What does gynaecological check-up look like

When is the right time to go to gynaecological check-up?

Many girls are interested when is the right time to go on their first check-up at the gynaecologist. Once a year check-ups represent one of the methods of caring for their health, especially if you are sexually active. Using protection measures, you can prevent many diseases and inconveniences that may occur. It is of great importance that you get to know your body, to learn and understand so that you can discover any changes in time.

The decision about the first check-up and the choice of gynaecologist is a private matter and personal choice.

However, there are certain situations that require a visit to a gynaecologist:
-you are 16 years of age and still haven't gotten your first period
-you are 18 and you have never been to a gynaecologist before
-you have become sexually active or intend to do that soon
-you have become sexually active and you didn't get your period on time
-your period lasts for more than 9 days
-you have painful crams in lower stomach
-your vaginal secretion is rather intense
-you have itches in the genital area
-you consider using contraceptive pills

One more reason for visiting a gynaecologist is testing to sexually transmitted infections while learning how to protect yourself.

The first check-up is rather unpleasant, partially due to the shame and fright that I girl usually feels, but it is not painful. This article is some kind of a guide through this moment, which is to introduce you to everything you should expect during this visit. We hope that it would be easier for you through your first check-up, that you will be ready and more confident in yourself. What is more, this article is aimed to serve as a reminder for the girls that haven-t visited their gynaecologists in long time.

Anyway, going to the gynaecologist does not necessarily require an examination. Gynaecological check-up will be made when you are ready for it and when you acquire a sense of trust towards your gynaecologist. Until then, you can always ask whatever you want to know and get any information on the matter of your reproductive health.

Are men of women better as gynaecologists?

It makes no difference at all, it is important that a doctor is competent and experienced in his work. However, it is sometimes easier for girls to talk to a woman and feel less uncomfortable to talk to a woman and take their clothes of in front of a woman.

How to prepare yourself for a gynaecological check-up?

When appointing a check-up, make sure that it is not during the time of your period so that it would be adequate time to do a vaginal check-up.

BEFORE YOU GO:
-Do not engage in sexual activity 24h before the check-up
-When taking a shower, use only mild soap and water. Some powders which you may use for your genital area may interfere with tests and cause incorrect results
-Wear comfortable clothes which you can take off and on easily. Some girls prefer to wear skirts because it feels more comfortable when taking panties off. However, trousers are not prohibited to be worn, so don't let that confuse you
-If you feel nervous, it might be easier to bring a friend or mum along to support you

Visiting a medical institution and encountering your gynaecologist

Your record in which all of the information relevant to you will be noted upon your every visit to the gynaecologist will be kept at your doctor's. Everything that you talk to your gynaecologist about and all your results are strictly confident and remain between the two of you.

Upon your first visit, your general information will be taken, such are your name, age and the reasons for your visit, following by the medical history that you have and your period. It may be practical to prepare these answers beforehand:
-have you ever had and serious medical conditions in the past and if you are allergic to any substances?
-are there any medical issues in your family (cancer, diabetes, heart diseases, blood pressure, and psychiatry illnesses)?
-which medications are you on, if any?
-when did you get your first period?
-which was the date of your last period?
-how long are your periods?
-are they regular and how long is the period between them?
-are they intense?
-are they painful

You can take the same check-up at private practice.

Some of the questions that your gynaecologist may ask you

Before the very check-up, you may be asked to tell about your love relationships, sexual experiences and nutrition. Although you may find them uncomfortable to talk about, have confidence in your gynaecologist because they are very relevant to your medical condition.

Here are some of them:
-do you have an unpleasant crams or pains in your genital area?
-are your sexual intercourses painful or uncomfortable?
-have you ever had any of the STIs?
-do you engage in risky behaviour (e.g. taking drugs)?
-your experience with exercising, smoking, diets and drug use.
-number of your sexual partners.

Questions you may ask your gynaecologist

Do not hesitate to ask them whatever you want to know. They are there for you, to answer all the questions you might have and provide you with explanations. Before your visit, write down your questions in order not to forget them before the check-up.

Here are some examples:
-how can I protect myself from STIs?
-is vaginal secretion a normal thing?
-is it normal that my breast sometimes feel more sensitive?
-what can I do about strong crams related to my periods?
-is vaginal examination painful?
-which are the best methods of contraception?
-how do I take the test on STIs?
-do I need to take HIV test? What is the procedure?

General physical examination

This involves measuring your height, weight, blood pressure, and gynaecologist may examine your heart and lungs.

Breasts examination

Breasts examination is very important because it is the way for early discovery of cancer or other breast changes. Your gynaecologist will examine your breasts using his hands, gently, in circular movements, paying special attention to your nipples, by pushing them to see if there is any liquid coming out of them. Ask your gynaecologist how to do it yourself. They will also examine the size and shape of your breasts. It is important that you examine your own breasts in order to see if anything goes wrong.

Gynaecological check-up

Sexually active women and girls should, at least, once a year visit their gynaecologist for examination. Regular check-ups are very important because that way even the slightest changes that point towards serious diseases may be easily spotted and successfully treated.

Gynaecological check-up consists of examination of external genitals and vaginal examination. Vaginal examination consists of examination using speculum and bimanual examination.

During vaginal examination, gynaecologist will take samples for different tests; such are Papanicolaou or secretion examination.

These methods are necessary so that your gynaecologist may examine your inner and outer genitals properly.

Outer genitals examination

In order to make this examination, your gynaecologist will ask you to lay down on the gynaecological desk raising your legs on the holders provided. Beforehand you should take your lower clothes.

Gynaecologist will take a look at the outer genitals to see if there is any rash, irritation, secretion, cysts or any other changes.

Vaginal examination

a)Speculum examination
Shortly before this examination, your gynaecologist will ask you to relax first. During it, they he/she will use the instrument called speculum (in the shape of ducks' bill), and is made out of metal or plastics. It is used to move vaginal walls one from another allowing the doctor to see the inside of vagina and cervic so that he can take samples for certain tests. Using speculum is not painful for the patient, but may feel uncomfortable due to its low temperature. The more the patient is relaxed, the less uncomfortable it is. Using wooden stick with some cotton on it, the doctor will take samples for Papanicolaou test.

b) Papanicolaou test
Papanicolaou test is usually taken once a year during regular check-ups. This test cannot be done during menstrual period. It is used for potential cancer changes in cervical area or to find changed cells. It is a simple method and lasts for only few minutes.

c) Bimanual examination
Bimanual examination is used to examine the condition and position of patient's ovaries, oviduct and womb.

Gynaecologist will carefully, using one or two fingers, examine patients vagina while, at the same time, pushing your stomach. That way, he/she will be able to feel the internal organs. That should not be painful, but may feel uncomfortable. Should it hurt, the gynaecologist has to know that.

After the examination

The patient may discuss with their gynaecologist and ask whatever they want to know, such are the date to see the results and how to take them.