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Next, the doctor will insert an instrument called a speculum. The speculum may be plastic or metal. A metal speculum may feel cold as it is inserted.

This will slide into your vagina, then will be gradually opened to allow the doctor to examine the vaginal canal and cervix. If you feel pain, tell the doctor.

Speculums come in different sizes, so another one can be tried if the first one is causing you pain. Know what the Pap test is. After the doctor has examined your cervix and vaginal canal, he or she will insert a small swab or brush, through the opening in the speculum, to remove some of the cells from your cervix.

This is called a Pap test and is not recommended before the age of Most girls have perfectly normal Pap tests. If you are having any problems, the doctor may take additional samples to be reviewed by a laboratory.

Understand the digital exam. The next part of the exam will involve the doctor sliding one or two fingers into your vagina, and applying pressure to your abdomen.

Talk with your doctor before you leave. Once the exam is complete, you will remove the gown and get dressed. The doctor will review your exam results with you, and answer any remaining questions you may have.

He or she will also provide you with any written prescriptions that are needed, such as a prescription for birth control pills. Part 4 of Ask your doctor when to book your next appointment.

Tests such as the Pap smear are generally done once every two years; however, for women just starting out, it is recommended to undergo Pap testing yearly to establish a healthy baseline.

Ask your doctor when you should return for your next routine exam. Note that, if there are any abnormal results on your Pap test or in other parts of the breast or reproductive exam , your doctor may ask you to return sooner for follow-up care or additional tests.

See you doctor sooner if you have problems. Problems like abdominal pain, vaginal discharge or wetness, burning sensations, an unusual or strong odor, severe menstrual cramps, or spotting between periods, warrant making an appointment.

Once you become sexually active, your doctor can guide you in selecting the best type of birth control for you.

This may include prescription products that your doctor can prescribe for you. He or she will help monitor their use. Perform breast exams yourself.

Your doctor will show you how to check your own breasts for lumps that may be cancerous, or otherwise of concern. Perform these exams regularly, and notify your doctor as soon as possible if you think you have felt a nodule or small bump inside your breast tissue.

All girls receive the same gynecological exam. Make sure you tell your doctor that you're a virgin, as he or she will use a smaller speculum in that case.

Yes No. Not Helpful 2 Helpful A lubricating gel may be used to make the examination more comfortable. Not Helpful 1 Helpful During a gynecological exam, digital rectal examination isn't done routinely.

If your doctor sees something that needs closer examination, such as signs of a fistula, he may check it by feel at the time, or they may refer you to a colorectal specialist.

Your doctor won't do a digital exam if it causes you pain. You may feel uncomfortable, but your doctor will do the exam as gently as possible.

You should never feel embarrassed about being examined. You may feel a bit shy or nervous, but your doctor is a trained professional, and will make you feel as relaxed and comfortable as possible.

The doctor will palpate your abdomen during a vaginal exam. If your doctor thinks you might have a cyst, she will send you for an ultrasound or CT scan of your pelvis.

If you are having a breast exam as well as a pap test and a digital exam, you need to be naked. If you are only having a pap test, then you may keep your shirt on.

Costs vary around the world. If your country has a public health system, the exam may be free of charge. If you need a gynecological exam but are unable to pay, talk to staff at your local health center.

In the U. Not Helpful 3 Helpful Why does this exam need to be done, and is it recommended for women under the age of 21?

The pap test is the only part of the exam recommended for women aged 21 and under. It is performed to detect any abnormal cells on the cervix caused by HPV, as they could become cancerous.

Not Helpful 5 Helpful No, as your doctor will be unable to examine you or run certain tests. If it comes unexpectedly, you may always reschedule.

Your doctor will understand and won't be irritated. Not Helpful 0 Helpful 4. Girls should have their first gynecological exam when they are 13 to 15 years old.

Not Helpful 11 Helpful 9. Include your email address to get a message when this question is answered. By using this service, some information may be shared with YouTube.

Be honest with your doctor, even if embarrassed. Information you provide about what is hurting or bothering you, including sexual activity, helps your doctor to find the best treatment options for you.

Helpful 1 Not Helpful 0. Realize that your doctor may be male, but know that they do this type of exam all the time. A female nurse will be in the room with you during the exam.

If you do not want to be examined by a male doctor, state this when making the appointment. Helpful 1 Not Helpful 1.

Don't be afraid to ask questions. This is your time with your doctor, so overcome feeling embarrassed or awkward, and ask whatever you need to ask.

Helpful 0 Not Helpful 1. These exams may cause spot bleeding and it is recommended to bring a maxi pad or other similar product.

Helpful 0 Not Helpful 0. Treat yourself afterward! You went out of your comfort zone. Get some ice cream or watch TV. You did it so reward yourself accordingly.

Related wikiHows. More References About This Article. Medically reviewed by:. Lacy Windham, MD. Co-authors: Updated: April 9, Italiano: Fare una Visita Ginecologica.

Deutsch: Sich einer gynäkologischen Untersuchung unterziehen. Nederlands: Een gynaecologisch onderzoek ondergaan.

Thanks to all authors for creating a page that has been read , times. Thanks for the information, I appreciate it. Rated this article:.

Juliana Holub Dec 19, It will be my first time going to a gynecologist. Ruby Smith May 5, Jennifer Rossie Mar 8.

Sarah Williams Mar 14, More reader stories Hide reader stories. Did this article help you? Cookies make wikiHow better. By continuing to use our site, you agree to our cookie policy.

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Part 2 of Expect questions about your general medical history. Answer thoroughly and honestly. Your doctor needs to have as much information as possible in order to effectively treat any existing problems, and work with you to prevent future complications.

Be prepared to discuss your sexual history. Your doctor will need to know if you are sexually active.

That includes being taken advantage of sexually, or sexual abuse. Anticipate questions about your period. Be able to tell the nurse or doctor the first date of your most recent period, and the age when you had your first period.

They may also ask the age that your breasts began to develop. They will likely ask how heavy you bleed during your periods. You can usually answer this by telling them how many pads or tampons you need to use, especially for the first 48 hours of your cycle.

Provide information about any problems you are having. This may include unusual vaginal discharge, bad odor, itching in your vaginal area, unusual pain or discomfort in your abdomen or vaginal area, pain during sex, and any changes, pain, or problems with your breasts.

There is no harm in undergoing STI testing if you have any concern at all, as there are effective treatments available if you do have an infection, and treating it sooner rather than later can help to avoid long-term complications.

Your health care provider can test for trichomonas, gonorrhea, and chlamydia using a urine sample. Tell the doctor if you think you are pregnant.

Urine or lab work will be done to confirm the pregnancy. If your pregnancy is confirmed, your appointment will include additional steps and your doctor will help to arrange for your obstetrical care all the way through delivery.

Part 3 of Ask your doctor to explain the procedures. Parts of the exam can feel awkward. Talking to your doctor during the exam can help you to feel more relaxed.

Ask the doctor to explain what he or she is doing as they are doing it. If one is not present in the room, ask for a nurse to be with you.

The external areas will be examined, then an internal exam will be done. The external areas examined include the clitoris, labia, vaginal opening, and rectum.

The internal exam includes the use of a speculum to check the vaginal canal, cervix, perform the Pap smear, and take other tissue samples if needed.

A digital exam is performed to feel the uterus and ovaries. Make sure to let your doctor know if you are uncomfortable with the internal exam.

If you have been sexually abused, then it may take several visits before you will feel comfortable with this type of exam.

Be sure to communicate your concerns with your doctor. The entire exam takes only a few minutes. Remove your clothes. After the routine tests and medical questions are completed, you will be given a gown and asked to undress.

Remove everything, including your panties and your bra, unless the nurse tells you otherwise. Put on the gown. Gowns used for gynecological exams have openings in the front.

This allows your doctor to examine your breasts. An additional paper cover may be provided that goes over your lap. Have the breast exam. The breast exam comes first.

The doctor will touch your breasts and move his or her hands in a circular and linear motion. The doctor will check the breast tissue that extends up into your armpit area.

Your doctor will also check your nipples for any abnormalities. The breast exam is done to check for any lumps or abnormalities.

If you feel any discomfort during this procedure you should tell the doctor. Slide to the end of the table. You will need to position yourself so your feet can fit into holders, called stirrups.

Relax your legs and let them fall open. Have the external exam. The external exams allows the doctor to examine the area for any signs of irritation, infection, or abnormalities in the tissues surrounding your vagina and urethra, which is the duct that allows you to pass urine from your bladder.

For example, if your labia is red or inflamed, the doctor may spread the labia to examine for any abnormalities. Expect some pressure from the speculum.

Next, the doctor will insert an instrument called a speculum. The speculum may be plastic or metal. A metal speculum may feel cold as it is inserted.

This will slide into your vagina, then will be gradually opened to allow the doctor to examine the vaginal canal and cervix.

If you feel pain, tell the doctor. Speculums come in different sizes, so another one can be tried if the first one is causing you pain. Know what the Pap test is.

After the doctor has examined your cervix and vaginal canal, he or she will insert a small swab or brush, through the opening in the speculum, to remove some of the cells from your cervix.

This is called a Pap test and is not recommended before the age of Most girls have perfectly normal Pap tests. If you are having any problems, the doctor may take additional samples to be reviewed by a laboratory.

Understand the digital exam. The next part of the exam will involve the doctor sliding one or two fingers into your vagina, and applying pressure to your abdomen.

We sat down with Dr. Vash-Margita, one of Connecticut's only gynecologists with this highly specialized training, to learn why young girls may benefit from early gynecologic care and to find out what drew her to this field.

I felt for these girls and developed a passion for taking care of them. I decided to pursue a fellowship in pediatric and adolescent gynecology at the University of Michigan.

It empowered me. I felt eager to work with this age group, which is underserved when it comes to gynecologic issues. A young girl is not a small woman; she has special needs.

We take time to talk about sensitive issues. Our appointments can be long, because we touch on many different topics, including heavy periods, ovarian cysts , sexual abuse, substance abuse and mental health.

My role is to help my patients make good choices and stay safe. I interview older girls alone, providing confidentiality.

I work closely with them, offering the best information and guidance they need. Naturally, a girl should see us at any age if she has medical issues or questions.

This initial appointment is meant to educate patients and to establish a relationship with them.

We discuss menstrual issues, puberty and prevention of pregnancy and STIs sexually transmitted infections. I have found that, at times, girls are more open with their physician than they are with a parent.

In those cases, I encourage girls to try talking to their parents, too. As a gynecologist, I am comfortable prescribing different methods of birth control, including contraceptive pills, patches, vaginal rings, IUDs intrauterine device and subdermal implants.

Girls often think there will be a pelvic exam, which is not true. In the beginning of the visit, I tell my patients that, most likely, they will not need an internal pelvic exam.

After that, there is a visible sigh of relief and the conversation goes more smoothly. In fact, unless a patient has specific complaints or needs, I will not perform a pelvic exam until she needs a cervical cancer screening PAP smear.

I will, however, perform a general physical exam. If I do need to perform a pelvic exam, I am very conservative. Teenagers decide whether they want their mom or caregiver in the room, but I always have a chaperone during a pelvic exam.

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A girl's guide to visit her Gynecologist for the first time

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