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 : 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.
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 : 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 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!