What is the process of gynecological examination and what should I pay attention to? Which gynecological hospital in Puning quicksand is trustworthy here?
Female friends can have regular physical examination every year, and gynecological inflammation physical examination is the premise to ensure health. There are also many people who don't know what to check in gynecological examination and whether to take off their clothes, all of which are related to female friends.
Heart problems. So what is the whole process of gynecological examination? The following is the explanation of the related contents provided by 5 1.com medical service center for women, which helps women to uncover the mystery of gynecological examination. First, the general gynecological examination content
1, routine examination of leucorrhea: detection of vaginitis caused by various pathogenic microorganisms, such as mold, trichomonas, clue cells, PH value, cleanliness, chlamydia, etc.
2. exfoliative cytology: this is the main method of cancer screening, which is of great value for the diagnosis of cervical precancerous lesions and early cervical cancer. 3, pelvic and vaginal B-ultrasound: early detection of uterine fibroids, ovarian cysts and other lesions.
4. Electronic colposcopy: enlarge vulva, vagina, cervix, etc. After 4-50 times, we can find some tiny lesions that can't be found by naked eyes, which is of great value for early detection and diagnosis of cervical precancerous lesions.
5. Routine gynecological examination: Gynecologists can perform vaginal examination and double crane needle, which can comprehensively evaluate the gynecological situation of patients.
6. Hysteroscopy and laparoscopy: For gynecological symptoms that are unknown or need further diagnosis, examination can clearly guide early treatment. Recommended reading: common gynecological examinations, gynecological examinations that must be done every year.
7. exploratory laparotomy: at present, it has not been widely used in clinic. For abdominal masses, long-term unexplained symptoms need laparotomy. Second, what is the process of gynecological examination? Simple question and answer
No matter which hospital you go to, you should start with the doctor-patient question and answer. The doctor may ask some seemingly irrelevant questions, such as whether you have chicken pox or whether your grandmother has tuberculosis. you can
I don't understand the doctor asking these questions, but it's normal. Because the doctor through these questions to the patient, on the one hand, eased the patient's nervousness, on the other hand, understand the patient's medical history and genetic disease history. Because other organs of the body
Official defects or discomfort can also affect reproductive organs, and discomfort in this part of the body can also affect that part. Later, the doctor will ask some specific questions about gynecology, such as: menstrual cycle, yes or no?
There is leucorrhea, and so on.
Vulva examination
After the consultation, I will go to another consulting room, where I will take off my clothes for gynecological examination. If you want to pee at this time, don't be embarrassed. You must go to the bathroom first. If the bladder is full of urine, it will directly affect the woman.
Section inspection. When doing a general examination, the doctor asks the patient to lie on the gynecological examination chair and put his feet on the tripod, which will reveal the deepest secrets of the patient's physiology. After the legs were separated, the patient began to get nervous, even
Will tremble. Take a deep breath and relax yourself at this time. Doctors are patients' best allies. Before the patient was found, the doctor had examined the vulva.
Through simple observation, he has obtained enough information: Is the clitoris normal? Is it badly wrapped? Is labia majora like a plump little cushion, or is it flat because of estrogen deficiency?
Is pubic hair sparse or thick? Is the vulva as red as the tongue, or is there anemia? Is the mucosa around the vagina as bright or pale as a rose? Is there any chronic infection or acute inflammation?
Symptoms? Is lip swelling a slight inflammation? The skin is scratched, is it shallow or deep? As well as warts, papules, wounds and abnormal masses.
After carefully examining the vulva, the doctor began to examine the vaginal opening. He touched the vestibular glands with his fingers, which secrete fluids that lubricate the vagina and around the vaginal orifice. Under normal circumstances, vestibular glands are invisible. while
When the doctor gently touches this part of the mucosa with his fingers, he can find cysts or abscesses by their sensitivity or swelling. Vaginal endoscopy
We have seen a duckbill-shaped vaginal speculum on the instrument table in front of the gynecological examination chair, which is used to open the vagina and observe the situation in the vagina and cervix. The most difficult moment came, and the doctor warmed the colposcope with hot water.
Next time (if you meet a soft-hearted doctor), put vaseline on the top of the speculum and put the closed duckbill into the vagina. It's so cold that I can't stand the exam. At this time, we must relax and be light.
Breathe gently and think of something else. The doctor is now opening the duckbill to spread the inner wall of the vagina that is usually stuck together. Finally, he is wide enough to see the inside of the vagina and always see the deepest part.
-The cervix is open. Vaginal secretions, lesions, vaginal infections or mild inflammation can be observed with naked eyes. At this time, the doctor took the leucorrhea and sent it to the laboratory if necessary; The doctor shaved little Mu.
Children, gently scrape the vaginal wall or cervix, leave the cells in the vagina or cervix in advance, and then make a smear and send it to check. Recommended reading: Women need gynecological examination in these five situations.
Vaginal endoscopy
After colposcopy, the doctor closes the duckbill pliers and takes the instrument out of the vagina. Oh! You can catch your breath. Next, the doctor will touch his hand for the rest of the examination. The doctor put on disposable gloves and applied vaseline.
Slowly put one or two fingers into the vagina and the other hand on the lower abdomen. When the finger that reaches the vagina touches the cervix, the hand that presses on the lower abdomen presses down hard, and the uterus is in the doctor's hand, which can be comprehensive.
Accurately judge whether the shape and size of the uterus are normal, whether the activity is normal and whether the surface is smooth. Similarly, gynecologists can also touch the harder-to-find ovaries to see if they are normal in size and have cysts.
Swelling. It is as difficult for a doctor to touch a fat woman as it is to touch a walnut across a mattress. The patient should relax. Because the palpation technique is mild, you can't touch the fallopian tube unless it is inflamed or ectopic.
Pregnant. During the examination, the doctor's hand will touch the depth and it will hurt a little. The doctor knew he had achieved his goal as soon as he felt a little pain. If it hurts, it means something is wrong. Rectal palpation
A complete genital examination is over. If necessary, you can also do rectal palpation. This technique can be used to check young virgins and avoid tearing hymen due to narrow vaginal opening, which is not bad if necessary.
It means to check The doctor put the gloved middle finger into the anus; When the index finger reaches into the vagina, the finger can reach as far as the vagina, because the rectum has no end. Because of exercise, sometimes the ovaries are hidden in the uterus.
When you go back, you can't touch it during vaginal examination, but it may be in the doctor's hand during rectal examination. Is there any nodule or abnormal feeling in the uterus wall and the gap between vagina and rectum?
Can diagnose hemorrhoids or other tumors. The rectal examination itself is painless, but the feeling of incontinence of anal sphincter is a little uncomfortable. When the doctor pulls out his finger, he may feel defecation, but this is just a feeling.
There is no real shit. End of inspection
After the examination, when getting dressed, the doctor will record the examination results in the medical record, and if treatment is needed, he will write a prescription. This is the best time to ask the doctor to explain the examination. Some doctors are not good at talking or using some
Explain difficult medical terms. Don't pretend to understand them at this time, and don't be embarrassed to let the doctor explain it again. In order to get up the courage to ask a doctor, you can imagine asking a car manufacturer for the skills of car manufacturing.
Surgical problems. After getting a satisfactory explanation and a doctor's prescription, you can leave the clinic happily. Third, facing the gynecological examination of male doctors.
When female patients see gynecology, especially when they want to do gynecological examination, don't worry about the gender of the doctor. Please remember: there is only a doctor-patient relationship between doctors and patients, and there is no gender relationship. Moreover, when male obstetricians and gynecologists do examinations,
There are often female assistants or nurses present. Generally speaking, gynecological examination must be done by obstetricians and gynecologists, and doctors must wear gloves. When checking the reproductive organs, the examinee only needs to take off one trouser leg and the other.
Keep it in the leg; When doing anal examination, that is, rectal and abdominal Shuang Hezhen, take the cystolithotomy position. Unmarried women's vaginal appliances inspection must be approved by themselves (or guardians such as parents and fiance).
Fourth, how to cooperate with doctors to do gynecological examinations?
When you know that you are going to have a gynecological examination, you should first write down the menstrual cycle of the last 3 months and make preparations for the gynecological examination, that is, don't rinse your vagina within 24 hours before the gynecological examination, especially when the leucorrhea increases and smells bad.
Smell, because water can wash away pathogenic bacteria, affects doctors to make a correct diagnosis. It is better to wear a skirt when checking in summer, which is more convenient. Check to pee in the bathroom. It doesn't matter when you check.
Zhang, you can take a deep breath and relax your abdominal muscles. When doing colposcopy, pay more attention to relax and breathe gently. Doctors usually wear gloves and apply lubricating oil when they are in contact with the examination. Double river needle examination can comprehensively judge the uterus.
Whether the shape and size are normal, whether the surface is smooth, etc. Similarly, doctors can also touch the ovaries to see if they are normal in size and have cysts. Recommended reading: things to pay attention to in gynecological examination
It must be pointed out that when the doctor's hand touches the depth, it will be a little uncomfortable. If it hurts, it means something is wrong. If necessary, you can also make a triple diagnosis of rectum, vagina and abdomen, because the ovaries sometimes hide in the uterus.
You can't touch them during vaginal examination when you go back, but they have nowhere to hide during rectal examination.
When the doctor records the examination results in the medical record, it is the best time to ask the doctor to explain the examination. Some doctors are not good at speaking or using some difficult medical terms to explain, so please ask the doctor to explain in detail.
Tips: From a physiological point of view, women will encounter many gynecological problems that cannot be solved from birth, such as inaccurate menstruation, increased leucorrhea, abdominal pain, and upper ring. , gynecological examination will be in some kind of.
To some extent, it helps women to relieve confusion, anxiety and pain. Therefore, please pay attention to gynecological examination and don't refuse.