Gynecological examination of women. Gynecologist (women's consultation)

Examination of girls by a gynecologist is carried out at 3, 7, 12, 14-17 years old (after 14 years old - annually) - before entering kindergarten, school, and then after graduating from primary school and in adolescence. In addition, when symptoms of distress from the organs of the reproductive system appear, an extraordinary consultation of a pediatric gynecologist is appointed, during which the doctor not only determines the state of the child's health, but also prescribes the necessary treatment.

Organization and legal basis

Examination by a pediatric gynecologist can be done in a polyclinic at the place of residence for free or on a commercial basis in a private medical institution that has an appropriate license and a specialist. It is carried out on the basis of the order of the Minister of Health No. 1346n of 12/27/12 "On the procedure for the passage of medical examinations by minors." If the institution does not have a specialist "pediatric gynecologist", the medical organization cannot replace him with a doctor of another specialty.

Parents are informed about the medical examination at least 5 days in advance and take written consent to carry it out. In this case, the child's legal representative (father, mother or guardian) may be present during the procedure itself in the doctor's office.

Parents or guardians may refuse to have a gynecological examination of a child based on federal health care law. At the same time, the child cannot be denied admission to kindergarten or school.

In Russia, to undergo a medical examination by a gynecologist, a medical policy is required.

If a girl has reached the age of 16, she herself gives written consent to a gynecologist's consultation, while parents are not required to notify about this procedure, and even more so about its results. A 15-year-old girl will most likely not be accepted by a pediatric gynecologist without parents, and an "adult" will not examine at all, because he has no right to diagnose and treat diseases in children.

All data is entered into an outpatient card or special forms before entering a kindergarten, school, or dispensary observation documents. They constitute a medical secret, and no one can get acquainted with these data without the consent of the child's parents or guardians.

There is an exception to this rule. According to the order of the Ministry of Health dated May 17, 2012 No. 565n, if the doctor, upon examination, reveals signs of unlawful, violent actions against the girl, he will be obliged to report this to the internal affairs bodies.

If a girl underwent an examination by a gynecologist for some reason, and there is information about this in her medical record, these results are "counted" if they are no more than 3 months old.

Indications for visiting a doctor

Routine preventive examinations are carried out for the early detection of serious deviations in health, which can then lead to severe reproductive disorders and even. Therefore, you do not need to give up them. Such examinations are completely painless, the gynecological chair has been used since adolescence.

In addition, you need to visit a pediatric gynecologist if a girl has complaints:

• itching and burning in the perineum;
• discharge from the genital tract, stains on linen;
• pain in the lower abdomen with fever;
• absence of menstruation at 15-16 years old;
• the girl has too heavy, painful periods, lasting 7 days or more;
• the appearance at the age of 11-12 years of signs of male-pattern hair growth, acne, insufficient development of the mammary glands;
• accelerated sexual development, the appearance of the first menstruation before 11 years.

The main diseases detected by a pediatric gynecologist

Examination of girls by a gynecologist in kindergarten and subsequent dispensary observation is carried out to identify such groups of diseases:

• inflammatory diseases of the pelvic organs;
• non-inflammatory diseases of the genital organs;
• breast disease;
• congenital malformations of the genital organs.

At a later date, premature sexual development or its delay is additionally diagnosed, as well as a violation of the rhythm and nature of menstruation.

Most often, prepubertal girls have vaginal discharge and irritation of the surrounding tissues. Such symptoms account for up to 70% of all visits to a pediatric gynecologist for a disease. Another most common problem is parental concerns about the normal structure of the genitals.

Non-infectious vulvovaginitis

It is usually caused by contact dermatitis, which is skin irritation caused by detergents. Redness of the skin is observed, in rare cases, blisters and itchy skin are formed.

Poor perineal hygiene is a common cause. This reveals redness and swelling of the labia majora. Occasionally, residues of white discharge or even fecal matter are visible on the vulva. In more severe cases, scratching occurs, which can be a gateway to a secondary bacterial infection.

A rare but serious cause of non-infectious vulvovaginitis in children is lichen sclerosus (lichen). It is accompanied by itching, irritation, soreness, bleeding, urinary dysfunction, and pain during bowel movements. A characteristic feature is white spots on the skin, which takes on the appearance of parchment paper.

If a foreign body, for example, a piece of toilet paper, gets into the vagina, bloody, purulent discharge with an unpleasant odor, irritation of the vulva may appear.

Infectious vulvovaginitis

Any cases of genital tract infections should alert the doctor to child abuse. In this case, it is necessary to diagnose gonorrhea, chlamydia, trichomoniasis, human papillomavirus, HIV infection and herpes simplex virus infection. In children under 3 years of age, the source of chlamydia and papilloma virus can be transmission from the mother during childbirth, even if the woman did not know about the presence of such a disease.

Infectious vulvovaginitis is accompanied by redness and soreness of the skin. Vaginal discharge is yellow-green in color and may be purulent. The disease can occur against the background of a cold, and in this case it is caused not by sexual pathogens, but by streptococci, meningococci, hemophilus influenzae, staphylococci and pneumococci.

Scratching and secondary infection can be caused by pinworms.

Anatomical changes

Often, parents turn to a gynecologist with complaints about the abnormal structure of the external genital organs in little girls. In this case, the doctor conducts a careful external examination, during which he can identify such frequent pathologies:

• hymen infection;
• prolapse of the urethra;
• swelling of the vagina.

In such cases, surgical correction of the detected defects may be required.

Preparation for inspection

A child in 3 years usually does not need to explain anything for a long time. It should only be said that they will go to the doctor with their mother, as usual. In the absence of complaints, the examination is limited to the external, that is, the doctor visually assesses the structure of the external genital organs and the absence of signs of inflammation.

How to prepare a girl 6-7 years old and older for examination by a gynecologist?

It is important to remain calm and confident - before the age of 7 years, the child often does not feel any embarrassment and will not notice the "uncomfortable" topic.

The first visit to a gynecologist by a teenage girl is often remembered for a lifetime. Therefore, the mother needs to explain what will need to be done before (urinate in advance, clean the perineum with a damp cloth) and what will happen during the examination.

Examination by a gynecologist usually does not cause psychological trauma. Parents should not focus on going to the doctor as something unusual or even more shameful. More often the girl worries more in advance than after the visit.

How is the inspection going?

Stages of carrying out:

1. A conversation during which, in a calm, benevolent tone, the doctor asks questions to the little patient and her mother about the developmental features of the child, any complaints or abnormalities in the development of the genitals. At the same time, psychological contact with the patient is being established.
2. Examination of girls before puberty is usually done while lying on a couch. The child needs to remove all clothing below the waist, and also raise the edge of the blouse or T-shirt above the belly. Then the girl lies down on an unfolded diaper.
3. The doctor feels the stomach, then asks to bend the knees - this is done either by the girl herself, or by her mother, who is nearby. The doctor examines the external genitalia.

This is where the inspection ends. Only in rare cases, for example, if there is a suspicion of anomalies of sexual development, the doctor conducts a rectal examination of the uterus and appendages, inserting a gloved finger into the rectum, and prescribes other research methods, in particular, ultrasound.

In girls, it is found out whether menstruation has begun, what is the duration of the cycle, whether there is pain. If (the first menstruation) has already passed, you should take a menstrual calendar for an appointment, which should be kept by every girl and woman, noting the days of menstrual bleeding in it.

Adolescents who have already had their first period are examined on a gynecological chair. The doctor always asks if the girl is sexually active. If the answer is negative, he conducts a rectal examination, probing the uterus and appendages through the anterior abdominal wall, on the one hand, and the rectal wall, on the other. This manipulation is painless, although unpleasant.

In case of severe inflammation, the gynecologist can take vaginal swabs even from a virgin. The hymen always has holes through which blood is released during menstruation. Through one of them, the doctor, under visual control, carefully inserts a thin probe and makes a smear. At the same time, the hymen is not damaged.

If necessary, a special baby vaginal speculum can even be inserted through such an opening to assess the condition of the vagina and cervix. Of course, this is not used during prophylactic medical examinations. But if the doctor suspects a serious disease of the reproductive system, for example, a tumor, such an examination will be carried out. The integrity of the hymen is not compromised.

If a girl is sexually active, her examination is carried out in the usual way - vaginal, as well as with the help of mirrors.

In addition, the condition of the mammary glands and secondary sexual characteristics, in particular, pubic hair, are necessarily checked. Non-compliance with their norm indicates a delay in puberty, which is often caused by serious endocrinological diseases. Only their timely diagnosis will help the girl to conceive and bear a child in the future. Therefore, one should not refuse gynecological examinations in adolescents, because at this time the girls are already embarrassed to talk about these topics with their mother.

The first visit to the gynecologist is always stressful. But to be honest, even adult women often feel awkward at a gynecologist's appointment. This is not surprising, and the reason for this is natural female shyness. And yet, in no case should you avoid gynecological examinations, so you will have to cope with shyness and the associated prejudice. If you know how an appointment with a gynecologist goes, then you understand that all unpleasant sensations are greatly exaggerated by the imagination, and nothing special happens in the gynecologist's office.

But for very young girls, for whom the examination of a specialist in women's health is still a novelty, this information will be beneficial. Knowing how the appointment with the gynecologist goes, the girls will not be afraid and speculate. It is the task of the mother or older sister to tell how the examination by the gynecologist takes place. But in adolescence, the authority of relatives is often not favored. For information, the girls go to the Internet. And our article will help them find out how an appointment with a gynecologist is going on, without unnecessary emotions and exaggeration.

Standard gynecological examination: what happens in the gynecologist's office
A gynecologist is a specialist in the treatment of diseases of the female reproductive system. Despite the fact that gynecology deals exclusively with the health of the female body, a gynecologist is the same doctor as any other. Examination by a gynecologist is also necessary, and you need to treat it in the same way as a doctor of any other specialization, ENT or therapist. And you also need to visit a gynecologist regularly, and not only in case of alarming symptoms.

Nevertheless, many women postpone the visit to the gynecologist as long as possible. Oddly enough, they are stopped by reasons that have nothing to do with reality. Here are the main fears before seeing a gynecologist:
In other words, all the obstacles on the way to the gynecologist are somehow caused by ignorance of how the appointment with the gynecologist goes. Lack of information makes it difficult to think sanely, which, in turn, can turn into much more trouble if you do not see a doctor on time.

How is an appointment with a gynecologist
The time you spend in the gynecologist's office depends on the purpose of your visit, the frequency of your visits and specific tasks. But in general, the appointment takes from 15 to 30 minutes, during which the doctor has time to communicate with you and conduct an examination. Thus, the reception and the gynecologist takes place in two stages:
This is how an appointment with a gynecologist takes place in most cases. Some doctors also examine the breasts and / or take additional tests, depending on your complaints and the purpose of the visit. On your part, in most cases, you do not need any special preparation for an appointment with a gynecologist. A calm morale, personal hygiene and a set of disposable instruments are enough if they are not included in the admission price. It is not necessary to remove hair in the groin. Schedule an appointment between your periods and feel free to go to your gynecologist.

How is an appointment with a gynecologist at 14 years old (in grade 9)
How often to visit a gynecologist? This question worries girls and women of all ages. As a general rule, after 18 years of age, you need to independently come to the gynecologist's appointment twice a year, in extreme cases - at least once a year. But before that, the first appointment with a gynecologist often takes place: at the age of about 14-15 years, as part of a mandatory medical examination for high school students. The first visit to the gynecologist makes girls very worried, even if they do not show it to their parents and classmates. To make it easier for your child to visit the doctor, tell us how the appointment with the gynecologist goes for the first time:

1. If there are no complaints and the body is developing at the prescribed pace without complications and deviations (which, in which case, you must inform the doctor), the adolescent gynecologist may confine himself to an interview and a visual examination, without using a gynecological chair and instruments.
   
2. If an examination is carried out on a gynecological chair, then the condition of the internal genital organs is assessed by palpation through the rectum, and not through the vagina. This is how virgins are examined, to preserve the integrity of the hymen, but to diagnose the condition of the appendages and the uterus.
   
3. A pediatric and adolescent gynecologist can take a smear, but only from the external genital organs, without introducing the instrument inside.
   

You do not have to wait for a scheduled examination and visit a pediatric gynecologist earlier: after the girl starts menstruating. It depends on the wishes of the parents, and the mother or other older relative has the right to be present during the examination so that the girl is calmer.

How is an appointment with a gynecologist during pregnancy?
Pregnant women visit a gynecologist often, but not every appointment follows the standard scheme. Often you just need to get a referral for tests and / or consultation. Even before the start of pregnancy, you need to come to an appointment with a gynecologist and inform him about your plans for conception. The doctor will conduct a routine examination, take swabs and do the necessary tests. In the future, the course of pregnancy will take place under the constant supervision of a doctor - from confirmation of the fact of pregnancy to the very resolution of the burden and after it. Pregnancy management is a topic for a separate conversation, but you should know that timely access to a competent gynecologist is the primary condition for your health and safety. Fear of being seen by a gynecologist does not justify a careless attitude towards your body. Take care of yourself and be healthy!

More than once, all women will have to undergo a gynecological examination. Gynecology includes a number of diagnostic methods and analyzes. It is very important to undergo an examination for those women who are just planning or are already preparing to be a mother, as well as if they suspect diseases of the genitourinary and reproductive system. You need to know how the examination at the gynecologist's appointment goes in order to be ready for it.

External examination

External female examination is very important and at the same time a simple study. It can be carried out for prophylactic purposes or to diagnose a pathological process, which is facilitated by certain symptoms and complaints of the patient. During this examination, the specialist pays special attention to the external organs: the anus, the inner and outer labia, and the pubis. Only after this is a thorough examination of the uterine cervix carried out.

First of all, with an external gynecological examination of a woman the specialist pays special attention to the following points:

1. Swelling or redness of an organ or some areas of the skin in this area.
2. The presence of tumors on the genital organ.
3. The nature of the hairline: density, condition of the roots.
4. The condition of the skin in this area.

On a thorough examination, the specialist pushes the outer labia apart and visually evaluates the condition of such parts:

1. The hymen (in young ladies who are not having sex).
2. The outer part of the vagina.
3. The opening of the urinary canal.
4. Inner labia.
5. Clitoris.

If pathological discharge appears during the period of such an examination, then this may be a sign of disorders in the female body. You need to pass a smear for microscopy or bacterial culture analysis. Thanks to these studies, it will be possible to find out the disease and the focus of its occurrence.

Differences in methodology

Gynecological examination is also necessary for girls who are not sexually active. But their visual external examination will be different from that which is performed on women. Examination by a gynecologist is divided into 3 types:

1. Rectal.
2. Vaginal (vaginal).
3. Combined (recto-vaginal).

For adolescents, only rectal is performed, since the vaginal and recto-vaginal are not suitable for them (the hymen may be disturbed). This method gives a minimum of information, but an experienced specialist, when examining the genitals, can determine the development and structure of the reproductive system, as well as diseases that are associated with changes in the mucous membrane and skin, secretions and other factors. The most common are:

1. Ulcers, trauma to the genitals and mucous membranes, eczematous inflammation, as well as condylomas and other abnormalities.
2. Hyperandrogenism is a rare disease that can be found on external examination of the outer labia. With this disease, the clitoris significantly increases in size and moves more than 2 centimeters from the urinary canal.
3. Pregnancy can be determined by the color of the mucous membrane. The mucous membrane becomes brighter with an increase in the period after conception. This is due to hormonal changes in the body, as well as blood flow.
4. An external examination can reveal such a pathology as an increase in the level of estrogen in the female body. With this disease, the vulva and vagina are significantly moistened. In some cases, the color of the mucous membrane may change.
5. Hyperestrogenism is easily detected when the female organs are checked by a gynecologist. It is expressed by the paleness of the labia minora and labia majora, accompanied by increased dryness of the uterine and vaginal membranes.

Internal examination

For women who are sexually active, an internal vaginal examination is done. In the process of checking, the specialist must study in detail the condition of the vaginal mucosa, as well as the general condition of the cervix and the entire uterine cavity. When a doctor examines a woman, he sees the following:

1. Tumors and inflammations. In addition to anatomical changes, a specialist, when examining a woman on a chair, will be able to detect tumors or inflammatory foci, which indicate serious disorders. But do not forget that in different diseases of the genitourinary and reproductive systems, the symptoms are very similar. That is why, for an accurate diagnosis, additional examinations and tests need to be carried out. A biopsy should be done to determine cancer.
2. Defects in the anatomy of the uterus. Depending on the nature of the appearance of defects, their effect on fertility and possible therapy is determined. Defects can be acquired or congenital.

Previously, scientists believed that it was possible to identify pathological processes in the body only by the structure and color of the secretions. In this way, it was possible to calculate tumors of a benign and malignant nature, cervicitis and other diseases. But today it is customary to make a diagnosis after conducting ultrasound diagnostics, passing all the necessary tests and other methods.

Applied tools

There are some devices and tools that are used for a woman's examination by a gynecologist. The main tools are mirrors, which may differ in purpose and design:

1. Paderson. It is used for women who are sexually active.
2. Mirror of Cuzco. It is more versatile. Has a folding shape.
3. Grave's Mirror. Its efficiency and construction is the same as that of the Cuzco mirror.

This instrument is thoroughly sterilized in a special device - a sterilizer. Thanks to this, you can not be afraid that an infection will enter. To date, scientists have been able to invent disposable mirrors. They are used mainly for women who have a dangerous infectious disease, as well as for the fair sex with a weakened immune system. If a woman wishes, she can purchase a personal gynecological kit, which the specialist will use during the examination.

When the doctor begins to examine the cervix, he chooses a small mirror and inserts it into the vagina at an oblique angle. After approximately half of the entered length, the specialist turns the mirror over so that the entire uterine cavity is clearly visible. When the correct angle is reached, the fixture is fixed in the desired position.

Mirrors have also been used for surgical intervention in the uterine cavity. Thanks to the mirror the doctor evaluates the following criteria:

1. The presence of uterine defects and cervical tears.
2. The presence of various secretions.
3. The size and shape of the cervix.
4. The presence of tumors.
5. Anatomically changes in the vaginal area.
6. Shade of mucous membranes and walls.
7. General condition: the size of the folds, the broken integrity of the shell, defects in the cover, and others.

With the help of a mirror, a variety of polyps can be identified that need to be removed.

Bimanual exploration

This study is also a must for every woman. It includes probing the formations on the peri-uterine tissue, as well as the uterus and vaginal wall. The general condition of the uterus is assessed in the same way.

This type of examination is carried out according to the following scheme: the specialist gently inserts two fingers into the vagina, and with the other hand gently pushes the groin area from the outside, pressing the inner walls against the fingers inside. This is how the condition of the vaults is assessed: narrowed or thickened.

For a more thorough examination, the gynecologist inserts one hand into the vaginal opening, and the other into the anal. After that, the walls of both holes are pressed against each other by hands. Thanks to this method, the shape and size of the uterus, tumors and possible defects inside it are determined.

The rate of indicators of the uterus

If a woman did not bear a baby, then the norm for the length of her uterus should be up to 7 centimeters. The postpartum length can be up to 10 centimeters. Problems are indicated by any deviations in one direction - smaller or larger. If there is a suspicion of a tumor, then additional studies are required.

The main thing is ultrasound diagnostics of the uterine cavity. If, in the course of its implementation, a change in the anatomical state of the uterus is detected, then the result will not console the woman. In this case, you will have to undergo additional diagnostic methods that can accurately determine the size and type of the tumor. Even in a completely healthy woman, the size of the uterus can increase. This is a sign of impending ovulation or conception that has occurred.

The doctor can judge the state of women's health by the location of the uterus. Normally, it should be centered and opposite the entrance to the vagina. If it is tilted at an angle or displaced, then perhaps an inflammatory process is taking place or a tumor is present. To establish a more accurate diagnosis, a number of additional examinations are carried out.

The uterus in its normal state is quite elastic and can move slightly in different directions. After childbirth, the mobility of this organ increases, and it may even fall out. This suggests that the internal vaginal muscles are severely damaged.

It is not very good if the mobility of the uterus is insignificant. In this case, a tumor or tissue infiltration may develop.

During a bimanual examination, the gynecologist probes the ovaries and fallopian tubes, assessing their condition. There should be no deviations in the norm. The specialist can feel the seals in the presence of a disease such as sactosalpinx.

The condition of the uterine ligaments is also palpated during a bimanual examination. Normally they shouldn't be felt. They become clearly visible with fibroids and pregnancy. With infiltration and parametritis, scars or tears can be felt on the ligaments.

Recto-vaginal and bacteriological methods

The recto-vaginal research method is carried out only if there is a suspicion of a disease of the uterine appendages, as well as in the postmenopausal period. The effectiveness of this method is practically the same as that of the bimanual one. During the examination, the specialist examines the inner walls of the colon and vagina, as well as the condition of the septum between the holes. During the examination, the doctor inserts one finger into the vagina, and the other into the anus. The walls of the two holes are pressed with light pressure on them.

During the examination in this way, the specialist determines the state of both mucous membranes, as well as the existing deformations or tumors. After removing the fingers, the doctor examines the gloves for traces of discharge, pus, and blood. Thanks to this study, an intravaginal tumor is determined.

The bacteriological research method is especially different. In the process of its implementation, the structure and condition of the genitals is not studied, but a thorough study of smears taken from the vagina for the composition of the flora of the mucous membrane is carried out. With this method, the specialist determines exactly what disease is present in the patient.

The main thing is that the focus of the disease is determined by the same method, which makes it possible to take the necessary measures in a timely manner. In a similar way, it is found out how sensitive microorganisms are to antibiotics.

Anna Mironova

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A visit to a gynecologist is not an easy task for some, but it must be dealt with, because sooner or later you will have to make this important health visit to a specialist.

Today we, together with the site magazine, will try to understand the intricacies of this process.

When should you plan your first visit to a gynecologist?

Teenage girls and young women are most afraid of the first examinations of a gynecologist, considering this procedure to be quite intimate, feel shame and fear. But believe me, you should not be afraid of these techniques - it is better to check everything in time so that do not miss the moment for treatment if necessary.

Fear of a visit to a gynecologist is often associated with the incompetence of many specialists, and with a careless attitude towards the patient, and with non-deciphering of medical terms. All this can scare the patients, who next time will try to delay the moment of visiting the gynecologist.

The problem of shame and fear can be solved with a first examination. in a specialized medical center , where the percentage of qualifications of specialists and the attentiveness of the staff is still higher than in ordinary medical clinics.

When should you go to the gynecologist for the first time?

The first visit to the gynecologist should be done after the onset of the first menstruation - at about 15-17 years old, or after the onset of sexual activity ... Doctors recommend getting tested Twice a year , regularly passing tests to prevent the possibility of developing various diseases. A health check is also considered mandatory. when changing a sexual partner .

Often, doctors may look or speak judgmental. But always remember that You don't have to make excuses for certain actions in front of a doctor - this is your life. Doctors are only obliged to warn you or give you a recommendation. Therefore, at the doctor's appointment always tell the truth, be confident when communicating.

How to prepare for your first appointment with a gynecologist - important rules

• For a cleaner look you can shave off hairs in the genital area - but, again, it is up to you. It is better to shave off in advance - 1-2 days before the appointment, so that irritation does not appear if this procedure is irregular for you.
• Reception in the morning, of course, suggests that in the morning you go to the shower and you will look dignified. Reception in the evening is, of course, more difficult, but still find an opportunity to wash yourself with warm clean water without any means.
• You should definitely not douche or wipe with napkins for intimate hygiene, as this may show a false picture during examination, and the doctor will not notice the real problem in your health, if any.
• If you have recently received antibiotic treatment, postpone the visit to the gynecologist for 1-1.5 weeks ... Such drugs affect the vaginal microflora, and also, when taken, will show a false picture of health.
• Tests for infections should be done before or immediately after your period. , it is better to make visits to the doctor on the 5-6th day of the cycle ... During menstruation, visits to a doctor for no reason are not recommended.
• Bring a diaper with you to put on the gynecological chair and socks to dress them at the reception. In paid medical centers, this is usually not required, since disposable diapers and shoe covers are used.
• Also prepare a list of questions to the doctor if you have them.

First examination by a gynecologist - how is a gynecologist examined for the first time?

The first examination by a gynecologist consists of several steps:

The entire appointment with a gynecologist takes approximately 10-15 minutes , during this time you will have time to "talk", be examined on an armchair, undress and get dressed.

We hope our story will help you no longer be afraid of going to this specialist and your even the very first visit to the gynecologist will pass without fears or doubts.

As a rule, a teenage girl should first go to a consultation with a gynecologist for an examination somewhere between 15-16-17 years old, or go right after she starts having sex. After that, doctors recommend to undergo a gynecological medical examination twice a year and be tested. This is at least. In this regard, it will be important to be ready to go to the gynecologist, receive and examine on a chair and, possibly, take a smear.

A girl should plan a visit to a gynecologist not only in the event of any manifestations of trouble in the intimate sphere, be it unusual discharge, discomfort and burning sensation in the genital area, pain in the lower abdomen, lack of sexual satisfaction, painful intercourse or unwillingness to have it at all, etc. ... Every year, for preventive purposes, you should go to a specialist and undergo a medical examination. Do not ignore recurring symptoms - it can be a manifestation of a gynecological disease - this should be told to the doctor in the preliminary conversation.

Before going to the gynecologist

What you need to know before visiting a gynecologist? We will try to draw your attention to a few simple points that women most often neglect, but which you need to know in order to experience a minimum of discomfort and at the same time receive competent advice and treatment. So, what can and should not be done if you have planned a trip to the gynecologist and how to prepare for a gynecological examination?

Is it okay to have sex before going to the doctor?
Undesirable. It is recommended to abstain for 2-3 days.

Shave in front of a gynecologist, epilate an intimate place, or leave everything as it is?
The type of intimate hairstyle does not affect the quality of diagnostics. Nobody forces you to shave your genitals before visiting a gynecologist. But for the convenience of inspection, the hair can be made shorter. That is, cut with scissors. Then, upon examination, the doctor will be able to see the skin around the genitals. After all, the skin also has different manifestations of diseases.

Intimate hygiene.
When planning to go to a gynecologist for an examination, you should take care of the proper level of personal hygiene. To do this, it is enough to take a shower or a bath and put on clean linen.

Do I need to douche?
Absolutely not! Just take a shower. Hygienic procedures inside the vagina will not allow the doctor to get a true understanding of the state of the microflora and may affect the quality of the tests.

Enema in front of a gynecologist - to do or not?
If there is such an opportunity, it is better to do it. If not, be sure to visit the toilet before the appointment. A full intestine significantly complicates the study of the uterus and appendages, including ultrasound. This is especially important for virgins (they are examined through the anus), as well as women, if necessary. Before entering the gynecological office, visit the toilet to empty the bladder and bowels.

Menstrual cycle.
It is not recommended to have a gynecological check-up during your normal period. In case of bloody discharge, examination of the genitals is required in exceptional cases, for example, with bleeding and irregularities in the cycle.

Should I take a diaper and socks with me?
Yes, these things are basic necessities, sold in any pharmacy. However, in our clinic, disposable shoe covers and diapers are given to the patient free of charge.

Taking medications.
Antifungal drugs, like antibiotics and vaginal suppositories, change the microflora of the vagina, and tests may give an unreliable result. Their use must be stopped at least 7 days in advance.

Clothes and footwear.
Make sure that undressing before a medical examination in the doctor's office does not cause excessive difficulties, therefore, it is advisable to choose a skirt or dress in advance before going to the gynecologist.

If there is discharge.
In fact, everyone has them, only some are always transparent, while others at some point become yellowish and thicker. They are stable only in one case: when a woman is taking oral contraceptives. It is very important to regularly monitor how the amount and consistency of discharge changes during the menstrual cycle. This will help to notice certain deviations in time. Their unusual properties are a sign of some kind of contamination. Many diseases in gynecology have similar manifestations. Only a doctor, on the basis of a comprehensive examination, can make the correct diagnosis and prescribe the correct treatment.

How to get a gynecologist for virgins.
Examination of virgins by a gynecologist is about the same as for all women. The only difference is the examination on the gynecological chair - the mirror is not used, the examination of the uterus and appendages is performed not vaginally, but through the rectum. The study of virgin girls through the vagina is carried out according to special indications - if a foreign body, tumor process and some others are suspected. These manipulations are carried out carefully, with minimal risk of damaging the hymen.

Never been to a gynecologist's medical examination?
Find out in more detail what is useful to know where it is better to go to a doctor in Moscow if this is the first visit to a gynecologist.

Visit to the gynecologist

It is recommended to go for a medical examination and consult a gynecologist if you are just planning to start having sex and want to know about your health, consult a specialist about methods and methods of contraception. It is especially important when a new sexual partner appears, because it increases the risk of bacterial vaginosis, chlamydia and trichomoniasis. Such diseases often go away without severe symptoms and, if neglected, can lead to infertility, ectopic pregnancy, or premature birth.

An experienced doctor will supervise you during pregnancy, prepare you for childbirth and assist in the postpartum period. If pregnancy is undesirable for you at the moment, a specialist will advise which way of solving the problem will be less dangerous for you. In addition, he will tell you how to protect yourself from all kinds of violations, infectious diseases, diagnose and, if necessary, prescribe an effective treatment.

An important factor in maintaining a woman's health is the individual selection of contraceptive methods, which, in turn, is the prevention of abortions and their complications. Modern medicine offers women a wide range of such remedies.