How to start a consulting gynecologist
At the interview with the patient, the doctor listens to the complaint and asks questions. Your complaint is better formulated in advance, and also to recall when was your last period and how they occur. It is important to tell your doctor accurate information about the onset of sexual activity, number of sexual partners, methods of protection. If a history of pregnancy, abortion, miscarriage or childbirth, be sure to say so. All these information helps the doctor to see the full picture of your health and to put the correct diagnosis.
After the conversation the doctor invites you for a visit. External signs such as body type, amount of hair on the body, especially the skin etc. they can tell a lot about you attentive expert. In the General survey process it can draw conclusions, such as a hormonal or chronic diseases.
The competence of the gynecologist includes a breast exam as part of the female reproductive system. On examination of the breast a diagnosis of mastitis, to establish the possible cause of infertility or suspected cancer. So do not be surprised if the gynecologist asks you to show you Breasts.
Inspection on the gynecological chair
A study on the gynecological chair starts with a visual evaluation of the external genitalia. The woman is in a chair, lying down or reclining, moving the pelvis closer to the front edge, widely spread raised legs, bending at the knee and placing the ankle on special supports. Before inspection, it is desirable to relax to make it easier for you and the doctor.
The gynecologist examines the external genitalia for signs of irritation, warts, and other abnormalities. Endovaginal examination he performs gynecological mirrors, allowing him to see the cervix and the vaginal walls. The doctor inserts a sterile tool (metal or plastic) into the vagina and pushes the wall. This gives him the opportunity to check the proper condition of your internal reproductive organs or to detect the disease.
Inspection mirrors virgins is not carried out. During the study, it is better to relax, because fear can cause tension of the muscles of the perineum and cause pain.
After examination, the doctor takes a sample for laboratory diagnosis – smear on flora. Special spoons he conducts sampling extracted from the cervical canal, urethra, vagina and gets on the glass. In the laboratory this material is examined a laboratory under a microscope. Thus it is possible to detect inflammation (white blood cells), certain types of infections, to determine the condition of the mucous membrane.
Advice 2: What and how checks gynecologist
Prophylactic a woman should visit the gynecologist at least once a year in the absence of any complaints. This will help to identify pathology that may not manifest any symptoms. As required, visits to the gynecologist can be more often.
Preparing for the inspection
Before visiting of the gynecologist shower or bathe, put on fresh linen. You should not douche to the vaginal flora remained in "everyday" condition. The day before the visit to the gynecologist eliminate unprotected sex, because the vagina will remain a small amount of semen, which will affect the results of the analysis. In the case of antibiotics, antifungal drugs to the gynecologist is recommended to go in 1-2 weeks. after cessation of therapy, as these drugs have a significant impact on vaginal microflora and prevent accurate diagnosis.
It is not recommended to pass inspection at the gynecologist during menstruation, except in cases of emergency (severe bleeding, accompanied by pain). The best period is the first few days after menstruation. Before visiting the gynecologist empty the bladder, intestines, possibly, should be empty.
How is the inspection
During the examination, the doctor will ask questions about the date of the last menstrual period, the nature and duration of the menstrual cycle. The doctor will be interested in information about previous gynaecological and infectious diseases, sexuality, contraception, pregnancy, abortion, the nature of childbirth, their complications, the health of the child. The answers to these questions will help the gynecologist to make a diagnosis. In the next step the doctor will do examination on the couch. When this is palpated anterior abdominal wall for possible tumors. Using the stethoscope, it listens for the movement of gases or fluid within the body. This method allows to study the bowel, condition often indicates the presence of a number of disorders and diseases of the female genital organs.
A pelvic exam is held in a horizontal position on a special chair by using disposable and sterile instruments (tweezers, mirrors, devices for taking smears, etc.). Before you climb on that chair, lay on it, the seat cloth, and then climb the steps. To go it is necessary so that the buttocks was located on the edge of the chair. Then raise your legs and place them on trivets to "slingshot" appeared in the popliteal fossa.
Before examination, the doctor wears sterile rubber gloves. During the examination the doctor inspects the vulva. Then, with the help of special tools the investigation of the cervix and vagina. Gynecologist explains the size, position and condition of the uterus, ovaries and fallopian tubes. Vaginal examination may reveal endometriosis, uterine fibroids, ovarian cysts, inflammation of the appendages, ectopic, uterine pregnancy, etc. During the examination the doctor takes a swab for infection, Cytology. If necessary, can be carried out a colposcopy, ultrasound was scheduled.
Advice 3: As a gynecologist detects pregnancy
Delay of menstruation, nausea in the morning, drowsiness, frequent urination, reaction to certain smells, and the girl goes to the pharmacy to buy a pregnancy test. If it was positive, the next step is to pay a visit to the gynecologist, which accurately determine whether there has been pregnancy.
A visit to the gynecologist should not be delayed. Regardless of whether you want this baby or, on the contrary, unwanted pregnancy, and you plan to have an abortion, learn about the presence of a fetus should be as early as possible. When the long-awaited offensive pregnancy, you will be able to pass the necessary tests, give up bad habits if you have them, start taking vitamin complexes. Abortion is also much easier to do early on.
Pregnancy gynecologist can determine by visual inspection, because the body even in the early period the changes occur. Swelling of the labia and vagina because of a rush of venous blood, the vagina is aligned with the rear wall. Changes the color of the mucous: it becomes purple-red or even cyanotic. Allocation more transparent and more viscous than usual.
After visual examination, the doctor proceeds to bimanual examination. One hand inserted into the vagina, and the other a gynecologist examining the stomach of the patient. In this way, the doctor examines the uterus and appendages: determines the size of the uterus, which upon the occurrence of a pregnancy increases, said softened isthmus and the asymmetry of the appendages.
After the gynecologist detects pregnancy, it gives the expectant mother a referral for an ultrasound. Doing it makes sense in the third or fourth week after the onset of pregnancy. At the tenth to twelfth week a study will have to repeat: at this time, the doctor will be able to see whether normally developing fetus, if there are any abnormalities.
If you suspect a pregnancy in addition to test, you can use a blood test for HCG – a hormone that rises after the implantation of the embryo into the uterus. To donate blood should be in the morning on an empty stomach. This method is able to effectively detect a pregnancy 12 days after conception.
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.
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.
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
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!
Advice 5: What does the gynecologist at the reception
Probably, almost every girl is afraid of the first visit to the gynecologist. Afraid of huge gynaecological chair, even worse would be if a doctor would be male. The girls come up with many excuses not to visit the gynecologist for as long as possible, they forget that he is the same doctor as all the others. If you know how to prepare to visit the gynecologist, the visit will be absolutely terrible and painless.
When it's time for the first time to visit a gynecologist
It's time to visit the gynecologist begins at the age of 14-16 years, when the girl has not yet started sexual life or just after it started.
If a girl is something troubling is about to be written to a female doctor. If onset of sexual activity is still not expected, inspection is carried out by a special method or a pediatric gynecologist who has experience with virgins.
If she is planning pregnancy in the first place, she should go to the gynecologist to have it done examination, took a swab and gave her a referral for an ultrasound.
How to prepare for the visit to Dr.
Before going to the gynecologist, you will need to wash and bring clean socks, a diaper or towel. If you do not want the inspection was carried out by tools that are in the clinic, buy disposable gynecological set, it will be a diaper and you don't have to take a towel. In addition to diapers, the kit contains a mirror, gloves for the doctor and a special brush for taking a smear.
Go to the female doctor is best in the first days after menstruation. Before you go to the office, go to the bathroom that your bladder was empty.
How is the reception at the gynecologist
In the beginning of the reception you expect a conversation. The doctor will fill the passport part of your card, and ask in detail about your concerns. You must be completely honest with your doctor, tell him about all my feelings and fears.
You are then asked the date of the onset of sexual activity and the date of the first day of the last menstruation.
After that, the gynecologist should examine your Breasts and make sure there are no seals.
The doctor will ask you to undress and sit on the gynecological chair. It will enter you inside a mirror to see the cervix and take a swab for infection. At this time you should be lying on the couch in a relaxed state with his hands on his chest.
When the doctor allows you to dress up, he will need to do the card some records. Remember what you have forgotten to tell to the doctor was easier to diagnose.
At the end of the visit, the gynecologist will prescribe you the necessary directions for further examination. He also may advise you to drink some drugs. Follow all instructions of your doctor and trust him. Soon you will understand that visiting the gynecologist is an everyday thing, which is not accompanied by painful sensations.