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Thursday, November 26, 2009
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Like a VirGYN: Your First Gynecologist Visit

(Page 2)

You'll be asked plenty of health questions during your visit. Make sure you're prepared to answer the following questions: 

  • When did your last period start?
  • How long do your periods last and is the bleeding heavy or light?
  • Are you taking any prescription medications?
  • Do you have any allergies to medications?
  • Do you smoke, drink alcohol, or use drugs?
  • Are you having sexual intercourse?
  • Are you interested in learning about birth control options?
  • Are you pregnant?  

"The provider should discuss your medical history with you before actually performing the exam. Sometimes people think questions such as how many partners you have had or currently have, or what types of sexual practices you engage in are too personal.  However, they are very important to help us decide what tests we need to do, so you should try to be honest when answering," says Dr. Brooks. 

You Always Remember Your First Time
A height and weight check is standard during a doctor visit, and depending on your medical history, you may also need to provide a urine specimen. A nurse will ask you to remove your clothes -- including your bra and underwear -- and cover up with a sheet or gown. If you've chosen a male doctor, a female nurse will usually be present during your exam. You can always request that a nurse be present during the exam if it makes you feel more comfortable.

The first part of the exam is called a pelvic exam. The doctor inserts a speculum (a plastic or metal device that widens an opening) into the vagina so that he or she can view the woman's cervix and vagina more easily. While the speculum is in place, the provider inserts swabs into the vagina to collect cells for various tests. The most common test is the Pap smear, which examines cervical cells for abnormalities. Many providers also perform tests for STDs such as gonorrhea, chlamydia, herpes and genital warts.

After samples are taken, the doctor removes the speculum. The doctor then applies lubricant to his or her gloved fingers, and inserts two fingers into the vagina, while using the other hand to feel your abdomen from the outside to detect any abnormalities in your uterus or ovaries. Both parts of the pelvic exam should take about five minutes. After the pelvic exam, some doctors also examine your internal organs and vaginal muscles by inserting a lubricated finger into your rectum.

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