The reception was at the gynecologist .Gynecological examination.Gynecological examination - Causes, Symptoms and Treatment .MF .
Every woman should visit the gynecologist at least once a year even if no complaints.
Preparations for gynecological examinations
women going to the doctor-gynecologist, remember the following:
- before inspection is recommended to take a shower or a bath and put on fresh clothes.At the same time, carefully wash, and even more so, do not douche, because the doctor must see the vaginal flora in a normal, "everyday" state;
- not recommended to use special intimate deodorants or perfumes;
- a day before the visit to the doctor exclude sex, since the vagina is often a small amount of seminal fluid, which prevents to make a reliable analysis;
- if a woman had to undergo a course of antibiotics, better to go to the gynecologist after 1 - 2 weeks after cessation of treatment.Antibacterials specifically affect the vaginal microflora and complicate the diagnostic process.The same applies to anti-fungal agents;
- best period for visiting the doctor - the first days after menstruation.During monthly check-ups and further examination is not necessary, except in an emergency (for example, severe bleeding, accompanied by sharp pain).
- House, be sure to empty your bladder before a visit to the gynecologist.Intestines, if possible, should also be empty.Otherwise, conduct a pelvic exam, especially palpation (study of the state of internal organs through the skin of her hands) will be difficult for the doctor.If you sit a long time in the queue to the gynecologist - not too lazy to go to the ladies' room, when it is your turn to empty the bladder.
In addition, it is important to prepare yourself mentally for a visit to a gynecologist, especially for young girls.It should be understood that the doctor's questions about intimate peculiarities and specifics of the sexual need for proper diagnosis.At the same time in order to successfully diagnose or treat the answers should be as honest and deployed.A qualified gynecologist will never judge you for anything, but rather try to help and explain any difficult moments.All information will remain a trusted doctor in the walls of the cabinet, but it will greatly assist a person skilled in establishing the most accurate diagnosis.
what questions to ask the doctor at a reception at the gynecologist
To visit the gynecologist, you need to know the date of your last menstrual period, you should be aware of the nature and duration of your menstrual cycle.The gynecologist will ask questions when menarche, regular or irregular, some gynecological and infectious diseases transferred, whether there is a chronic disease, live or not sexually active, are protected or not, than to be protected, whether were pregnancy (including abortion), childbirth (the nature of childbirth complications, whether the child is healthy), family composition and nature of the work.
the diagnosis of infertility doctor can ask the question whether there were problems with conception in your close relatives, whether your mother issues during conception, pregnancy and childbirth, chronic diseases of relatives, whether you shave your legs (this is very important if you suspecton hyperandrogenism)
answers to these questions help the doctor in making a diagnosis - today many women's diseases linked to living conditions, particularly work, nutrition and diet, trauma-informed.If you are interested in the reliability of the results and the appointment of proper treatment, answer the doctor's questions as honestly.The data that the gynecologist will receive as a result of the conversation, will help him to choose the future direction of the research, methods of examination and diagnosis.
general physical examination at a reception at the gynecologist
With the general objective examination in the first place, the doctor evaluates the type of addition of women, the status of the skin and hair distribution, examines the abdominal organs, gives a description of the mammary glands and the development of the reproductive system.All of these factors are necessary for accurate diagnosis and selection of appropriate treatment.
are the following main types of constitution: a) infantile (hypoplastic);b) hypersthenic (pyknic);c) intersexual;g) asthenic.These four types of constitution are rarely found in "pure" form.When their assessment must take into account factors such as lifestyle, diet, age, which will undoubtedly affect the appearance of the woman.It is also worth to know: the characteristic of the disease for a particular type of largely conventional, and in any case for a diagnosis, a more careful examination of the individual patient.
value of anthropometric indicators for the gynecologist.
Anthropometric indices are extremely important for the diagnosis of a number of endocrine disorders are closely associated with gynecological diseases.In addition, the deficit or excess body weight are prone to menstrual disorders.In this regard, one of the actions required when viewed women is the calculation of its body mass index (BMI) of equal private body weight (kg) and the square of height (in m).BMI of women of reproductive age should normally be equal to 20 - 26 BMI over 30 means an average degree of risk of hormonal and endocrine diseases.BMI greater than 40 - the extent of disease is high.
also important anthropometric characteristic is the degree of fat woman.According to this skilled physician can judge the function of the endocrine glands.If there are any violations observed deposition of fat on the face, torso, back and abdomen.For example, the sharp decrease in the functional activity of the ovaries (which often occurs in menopause) can be characterized by the deposition of fat on the shoulders, chest, abdomen, thighs.Therefore, if you notice that recovered, and it is at the expense of body fat, rather than muscle tissue, do not hurry to go on a diet.It is better to consult a doctor, as this may be a symptom of serious diseases that require early treatment.
Along with clarifying the anthropometric characteristics of the first reception assess body hair a woman's body.Features of distribution of hair density and provide information on the hormonal activity of the ovaries, and also provides insights on the effect of androgen-type hormones which are used for the treatment of certain gynecological diseases.According to the phenotypic manifestations of hormonal characteristics, so you can predict whether effective a particular medicine or better to replace it with another.
rank puberty and breast
Evaluation of sexual development is carried out by the sum of three indicators - the degree of development of the mammary glands, the degree of body hair on the pubes and armpits and on the characteristics of the menstrual function.
Menstrual function is defined as follows: menstruation has never happened before;Primary menstruation (menarche) at the time of the survey, or shortly before it;
irregular menstruation;regular menstruation.
Based on the information obtained during the conversation with the patient, the expert concludes that the nature of the menstrual function that allows you as soon as possible to diagnose the presence of any wrongdoing.
study of mammary glands in gynecology is caused by the fact that many diseases are accompanied by specific pathology of the mammary glands.First of all, pay attention to the degree of their development, the shape of the nipple.In addition, it is important to determine whether the seals, pain when pressed secretions.
Research Methods abdominal
When viewed from the front of the abdominal wall maximum attention is paid to its size, shape, participate in the respiratory process.All of this is determined by palpation (probing), which also allows us to determine the presence of tumors and their character.
following research abdomen method - percussion.This method is that the doctor using fingers or a special tool taps the surface of the abdomen and analyzes arising from this vibration.When using it, you can define the boundaries of tumors becoming available, as well as the presence of free fluid in the abdominal cavity.Percussion is completely painless and is often carried out at the initial examination, if there is suspicion of a number of diseases.
Method abdominal auscultation, is listening to the movement of gases or fluids within the body and is usually carried out with a special stethoscope.This method is well suited for the study of the intestine, a condition which often indicates the presence of a number of gynecological diseases and disorders.Also it allows auscultation without special tests to differentiate between large tumors of internal genital organs and pregnancy.
All gynecological examinations are carried out predominantly in a horizontal position on a special gynecological chair that meets all modern requirements.Inspection is performed using sterile and disposable instruments (mirrors, forceps, swabs for tools etc.).The doctor before the examination puts on sterile rubber gloves, which are destroyed after pre-treatment in a special disinfectant.
Gynaecological chair consists of a seat and leg supports (slingshots).Located on the gynecological chair, in fact, it is not difficult.You stele on the surface, which will "sit" napkin, picks up the stairs to the very chair and lie down on it, so that the buttocks were on the very edge of the examination table.Then lift the legs and put them on the stand so that slingshots were in the popliteal fossa.Do not hesitate and do not hesitate to ask a gynecologist how to be arranged in the gynecological chair, if you are unfamiliar with this design.
Screening for gynecological chair begins with a study of the external genitalia.The next order of the method is examination in the mirror - there are special gynecological instruments, called mirrors that allow you to examine the cervix and vagina.Your next priority after the inspection in the mirror is the study of the internal reproductive organs.In this study, the physician determines the location, size and condition of the uterus, fallopian tubes and ovaries.With vaginal examination may suspect endometriosis.Diagnose diseases such as uterine fibroids, inflammation of the appendages, ovarian cysts, ectopic pregnancy, uterine pregnancy, and others. In a study of doctors are taking a smear infection, cytology, colposcopy is performed, if necessary, prescribe ultrasound and other advanced methods.For example, in cases of suspected communicable diseases, gynecologists will recommend to donate blood and do a scraping from the vagina.