1. What exactly does a gynecological examination check?

First, the doctor will check whether there are tumors, inflammation, genital warts, etc. on the vulva. Next is a vaginal examination to see if there are any vaginal deformities, vaginal inflammation, or abnormal leucorrhea. Cervical examination should check for cervical inflammation, cervical erosion, etc. In order to prevent tumors, a cervical scraping examination is also required, which is a cancer prevention smear examination. If there is a problem, almost 90% of it can be detected by this method. Some patients are afraid that scraping will be painful, but in fact it is not painful. Often the doctor does not notice it even after the doctor has finished the procedure.

In addition, gynecological examination also includes touching to check the size, shape and position of the uterus to see if it is normal. Some women have a posterior uterus and often experience lumbosacral pain during menstruation. They are also more likely to have uterine prolapse. In this case, doctors will help correct it during a gynecological examination. Other diseases such as ovarian tumors, endometriosis, uterine fibroids, adhesions and other diseases can all be detected through gynecological examination. This series of examinations are routine examinations that are painless and will not cause harm to women's bodies.

2. Complete guide to the first gynecological examination

Lie on the examination bed, take off your pants, spread your legs, and let the strange man in white explore your most private parts. This is the most routine step in a gynecological examination. But can you accept it happily?

In any case, gynecological examination is full of fear and confusion for every girl. In addition to being embarrassed by the inspection itself, I was also afraid of what others would say.

In fact, there is no secret about gender differences in the eyes of doctors. When doctors examine patients’ reproductive organs, they use a scientific perspective and a professional attitude and do not think about other issues at all. . Therefore, there is no need to be embarrassed, shy and fearful in front of the doctor.

Let us imagine below, there are several possibilities that may force you to stand at the door of the obstetrics and gynecology department.

Adolescent gynecological diseases

★Menstrual syndrome

Excessive, oligo, or disordered menstruation; early, late menarche, or amenorrhea; dysmenorrhea or leucorrhea Most of them are smelly, colored or have pus and blood; the vulva is red, swollen and painful, with erosion or ulcers.

★Reproductive organ infections

Although these infections are not sexually transmitted diseases, they are the most common infections among sexually active women, such as: cystitis, vulvovaginal candidiasis, and chlamydia and other infections including trichomoniasis.

★Genital warts

Genital warts are very small warts caused by viruses. These warts can be clearly seen around the vaginal opening in women or on the penis in men.

It is recommended that all girls undergo the commonly-known Pap test, which is the standard test for cervical cancer. Very simple and very cheap.

★Malignant tumors

In recent years, the incidence rate of girls in their early 20s has also been high. In addition, girls with particularly poor financial conditions should be checked once every two years even if they have no physical problems. The cost of a gynecological examination is generally around 80 yuan, and it can be done at general gynecological outpatient clinics.

★Abnormal breast development

Breast lobular hyperplasia and lumps, etc. By the way, the size of the left and right breasts are often different, but this is nothing to worry about. Breasts are usually flatter and no one will notice. In addition, whether or not to wear a bra and when to wear it all depends on your preference.

★Improper exercise can cause gynecological diseases

Vulvar trauma, menstrual abnormalities, ovarian rupture, endometriosis, uterine prolapse, etc.

Sexually transmitted diseases

No one is immune to sexually transmitted diseases. You can only become infected with sexually transmitted diseases after having sexual relations with others. The risk is higher if you have multiple sexual partners.

If you are worried that you have been infected with an STD, you should go to a regular hospital for examination as soon as possible. If delayed for too long, most STDs can damage the reproductive system and eventually lead to infertility.

With the exception of acquired immunodeficiency syndrome (AIDS), most STDs can be completely cured if treated properly and all follow-up exams are completed as scheduled.

Unintended Pregnancy

You can get pregnant if you have sex without using birth control. If you think you might be pregnant, go to a hospital or clinic the next morning.

If your period is more than a week late than expected, or if there are other suspicious signs, please see your doctor or a birth control clinic. Some misconceptions:

1. You cannot get pregnant during menstruation.

2. You will not get pregnant one week before and after menstruation.

3. If you take a shower afterwards, you will not get pregnant.

4. If a boy does not fully penetrate, he will not get pregnant.

5. Pregnancy occurs only after having sex several times.

6. Boys can’t make themselves stop. If you stop voluntarily, they will be in excruciating pain and miserable.

Preparation before the examination

★Preparation

Make sure on which day the gynecologist you want to see is available, whether there is a clinic in the morning or afternoon, and the last 3 days. The day when menstruation ends every month must be remembered. Keep a notepad in your bag to record the date, content, and doctor's orders of the examination.

Try not to go to the gynecological examination during menstruation. You must ensure personal hygiene before the examination. You can take a shower, but do not rinse the vagina within 24 hours to avoid flushing out abnormal secretions. In addition, if you feel the need to urinate before the examination, you must go to the bathroom. A bladder that is full of urine can interfere with the test.

★Choose a hospital and doctor (this item is very important)

If you have to go to a private clinic, you must first check his medical qualifications.

If a doctor directly asks you to lie on the examination bed to examine you without asking about your condition in advance, you have every right to refuse to comply with his request.

If the doctor wants to examine your upper body first, you should take off your upper body clothes and keep your lower body clothes on. You can wear a shirt or T-shirt when he wants to examine your private parts. Either way, you don’t have to be naked.

If you feel uncomfortable having a doctor’s assistant by your side during the examination, feel free to make your request.

Everything you say to the doctor, according to the requirements of professional ethics, the doctor must keep you confidential. Even if you are still a minor, if the doctor’s questions go beyond the normal scope of consultation and involve your Secret, or insulting or even obscene language. You have the right to complain to the relevant authorities.

★What to wear?

If you wear pants, you should wear a shirt or collarless top. If you are wearing a short skirt, just lift it up during the examination. These small details make people feel very convenient.

★How to ask?

If you don’t want to waste hours waiting for a 10-minute check-up, it’s best to think through all your questions and be direct and don’t beat around the bush. . Doctors are human beings too, and they can't guess what's going on in your mind.

★Accompanying person

The opinions of family members are very important when doing gynecological examination. If you are going to have an abortion, you have to drag him along. After all, someone still has to stand obediently outside the gynecological ward, waiting fearfully for that embarrassing moment.

Enter the examination room

In the examination room, there is usually an examination table with a raised headrest and a special footrest for you to put your feet on. Go up.

Whether you are having a Pap test, an STD test, or a dilation and curettage, the procedure is pretty much the same. It all starts with questions and answers between the doctor and the patient. Specific questions such as: When did you get your first period? How long is the interval between menstruation? Do you have light, moderate or heavy menstrual bleeding? When was the last time you had your period? Have you ever been pregnant before?

After the consultation, you will go to another clinic, where you will take off your clothes and undergo a general examination first. Then, depending on the symptoms you describe, you may need to undergo an internal examination.

Lying on the examination bed, you must put your calves on the supports so that you are leaning back on the bed, and then the doctor will ask your buttocks to slide down along the bed. You will start to get nervous and even tremble. Take a deep breath and relax yourself. At the same time, you should also tell the doctor how you feel. Only by letting the doctor know how you feel can he take special care of you. Usually the doctor will chat with you at this time to distract you.

You will see the duckbill-shaped vaginal speculum for the first time. The doctor put the vaginal speculum in hot water to warm it up (if you meet a soft-hearted doctor!), applied Vaseline on the top of the speculum, and inserted the closed duckbill into the vagina. It was so cold and uncomfortable. . If necessary, the doctor will send your secretions to the laboratory for testing, usually using a small wooden scraper to gently scrape the vaginal wall or cervix.

Then the doctor will put on a pair of thin plastic gloves, apply Vaseline, slowly insert one or two fingers into the vagina, and put the other hand on the lower abdomen and press down hard. If you are heavier, you need to relax even more. When the doctor's hand reaches deep, it will hurt a little. If it hurts, something is wrong.

If you are examining a younger virgin, don’t be embarrassed to accept the examination if you need to do a rectal touch examination to avoid tearing the hymen. The doctor inserted his middle finger into the anus and his index finger into the vagina. The rectal examination itself was not painful, except that the anal sphincter incontinence felt a little uncomfortable. Finally, check your breasts to see if they are developing normally. The doctor will carefully feel your breasts and armpits, where lymph tissue is concentrated.

After the examination, while you are getting dressed, the doctor will record the examination results in the medical record. This is the best time to ask the doctor to explain the examination. Some doctors are not good at talking or use some difficult medical terms to explain. Don’t be embarrassed to ask the doctor to explain again.

In order to achieve good results from this gynecological examination, you must keep the doctor's advice in mind and strictly follow the doctor's instructions. If you feel unwell in the future, lose your prescription, or experience any side effects, be sure not to do it on your own and see your doctor promptly.

Artificial Abortion

If you suspect that you are pregnant, you can go to the drugstore to buy a "Human Embryo Villus Test Paper" for 8-10 yuan, and follow the instructions to try it yourself. However, I advise you to go directly to the hospital, because when you arrive at the hospital, they will ask you to try again for a test fee of 10-12 yuan. It only takes a few minutes to wait for the results. If you win the lottery with the test results, there are two methods for you to choose: dilation and curettage and medical abortion.

Of course, the first step is to have a B-ultrasound, which generally costs 25 yuan. Some hospitals will recommend that you do a color ultrasound, but don’t agree if it doesn’t cost too much. You need to bring water with you beforehand and drink until your bladder is no longer full before you can do the B-ultrasound.

The cost of dilation and curettage is relatively cheap, generally between 50 yuan and 70 yuan. Its advantage is that it can be handled very cleanly in one go. The disadvantage is of course - it hurts! And it can be dangerous if you have multiple curettages. Medical abortion generally costs more than 200 yuan. Its advantage is that it does not hurt, but it requires taking three pills in advance. The next day, you need to go to the hospital to take the last pill and wait for the abortion. (Compared with dilation and curettage, which is a one-and-done solution, the bleeding and labor pains for several days are not much better!) And it is easy to do it incorrectly, and in this case, dilation and curettage will happen again.

For unmarried girls, the mental pressure of going to a maternity hospital is far greater than the physical pain. I am afraid that the doctor will make sarcastic remarks or leave a record of the case and notify the school and parents. These are unnecessary concerns, and this is what gynecologists do every day. For them, it's like checking your knees. You don't need to leave your real name and address, but if there is a problem, it will be troublesome for the hospital to find you.

Some girls are afraid of losing face and have abortions privately, which not only easily causes organ infections, but can even be life-threatening. Some girls also have multiple abortions. Although they go to the hospital for treatment, endometrial damage caused by repeated dilation and curettage can lead to secondary infertility. The incidence of pelvic inflammatory disease in these two types of people can reach more than 20%, and the incidence of cervicitis can be as high as 90%. Therefore, girls are advised to cherish themselves and learn to protect themselves.

Reference: China Sexual Health Network