Advice 1: How is a vaginal exam Teens

The first examination by a gynecologist is often a lot of stress for both girls and their parents. Therefore, before the procedure it is desirable to hold an information session with a teenager.

Gynecological examination
Adolescent girls should visit a gynecologist once a year after the onset of menstruation. The first pelvic exam can bring some psychological discomfort to the girl. Therefore, it is important to talk with your child. Spend educational program, tell us about how the doctor will carry out the survey.

How is a pelvic exam

Examination of adolescents consists of several stages:

- identifying complaints;
- inspection of external genitalia;
- inspection using a mirror;
- palpation of the abdomen;
- smear.

Identifying complaints is a vital step in the inspection. The doctor may ask about General health, as well as on transferred earlier diseases. Also gynecologist should examine breast and hair on the body of a teenage girl.

Girls who are not yet sexually active, does not require inspection with the help of mirrors. The procedure in the gynecological chair may not last more than five minutes, and the doctor's visit is usually laid in twenty minutes.

Often a pelvic exam teenagers still in high school. But this procedure is not mandatory, so you can write a disclaimer, if your daughter is not mentally ready for such.

You should prepare for the fact that the doctor will visually inspect the vulva on the subject of inflammation or discharge. Also, the gynaecologist may take a swab on the study.

It uses a special tool similar to a q-tip. Pediatric gynecologist spends her the vaginal mucosa.

Normally immediately after the examination the doctor asks several questions. For example, "When I first started menstruating?", "What are allocations?". You need to honestly answer these questions.

Preparing for the inspection

You can agree in advance whether to accompany his daughter during a visit to the doctor. This will help to remove the psychological discomfort.
You should have everything you need. It is advisable to bring along a diaper, rubber gloves and disposable plastic mirror.

You can go to a private clinic or youth health centre, but not in usual female consultation. Often teenagers trying to delay for a long time to see a doctor because of the embarrassment, psychological discomfort and other reasons. In this case, it is important to hold a conversation with her daughter.

In that situation, if you signed the disclaimer from the school inspection, you'll need to choose a qualified physician. To do this, call the private clinic, talk with friends.

Advice 2: How to conduct a gynecological examination

Pelvic examination includes a study of external and internal genital organs gynecologist who conducts the examination in a specially equipped chair. A properly conducted inspection allows to diagnose the disease that affects the timeliness of treatment.
How to conduct a gynecological examination
Wash your hands with soap and water, wipe with a towel. Can use special medical solutions that kill bacteria. Wear disposable gloves. Inspection start with the pubis. Note its form, the nature of volosistoe (male type, female and mixed), the presence and magnitude of the subcutaneous fat layer. Inspect the inner surface of the thighs on the subject of eczema, warts.
Note the large and small labia, their size, presence of tumors, ulcers. In the anus may be hemorrhoids, prolapse of the mucosa, fissures, ulcers.
Spread the fingers of the left hand labia, look closely at their color, ulceration, the mucous membranes, pigmentation. Inspect the clitoris, its shape, size, whether there are any anomalies in development. Examine the orifice of the urethra, polyps, condition of mucosa, note the nature of the discharge. At the same time see if there are signs of infantilism.
Guide the collection of material for bacteriological, cytological, histological and microscopy. An internal study carried out with the help of mirrors, as preliminary inspection of the thumb can injure the vagina and the mucous membrane of the cervix, change the character of vaginal secretions, making unreliable the results of the inspection.
Take vaginal speculum, determine the status of the vaginal walls, color of mucosa, presence of the growth, tumors, etc., Examine the vault and the cervix in nulliparous round the external opening of the cervical canal, giving birth the same - it is in the form of a transverse slit. Note the pathological changes, presence of erosions, fractures, dysplasia, endometriosis submucosa, and others.
Conduct a combined examination. Parted fingers labia, pay attention to the width of the entrance to the vagina, the elasticity of its walls. The other arm of the lock through the abdominal wall of the investigated organ (uterus, appendages), try to probe a particular area of the pelvis.
Do not press on the area of the urethra, the clitoris, the anterior vaginal wall. Fingers must slide along the rear wall of the vagina. Enter them deeply, to study the structure of the mucosa, the presence of bartholinitis, partitions. Find the magnitude of the cervix, the shape, the size of the external uterine weight, its disclosure in ICN, scarring after childbirth, tumors.
Proceed to vaginal-brunetoochka the study, which will help to determine the position, size and shape of the uterus, condition pelvic peritoneum. The normal uterus is pear-shaped, as if tapered from front to back, its surface is smooth. By touching it shifts smoothly. Physiological reduction of the uterus and occurs in menopause. Pathology is, in particular, infantilism, and atrophy of the uterus.
Start your research of the appendages (ovaries and fallopian tubes) with the inspection. Unmodified pipe is soft and thin, they don't usually be felt, as well as the appendages of the uterus, ligaments. Sometimes the pipes are soldered spikes. Ovaries well be felt, they are quite agile and sensitive. When the study through the vagina is impossible, for example, the virgins, examine the patient rectally.
Conduct a rectal examination on the gynecological chair in gloves or fingertip, lubricated with a special tool. You can use the enema. Such a study is shown in the suspicion of the presence of changes in the structure or pathology in the vaginal wall.

Advice 3: How is the reception at the gynecologist

Every woman needs planning to visit a gynecologist at least once every six months, regardless of whether she had any complaints. There are a number of nuances that must be considered when preparing for the visit.
How is the reception at the gynecologist

How to pass inspection

A visit to the gynecologist begins with a survey. The doctor asks questions about the first and last menstruation, the date of commencement and regularity of sexual activity. Asked about contraception, the complaints of isolation and pain. After that there is an inspection on the gynecological chair.

First, the doctor conducts a visual inspection of the external genitalia. It requires no tools, just good lighting. Gynecologist visually assesses whether there is any redness, rashes, lesions and other abnormalities.

The next step is the examination of the cervix and vaginal walls with gynecological mirror. Sometimes the examination uses a colposcope is an instrument with lenses that magnify the image 20-30 times. It may be necessary in order to see the smallest of details. With colcoscopy gynecologist to assess the cervix can react to acetic acid and nesperova solution of iodine. These reactions allow to detect dysplasia, erosion, inflammation and warts.

At the end of the examination chair gynecologist examines the woman's stomach inside and out. This is done manually, without any equipment. Therefore, the physician assesses the location, shape and size of the uterus and appendages.

After inspection of the genital organs and the taking of smears from the vagina gynecologist examines and palpated mammary glands. Detection seals may be grounds for referral to the mammologist.

Mandatory takes a smear on the flora, it allows to identify inflammation. To detect cancer cells at an early stage, is Cytology, the doctor takes cells from the surface of the cervix.

What not to do at a reception at the gynecologist

You can't cheat. Asking questions about the number of sexual partners and an illness, the doctor only wants to get a full picture of the patient's life for an accurate diagnosis. Do not be afraid of condemnation from the doctor, accusations of promiscuity and immorality.

Don't be shy to ask questions. In the office of gynecologist is not so uncomfortable. In addition, medical terminology is not always clear to other people. Any action the physician should explain to the patient is available for that language. A woman should not be afraid to ask about what she doesn't understand.

Before the gynaecological visit is 2-3 days to abstain from sex. It is not necessary to douche and to use the funds for intimate hygiene. The contained components can affect the test results.

The planned appointment with the gynecologist to go in the first days after menstruation. At this time, the immunity of women is slightly reduced, which allows to identify even the hidden disease.

Advice 4: How does the inspection of the gynecologist

Gynecologist women somehow more feared than the dentist. However, in order to avoid negative consequences for the health inspection by the doctor should be held regularly, at least once a year. Examination by a gynecologist is not so terrible if you know how he is.
On reception at the gynecologist

Before gyno

Before gyno should not wash away the external genitals with a special soap for intimate hygiene. This will complicate the inspection. If you still feel the need to freshen up, take a light shower. Wash Breasts and armpits.

Take a cotton socks and a diaper. In some medical institutions provides for the presence of disposable diapers in the gynecologist's office, but its diaper will not be superfluous. Socks need to you are spanked from the screen to the gynecological chair barefoot.

During the appointment, the gynecologist will ask you a few questions regarding the date of the last menstrual period, the frequency of your sexual intercourse and the presence of complaints. Don't be afraid to complain! The gynecologist is obliged to help and not to criticize for the wrong the sexual life and attitude to their health.

The first thing that draws the attention of the gynecologist during your appointment, it is the state of the mammary glands

The breast exam

The gynecologist will ask you to raise hands and palpate each breast in a clockwise direction. Also push on the nipples. It is necessary to check for the presence of tumors and various breast diseases. Ideally, when probing should not feel any lumps, but when pressing on the nipples should not be any discharge. A small discharge from the nipple can be the case if you have recently finished breastfeeding. These precipitates should not be afraid, they are absolutely normal.

After the exam, you will be asked to lie down on the couch. The gynecologist will examine your abdomen and press on it. If you feel any pain or sharp discomfort, should immediately to say about it.

Next you will be asked to pass the examination table.

Gynecological chair

By using palpation (probing fingers) and special instruments, the gynecologist will examine your external and internal genital organs. This procedure can be a little unpleasant and painful. In order to avoid unpleasant sensations should completely relax. If you want to use the toilet, apologize and atrocities to go, as a full bladder or bowel - the main reasons of discomfort.

Special wand gynecologist will take your analysis on the microflora of the vagina (a swab). The results of the stroke you can usually tell after a week. In addition to the wand in the Toolbox there is a gynecologist colposcope. This procedure is called colposcopy

Study colposcope

Colposcopy necessary for the examination of vagina, cervix, and vaginal walls. The colposcope is a kind of mirror tube with magnifying and lighting devices. Do not be afraid of this procedure! It is virtually painless.

Depending on the results of smears and colposcopy, the gynecologist will prescribe advice and treatment.

Feel free to go on reception to the gynecologist. Be healthy!
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