Gynecologist


In the network of “Medical Certificates” medical centers, medical consultation of a gynecologist is conducted by:

Gynecologist

Medical examination is performed by obstetrician-gynecologists of the highest category

Stages of gynecological examination


How does a gynecological examination take place in the network of “Galchenko clinic” medical centers?

Before the beginning of a gynecological examination, the gynecologist, like any physician, will record “the medical history”, which should actually be better called “the history of the medical interview”. You will have to simply answer questions, including the traditional: “What are your complaints?”. Some questions can be very intimate (for example, about whether you have sexual activity, from what age, how, etc.) and cause you to be embarrassed, but you must answer them, and absolutely honestly - again, for the good of your health. Sometimes, the gynecologist asks questions that may not be relevant and even be tactless. However, he/she is interested in the conditions of your life, work and sexual relations, and not for curiosity. Such “insignificant” trifles help determine the direction of research, choose methods of diagnosis.

 

It sometimes includes the most routine procedures - such as measuring blood pressure, determining height and weight, etc. And it is not always carried out, but based on the results; it is also possible to appoint urinalysis. By the way, the urinary bladder in any case should be emptied before the appointment - this is necessary in order not to interfere the physician to properly probe the uterus.

Many gynecologists leave this stage for the last, but in any case, by external examination and detailed probing the physician checks if there are any pathological changes (for example, inflamed areas, hardening) in the tissues of the mammary glands, how the fluff around the thoracic halo is evidenced. In the same way, you can later regularly check your breast yourself. However, it is usually better to have this stage done by a mammalian physician (if available). Usually, patients are more confused by the following several stages, during which the physician conducts a direct examination of the genitals. These are the stages most often implied by women complaining about the «hardships» of a gynecological examination. And although in the «performance» of different gynecologists this examination may be different, in principle, everything usually looks as follows.

During this and the subsequent stages the woman should be in a special gynecological chair. Its design may be different, but the essence is ultimately the same: the woman in it is lying reclining or lying, the pelvis is closer to the front edge and with legs widely spread, raised and bent in the knees, the ankles rest on special stands. Having taken the necessary pose, try to relax as much as possible — so you and the physician feel be more convenient and easier. You can ask the physician to explain the meaning of each of his/her actions.

The physician examines the large and small labia, the vestibule of vagina for the detection of possible irritations, painful secretions, condylomas (genital warts) and other pathologic features that a healthy lady should not have. Having found any deviation from the norm, the physician will continue the study.

After the examination using mirrors, a two-handed vaginal examination is usually performed. The doctor takes out the mirror and proceeds to probing with his fingers. Vaginal examination determines the size, position and condition of the uterus, fallopian tubes, ovaries. So diagnosed uterine myoma, inflammation of the appendages, ovarian cysts, usual and ectopic pregnancy. The palpation is performed by the doctor with one or two fingers of the hand in a sterile latex glove. The doctor enters the fingers into the vagina, and with the other hand presses on the lower abdomen, determining the size, shape, position and mobility of the uterus and ovaries to make sure of their normal development or to reveal any deviations or, say, pregnancy. Using both hands, one inside the other from the outside, the gynecologist feels not only the uterus, but also the appendages. It is important to relax the muscles as much as possible and, as already noted, have an empty bladder. If you feel pain when feeling, this should be reported to the doctor immediately, as this may be a sign of an inflammatory or other disease. It’s a little uncomfortable, but it does not hurt at all.

It is not always carried out. It is more often used during examination of virgins by the gynecologist, instead of vaginal examination. Introducing a finger into the anus, the physician determines the condition of the muscular septum separating the vagina and anus, checks whether there are signs of any lesions on the back of the vagina and in the anus. Through the rectum, it is also possible to feel the condition of uterus and appendages (the other hand of the physician lies on top of the abdomen and moves towards that which is inside). In case of a woman, the other hand may be in the vagina, providing «counter» compression.

SCHEDULE A FREE CONSULTATION

The availability of certain healthcare specialists of particular specialties in the clinic depends on their individual schedule, so a preliminary appointment to a specialist is required.

Please, make an appointment by one of the telephone numbers: +380 (44) 209-9-209, +380 (44) 539-0-539, +380 (44) 360-61-41