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Published: 31/07/2024
Edited by: Kate ForristalGynaecological examinations are an important aspect of women's healthcare, aimed at ensuring reproductive health and early detection of any potential issues. While these exams can seem daunting or uncomfortable for some, they are crucial for maintaining overall health and wellbeing. In her latest online article, Dr Nicola Davies gives us her insights.
What is a gynaecological examination?
A gynaecological examination involves a visit to a healthcare provider, often a gynaecologist or a general practitioner with a specialisation in women's health. During this examination, the healthcare provider examines the external and internal reproductive organs of a woman. This includes the vagina, cervix, uterus, and ovaries. The purpose is to check for any abnormalities, infections, or signs of illness.
Why are gynaecological examinations important?
Regular gynaecological examinations are vital for several reasons:
- Early detection: They help detect early signs of conditions such as cervical cancer, ovarian cysts, or sexually transmitted infections (STIs).
- Health monitoring: They allow monitoring of reproductive health, including menstrual cycles and fertility.
- Preventive care: They enable healthcare providers to discuss contraception, family planning, and menopausal health.
What to expect during the examination
External examination
The healthcare provider will start with an external examination of the genital area. This involves visually inspecting the vulva (the outer part of the genitals) for any abnormalities or signs of infection.
Speculum examination
Next, a speculum (a plastic or metal instrument) may be gently inserted into the vagina. This allows the healthcare provider to see the cervix (the lower part of the uterus).It may feel slightly uncomfortable but should not be painful.
Bimanual examination
A bimanual examination involves the healthcare provider inserting gloved fingers into the vagina while pressing on the abdomen with the other hand. This helps assess the size and position of the uterus and ovaries.
Addressing common concerns
Pain or discomfort
While gynaecological examinations may cause mild discomfort, they should not be painful. It's normal to feel a sensation of pressure during certain parts of the exam.
Embarrassment or anxiety
Feeling embarrassed or anxious is common. Remember, healthcare providers are professionals who perform these exams regularly and are focused on your health and wellbeing.
Preparation tips
- Appointment timing: Try to schedule your exam when you are not menstruating, as this can make certain parts of the exam easier.
- Questions: Feel free to ask any questions or voice concerns before, during, or after the exam.
- Relaxation techniques: Practise relaxation techniques, such as deep breathing, to help you stay calm during the exam.
Dr Nicola Davies is an esteemed menopause doctor. You can schedule an appointment with Dr Davies on her Top Doctors profile.
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By Dr Nicola Davies
GP (general practitioner) in London
Dr Nicola Daviesis a highly experiencedGPbased inLondonwith a special interest in themenopause.She consults privately at the renowned Medical Prime clinic, where she provides high-quality care treatments such as hormone replacement therapy for the management of the menopause, the perimenopause, and other aspects of women's healthincluding testosterone treatment and post-reproductive health.Dr Davies originally qualified from the Unive...
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By Dr Nicola Davies
GP (general practitioner)
Dr Nicola Daviesis a highly experiencedGPbased inLondonwith a special interest in themenopause.She consults privately at the renowned Medical Prime clinic, where she provides high-quality care treatments such as hormone replacement therapy for the management of the menopause, the perimenopause, and other aspects of women's healthincluding testosterone treatment and post-reproductive health.
Dr Davies originally qualified from the University of Manchester. She has since obtained a Diploma from the Royal College of Obstetricians and Gynaecologists, a Diploma in Child Health, and a Diploma in Palliative Medicine from the University of Cardiff. She is a member of the Royal College of General Practitioners since 2004, and successfully accomplished postgraduate studies with the British Menopause Society and the British Medical Acupuncture Society, as well. From 2010 to 2012, Dr Davies sat on the National Institute for Clinical Excellence (NICE)’s guidance development group for miscarriage and ectopic pregnancy.
As a trusted menopause doctor, Dr Davies is additionally a member of various specialist authorities, including the British Menopause Society and theEuropean Menopause and Andropause Society. From 2008 to 2017, Dr Davies also served as a trustee for the Miscarriage Association, and previously worked as a Macmillan GP and End of Life Lead, where she supported the development of a single point access service and co-organised a multidisciplinary educational programme.Beyond her dedicated clinical practice, Dr Davies is at present a medical examiner for the West Hertfordshire NHS Trust.
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