Any woman is advised to regularly visit a gynecologist even if there are no complaints. It is not uncommon for a visit to the doctor to be postponed due to real or perceived discomfort associated with it. In fact, in the way the examination by the gynecologist is carried out, there are no particular troubles for a woman, except for some specifics of the procedure.
The examination of a woman is carried out according to an algorithm consisting of a series of actions. They do not always occur in the same order and may depend on the characteristics of each case. The following is the most common examination by a gynecologist.
The doctor asks the woman about the past illnesses and injuries, living and working conditions (collecting a general anamnesis).
Separately, narrower issues are considered: the beginning of menstruation, their nature (regularity, volume, pain), sex life, methods of contraception, postponed childbirth, abortion and female diseases (gynecological history).
Complaints at the time of the visit (abdominal pain, itching, discharge, menstrual dysfunction, etc.) are clarified.
General physical development (height and weight, physique), the condition of the hair and its distribution over the body, the nature of the fat layer - indirect indicators of hormonal functions of the pituitary gland and ovaries.
Examination of the mammary glands
Determines the degree of development of the mammary glands, their symmetry, pain on palpation, the presence of seals and discharge from the nipples.
Further examination is carried out on the gynecological chair and consists of several stages.
External examination. The external genitals are examined for discharge, pathological formations (genital warts), and rashes.
Intravaginal examination. It is performed by inserting gynecological mirrors into the vagina, which allow you to expand its lumen and free the doctor's hands. Swabs are taken from the vagina, urethra and cervix, and their condition is assessed. Virgins are not examined in mirrors.
Two-handed vaginal (bimanual) examination. The doctor (wearing sterile gloves) places two fingers of the right hand into the vagina, while gently pressing the abdominal wall with his left hand. The method allows you to assess the presence of painful foci (areas of inflammation) in the uterus, tubes and ovaries, to identify volumetric formations (cysts, tumors), to assess the degree of enlargement of the uterus during pregnancy.
Rectal examination. It is not always carried out. Palpation through the rectum can, if necessary, complement the vaginal examination or be performed in virgins.
The way a gynecologist's physical examination proceeds largely depends on the woman's correct attitude, the doctor's attentiveness and the level of trust in him. It is necessary to choose "your" specialist, visits to which will be psychologically comfortable and will help to preserve women's health..