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 Pap smear).
- Checks for infections, cysts, fibroids, 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:
- Breast Exam: Your breasts will be gently checked for lumps or changeswhere needed.
- 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 doctor to see your cervix. You may feel pressure, but it should not hurt.
- Cervical (Pap) Smear (if needed): A small brush/swab collects cells from the cervix to test for abnormalities.
- Manual (Bimanual) Exam: The doctor will insert two gloved fingers into the vagina and press lightly on your abdomen to check the uterus and ovaries.
- After the Exam:
- You can dress privately.
- Mild spotting may occur after a Pap 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 Pap 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 doctor 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.
- This exam is a proactive step to protect your health.
- Most findings are normal, but early detection saves lives.
