doctor will be able to explain everything to you in detail.
Gynecologist is a doctor who diagnoses and treats pathologies associated with the female genital area. He leads the pregnancy, and also terminates it according to indications.
What does a gynecologist do and what does he treat?
A gynecologist is consulted for the treatment of the following diseases:
- infectious diseases, including sexually transmitted ones: gonorrhea, chlamydia, trichomoniasis, candidiasis, ureaplasmosis, gardnerellosis, genital herpes;
- inflammatory processes in the genitals: vulvovaginitis in girls, bacterial vaginosis;
- erosion, as well as cervical dysplasia;
- neoplasms on the internal and external genital organs: uterine fibroids, ovarian tumors, oncology;
- uterine bleeding;
- female and male infertility;
- ectopic pregnancy;
- amenorrhea and algomenorrhea;
- delayed sexual development or, conversely, too rapid development;
- urinary incontinence;
- endometriosis;
- postmenopausal syndrome.
In addition to the above, the gynecologist deals with pregnancy planning. A woman who wants to have a baby should definitely go to the doctor, because many chronic diseases are asymptomatic, and worsen during pregnancy. Some of them can even interfere with the process of conception. For successful conception and gestation, the reproductive system must be healthy. For those women who do not plan motherhood in the near future, the doctor will help you choose the appropriate type of contraception.
Symptoms for which you should go to the gynecologist
When a woman reaches childbearing age, it is recommended to visit a gynecologist at least once a year for preventive purposes. A scheduled examination is advised to take place in the first half of the menstrual cycle. But there are signs that suggest that you need to visit a doctor in the near future:
- Menstrual irregularities. This is facilitated by hormonal disorders, the onset of pregnancy, a tumor (cyst) of the ovaries.
- Menses frequent, abundant, or, conversely, scarce, rare (pathologies of certain organs, for example, uterine fibroids).
- Suspicious discharge. Vaginal discharge is perfectly acceptable if it is odorless, colorless, and does not irritate the mucosa. White curdled discharge indicates candidiasis, scanty bloody discharge is observed in the first weeks after conception; white, yellow, green discharge with a pungent odor is a sign of the presence of an infection.
- Frequent urge to urinate talk about significant inflammation of the genitourinary system.
- Lower abdominal pain after or during intercourse, as well as during a certain period of the menstrual cycle, indicates a chronic inflammatory process.
- Pain in the mammary glands seals, discharge from the nipples - signs of mastopathy and neoplasms.
- Bloody issues after intercourse indicate problems with the cervix (erosion, swelling) or inflammation of the vaginal mucosa.
- If within 6 months of regular intercourse without contraception the desired conception does not occur.
Urgent treatment is required for the following symptoms:
- severe cutting pains in the lower abdomen and high body temperature;
- health worsened after medical manipulations in the genital area;
- uterine bleeding during pregnancy.
How is the doctor's appointment?
The reception begins with a conversation with the patient: her complaints are taken into account, the beginning of the first menstruation and the nature of their course are established. The gynecologist learns about sexual life, how often sexual partners change, what contraceptives a woman uses, whether there are chronic diseases.
After the conversation, the doctor suggests that the patient lie down in a gynecological chair to examine the internal female organs, during which he finds out the condition of the cervix and body of the uterus, whether there is erosion. For these purposes, a special sterile or disposable gynecological mirror is used. The procedure is usually painless, although there may be discomfort during the procedure if there is inflammation. The gynecologist also palpates the abdomen by inserting two fingers into the vagina and pressing on the abdomen. What does a pediatric gynecologist do?
First inspections
It is worth mentioning that little girls are examined by a pediatric gynecologist. The first preventive examination should occur after the onset of the first menstruation, this is approximately at 11 or 12 years of age. It is advised to come with your mother.
After the age of 14, it is recommended to undergo a medical examination regularly. However, there is no need to worry. Even at 15-16 years old (approximately in the 11th grade), he does not always include what girls are so afraid of. Quite often, they are limited only to an external examination of the skin and chest, if there are no serious complaints. Be sure to visit the reception girls after the onset of sexual activity.
A teenage girl who has complaints, but has not begun to live a sexual life, is examined in a special way. The examination is carried out not vaginally using a mirror, but rectally by inserting a finger into the rectum (the condition of the uterus and appendages is felt). A thin swab is taken with a thin gynecological brush in order to identify possible inflammation or infections.
What examinations can the doctor prescribe?
- pelvic organs;
- blood test for hormones;
- general and detailed blood test;
- Analysis of urine;
- referral to a consultation with other specialists (for example, a mammologist, gynecologist-).
How to prepare for the reception?
Before going to the doctor, you should not douche, use intimate sprays, and the like. A hygienic shower is taken with washing of the external genitalia. It is not necessary to carry out a deep hygienic toilet, because in this way the signs of the disease are “washed away”. Two days before the examination, you can not have sex.
Tune in psychologically, remember the date of the first menstruation, take a menstruation calendar with you. It is also necessary to take a clean diaper and socks, possibly a gynecological kit with a disposable mirror included.
How does a gynecologist determine pregnancy?
In the gynecologist's office, pregnancy is diagnosed in several ways:
- by using ;
- during the examination (by changes in the uterus);
- blood test for hCG.
The doctor will be able to accurately tell about the presence of pregnancy from about the fifth week of her pregnancy. Although the obstetrician-gynecologist from the district polyclinic will consult the patient for all 9 months, the gynecologist will take delivery, as there may be a need for surgical intervention - a caesarean section.
Good day everyone!
Oddly enough, but many girls asked me to talk about such a seemingly simple issue as the first visit to the gynecologist...
It would seem that it is simpler? ... but a lot of questions arise:
- why examine a very young girl / girl?
- How is it prepared?
- what will the doctor do?
- how to climb on a chair?
- What will they do with me?
- Should I shave?
- What questions will be asked?
So, so that there are not so many questions, I will try to cover this topic in as much detail as possible today.
An examination by a gynecologist is as necessary and mandatory as an examination by other doctors and specialists for your health both today and for your future.
Let's start with the very first question.
1. When should I start seeing a gynecologist?
Or when is the age of the first examination by a gynecologist?
This question is different for everyone.
The most important thing you need to understand is that if you or your daughter has any complaints or questions....you should already make an appointment with a gynecologist!
As a standard, after the age of 18, a girl should visit a gynecologist 2 times a year.
As a rule, the first visit takes place at school age during medical examination - this is 15-16 years old ... this is a general examination ... so that you do not get scared! ... the doctor will only externally examine you and maybe ask something ... if he will have questions for you or a desire to examine you, and you are not yet 18 years old .... then it is better to convey the doctor’s request to your mother or your guardian, because examination of girls under 18 years old should be carried out only with the consent of the mother or guardian and in his presence , of course, if you want your mom to look at it ... if you don’t want, mom will wait outside the office door for you ... but first she will give her consent to the gynecologist for your examination.
That is, if at school you do not want to look around or after the examination there are questions, ask the gynecologist to write a note to your mother or guardian stating that you need an examination by a gynecologist at your place of residence or registration ... And only then at home with Mom, you will discuss and plan your trip to the gynecologist. And remember, no one can force you to undergo an examination. Know your rights!
And of course, even if you are not yet 18 years old, but you have already begun to have sex, you just definitely need to visit a gynecologist.
2. If a very young girl (child) is forced to undergo a gynecologist, what should I do?
Yes, it also happens ... when, upon admission to some lyceums or gymnasiums, or even to some kindergartens, a certificate from a gynecologist is required.
Well, don't be afraid... First of all, you should find out where in your area (at the place of residence) a CHILDREN'S gynecologist sees you.
It is he who examines children and girls under 18 years of age. It is his office that is equipped with a special children's gynecological chair ... for little girls.
You must be present at the reception with your daughter and, if she wishes, be with her at the time of the examination itself.
If the girl is very small ... then the whole point of the examination will be the external examination of your girl ... is the development of the mammary and sex glands correct (no one will insert mirrors, and no one will conduct an anal examination in the absence of complaints).
The doctor will ask the girl if something hurts her? .. of course she will ask about menstruation, if any? .. and give you a certificate.
Perhaps the doctor can take a smear from your daughter with a special wand and only from the outer labia, he should not insert the wand inside!
3. What should I take with me to the gynecologist's appointment?
As a rule, good clinics already have everything you need for your examination and you don’t need to take anything ... but this is not everywhere, right? Many of them are serviced in ordinary city clinics. So, what you need:
- clean diaper or small towel to lay yourself under the ass on the gynecological chair.
- clean socks(when you undress at the gynecologist, take off your tights or socks, it will be very good if you quickly put on clean socks brought with you - the doctor will also like it, it will be more aesthetic than your bare feet and besides, you will it is more convenient to walk from the couch on which you undressed to the chair in socks than barefoot on the floor (it is not known who and with what feet walked on it before you).
- if you are already sexually active and do not want to be examined with instruments that are already available in the clinic, you can buy at any pharmacy disposable gynecological examination kit(there will be mirrors, and a diaper, and gloves for the doctor, and a special brush for your smear) Here's what it includes:
- if you are already on your period, do not forget your calendar where you mark your period.
- and of course you need your positive attitude- remember, the doctor will not bite you and does not dream of offending you or laughing at you. You are not the first patient at the gynecologist, he is used to everything .... do not be afraid to be frank with him about your intimate problems.
And believe me, he looked THERE many - many times .... and it only seems shameful or scary to you ... the gynecologist is used to this and no matter what, he will never offend you (at least I wish you that).
4. How to prepare for the first visit to the gynecologist or just how to prepare for the next visit to the gynecologist?
- you should not go to the gynecologist if you are menstruating, because due to spotting, the doctor will not be able to get all the information he needs. the time when you definitely didn’t expect it - for example, between the expected menstruation - then it’s just a must to go to the gynecologist’s appointment!
- Before the examination, it is better to take a shower or bath and put on fresh clothes. At the same time, it is not worth rinsing especially carefully, since the doctor must see the vaginal microflora in a normal, “everyday” state. It is strictly forbidden to douche(to inject water, and even more so antiseptic substances into the vagina using a douche): firstly, douching will deprive the doctor of the opportunity to evaluate vaginal discharge, which is very informative for a specialist; secondly, a smear taken after douching will, to put it mildly, not be informative. It is not recommended to use special intimate deodorants or perfumes.
- You don't have to shave your pubis...only if you like it the most.
- Before you go to the gynecologist's office, you should go to the toilet and urinate, and it is also advisable to empty your intestines in advance at home.
- For a day or two, it is worth refusing to have sexual intercourse, since the sperm remaining in the vagina can interfere with the examination or distort the picture.
- Also, for a day or two, you should not insert any candles into the vagina!
5. What will they do in the office and what will they ask?
So you went into the office, do not be embarrassed, say hello to the doctor, as a rule, he will not be alone, but with a nurse.
Come in and sit on the chair next to the doctor. Wait until they start asking you.
The doctor will most likely ask you right away about the reason for your visit to him or about what worries you about women's problems. To relieve your tension, immediately say that this is your FIRST VISIT to the gynecologist ... the doctor will assist you and be more loyal.
At the appointment, the doctor will definitely ask about the age at which menstruation began, the regularity of the cycle, the duration of the menstrual cycle (the number of days from the first day of menstruation to the next first day of menstruation), the date of the last menstruation.
With a calendar handy, you can easily answer these questions.
Ask about your complaints, if any.
He will ask if you are sexually active ... answer boldly the truth, the quality of the examination depends on this. As a rule, the doctor asks questions related to sexual life: have you had or have not had sexual intercourse, the age of onset of sexual activity, the number of sexual partners, the presence of any diseases in sexual partners, etc.
He may ask if you have had gynecological problems before.
Next, you will be asked to go into the next room for inspection or just behind the screen. There will be either a chair or a couch where you must undress: take off everything to the waist, that is, pants / jeans / skirt / tights / panties, then remove everything from above to the bra or if you do not wear it, you can stay in the bottom T-shirt. Then turn to the gynecological chair.
Here's what it looks like:
It has a backrest, a seat and footrests on both sides, sometimes there are also two steps from the bottom, so that it is convenient to climb onto the seat.
Lay your towel or diaper on the seat.
Then lean back, and spread your legs wide apart and put on coasters:
From the doctor's point of view, your position should look like this:
Tell the doctor you're down and ready. The doctor will come over and put on disposable rubber gloves first.
Then, if you are still a virgin, then he will look at you through the hindgut, not through the vagina! But first he will examine your external genitalia - this is normal! Then he will lubricate his finger with special oil and gently insert it into your hindgut, and with his left hand he will feel your tummy.... this way he can examine your uterus and ovaries. It will be a little unpleasant, be patient, this will not last long .. Then the doctor will most likely take a swab from the outer labia with a special wand, it can be recognized in a couple of days.
If your doctor has questions, he may order a pelvic ultrasound for you.
If you have already been sexually active, then you will be examined through the vagina with special devices ... which are called mirrors, although they are not much like mirrors.
This is what reusable speculums look like, they must be sterilized after each use:
And this is how disposable gynecological mirrors look like, they are made of plastic, you can buy them for yourself at any pharmacy, as I wrote above.
So, after you lie down on the chair, the doctor will insert this mirror and examine what he needs there, you lie quietly, right at the moment of examination in the mirrors, the doctor will take a smear for cytology (cancer cells) and a simple smear for flora. The moment of insertion of the mirrors is a little unpleasant, but less painful than examination through the rectum.
Just try to relax and in no case do not squeeze the muscles there! Otherwise, you will be hurt.
By the way, a small digression, gynecological mirrors come in 3 sizes: 1,2,3.
So ask yourself for the first examination that the doctor examine you exactly in size No. 1 - these are the smallest. And remember that sometimes the doctor doesn’t care whether it hurts you or not, watch yourself and ask what he is doing.
Next, the doctor will get the mirrors ... do not immediately jump up from the chair !!! Lie down, the doctor should now examine you with his hands, the gynecologist will insert the right hand, namely 2 fingers into the vagina, put the left on the tummy and press on the stomach, so the doctor can examine what is not visible in the mirrors. Lie still and relaxed, it is almost painless.
Sometimes it is difficult for the doctor to see some points in the mirrors due to your anatomical features, then he may ask you: "Put your feet on your heels" ...
This means that you have to bend your knees even more, and put your heels in the place on the supports where your knees just lay, like this:
When the doctor is done, he will tell you to "get up" and you can get up.
6. When will the breasts (mammary glands) be examined?
Here, each gynecologist has his own turn, someone looks at the mammary glands before looking at you on the chair, someone looks at the chair, someone after the chair.
In a word - do not worry - he will tell you.
And if you didn't, remind him... ALWAYS!...because we have doctors who forget about it, and breast cancer is now far from uncommon even at a young age!
7. What kind of apparatus was it when they looked at you in the chair?
Now almost all gynecologist's offices should be equipped with a special device - a colposcope - this is such a special microscope in order to examine the cervix in the mirrors for the presence of pathology ... It usually stands next to the chair, and looks like this:
Do not be afraid of him, he does not bite, if necessary, the doctor will simply look into him at your neck for 3-4 minutes. It does not hurt.
8. What to do next?
Well, they examined you, took smears, now you have the right to ask the doctor everything you want to know about yourself. Sometimes, after an examination, doctors rest against your card and nervously scribble something there and are silent like partisans .... And you sit side by side and are afraid to breathe.
Do not be shy, ask if everything is fine with you. Do you need to take any additional tests, if so, which ones and why?
Ask when you can find out the result of your smear?
When do you need your next appointment?
Ask about contraception? Suddenly you are doing something, but it's wrong!
Do not be afraid to ask the doctor questions and do not be embarrassed that you do not know something or did not understand the first time.
Doctors undergo quite a long training and understand their specialty - their direct responsibility.
At the consultation, you have the right to count on a detailed and, most importantly, accessible explanation about your state of health, the planned examination, the diagnosis and the prescribed treatment.
Well, that's all I wanted to tell you, I hope this post will help you successfully pass your first visit to the gynecologist.
And of course I wish you to find YOUR competent and sensitive doctor!