What is a Gynaecological examination?
A gynaecological exam is a routine check-up to assess the health of your reproductive organs (e.g., vulva, vagina, cervix, uterus, ovaries). It helps detect infections, abnormalities like adenomyosis, endometriosis, or early signs of conditions like cancer.
Why is it Important?
- Screens for cervical cancer (via cervical smear).
- Checks for infections, cysts, fibroids, PCOS, endometriosis or other concerns.
- Monitors reproductive health (e.g., menstrual issues, pelvic pain).
- Provides contraception or pregnancy-related care.
What to expect during the exam
- Before the Exam:
- You’ll be asked to undress from the waist down and given a gown/drape for privacy.
- A nurse chaperone will stay with you throughout.
- During the Exam:
- External Check: The vulva is visually examined for redness, sores, skin changes, or irritation.
- Speculum Exam: A lubricated, smooth tool (speculum) is inserted into the vagina to gently open it, allowing the gynaecologist to see your cervix. You may feel pressure, but it should not hurt.
- Cervical (Pap) Smear (if needed): A small brush/swab may be used to collect cells from the cervix to test for abnormalities.
- Manual (Bimanual) Exam: The gynaecologist will insert two gloved fingers into the vagina and press lightly on your abdomen to check the uterus and ovaries.
- Breast exam: Your gynaecologist may check your breasts for lumps or changes linked to breast conditions.
- After the Exam:
- You can dress privately.
- Mild spotting may occur after a cervical smear (this is normal).
- Results are typically shared within 1–2 weeks.
Preparing for Your Exam
- Schedule when you’re not menstruating (if possible).
- Avoid vaginal creams, douches, or intercourse 24 hours before (if a cervical smear is planned).
- Empty your bladder beforehand for comfort.
- Write down questions/concerns to discuss with your doctor.
Your Comfort and Privacy
- Communication is key: Tell your gynaecologist if you feel pain, anxiety, or need a break.
- Draping: You’ll be covered except for the area being examined.
- Chaperone: You can request partner or friend to be present along with chaperone.
- Positioning: You’ll lie on your back with your feet in supports (stirrups).
Frequently Asked Questions
Q: Will it hurt?
A: You may feel pressure or mild discomfort, but it should not be painful. Breathe deeply and relax your muscles to ease tension.
Q: How long does it take?
A: The exam itself takes 10–15 minutes.
Q: What if I’m nervous or embarrassed?
A: It’s normal to feel uneasy. Let your doctor know—they can explain each step and ensure you feel in control.
Q: Do I need this exam if I’m not sexually active?
A: Yes! Gynaecological exams are important for helping in diagnosis of certain conditions when deemed necessary by doctor irrespective whether you are sexually active or not.
eGynaecologist Advice
- Resume normal activities immediately.
- Contact your doctor if you experience heavy bleeding, severe pain, or fever.
- Gynaecological examination is a proactive step to protect your health and most findings are normal, however, early detection of conditions can go long way to optimise your gynaecological health and wellbeing.
