WOMENS-HEALTH Messages for April, 2001: Re: damage

Re: damage

From: Mici (anonymous@obgyn.net)
Sun, 15 Apr 2001 17:45:32 -0500 (CDT)

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In reply to: martha: "Re: damage"
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>>At Sat, 14 Apr 2001, martha wrote:
>>>
>>>If it is possible to sustain damage and scarring during vaginal delivery
>>>and rough sex then why isnt it possible for this to happen with a rough
>>>exam?
>>
>>A vaginal examination lasts, at most, a couple of minutes. Usually it's
>>more like a minute. Inserting lubricated fingers into the vagina and
>>feeling the uterus and ovaries is *completely* different than having an
>>8 pound baby stretch the vaginal skin, muscles, and nerves over many
>>minutes to hours, perhaps causing a tear in the vaginal, perineal (or
>>anal) tissues. Consensual intercourse rarely causes scarring, although
>>if a postmenopausal woman not on hormones has intercourse for the first
>>time in a long time, it's possible for this to cause trauma, even to the
>>point of causing hemorrhage. For a "rough exam" to cause scarring of
>>the vagina the exam would have to be extremely painful and probably
>>prolonged (imagine a patient screaming in agony at the top of her lungs
>>during the exam, causing every nurse and staff member in the building to
>>run to the door). I've done multiple thousands of vaginal exams, and I
>>just can't see even the roughest exam causing scarring even remotely
>>similar to that caused by some vaginal deliveries.
>>
>>DAH
>
>Yuck, cant wait for birth.
>I was referring to an large speculum, not lubricated fingers and I would
>assume that the time frame importance would be mitaged by the magnitude
>of the stretching with a harsh metal object.
>>
>>--
>

Hello Martha,

I'm just guessing here that you've had some hard times in the exam room? Might I respectfully suggest you maybe find a nice, gentle practitioner who won't make you feel so uncomfortable with their use of a speculum. Individual skills vary greatly and, if you don't have a big problem with being too tense, you may just be better off with someone else doing the exam.

Good Luck, Mici

Next message: Shaun: "Early Period on OTC - Pill still effective as BC?"
Previous message: anonymous@obgyn.net: "no subject received Sun, 15 Apr 2001 17:44:18 -0500"
In reply to: martha: "Re: damage"
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