Gynecologist Examination - Gynecology

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Gynecologist Examination - Gynecology
Gynecologist Examination - Gynecology
Video: Gynecologist Examination - Gynecology
Video: Wit (2001 (2) 2023, February
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The gynecologist visit

The choice of the right method of contraception should best be made together with a trusted gynecologist. However, this must first be found. Young women in particular should therefore obtain sufficient information before their first visit to a gynecologist (for example from a person of trust or a counseling center) and in principle be clear about whether they would rather go to a doctor.

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  • What happens during a gynecological examination?
  • When should you go to the gynecologist?

Sufficient time for a gynecological examination and a detailed discussion of the various contraceptive methods should be allowed for the doctor's visit. All examination steps should be explained by the gynecologist in order to remove any uncertainties. If you still have any questions, you can ask them directly to the gynecologist. Because any additional information can help to understand the body better.

Note Some girls / women find the examination on the gynecological chair uncomfortable and feel rather uncomfortable. In these cases, wearing a skirt or a long T-shirt or sweater can help you feel more comfortable. Contraceptive advice from a gynecologist is only covered by the health insurance for girls up to their 18th birthday. For adults this is a private service and may have to be paid for.

What happens during a gynecological examination?

The pelvic exam usually starts with a full medical history. The gynecologist routinely asks a few questions, such as:

  • When was the first menstruation / menarche?
  • How regular is the bleeding?
  • How long does the bleeding last?
  • How heavy is the bleeding?
  • When was the last menstrual period?
  • Which contraceptives are or have been used?
  • Are there any illnesses or current health problems, also in the family?
  • Are medications or drugs taken regularly?
  • Do you smoke?
  • Is there a pregnancy or how many pregnancies have there already been?

This is followed by a palpation examination of the abdomen, an examination of the external genital organs and a mirror examination of the vagina and cervix. A cancer smear (PAP smear) is also performed. With a vaginal mirror - either two individual or one - vaginal mirror (specula) are inserted into the vagina in order to be able to view the vagina and the cervix.

During the palpation examination of the vagina, two fingers are inserted and, among other things, the vaginal walls, the vaginal vault and the pelvic floor are scanned. Then the uterus, fallopian tubes and ovaries are also examined from the inside and outside with both hands (bimanual). This examination serves to determine, among other things, the size, nature and mobility of the structures concerned.

The gynecological examination should also include regular palpation of the chest and armpits. From the age of 18, a routine examination for early detection of cervical cancer is recommended once a year. A swab from the cervix is ​​sufficient for this. Girls and young women should also have a chlamydia test carried out annually. Infection with these bacteria goes unnoticed in about half of all cases and can lead to sterility (infertility) in women. Antibiotics are effective against chlamydia in the event of an infection.

When should you go to the gynecologist?

There is no specific or prescribed age for the first visit to the gynecologist. It is recommended that an initial check-up be carried out between 18 and 20 years of age, unless there was previously a reason (e.g. contraception) for a medical examination. Also, the first menstrual period does not require a pelvic examination, as is often claimed.

Outside of the regular check-ups, a visit to your gynecologist is necessary if the following symptoms occur:

  • Itching and strong smelling discharge,
  • Bleeding outside of menstruation,
  • Problems urinating or defecating,
  • Abdominal pain,
  • severe pain outside of the menstrual period,
  • frequent pain during or after intercourse,
  • Bleeding after intercourse,
  • Menstrual cycle lasting more than ten days,
  • Frequently occurring menstrual periods (less than 25 days),
  • extremely heavy bleeding,
  • Absence of the rule for more than 30 days,
  • lack of menstruation after the age of 15,
  • severe side effects related to the contraceptive used.

Girls and women who use an IUD or hormonal contraception should also have their gynecologist perform a check-up once a year. Regular check-ups by the gynecologist are particularly important with increasing age, even if the subject of contraception no longer plays a role.

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