WOMENS-HEALTH Messages for January, 2002: pain during pelvic exams

pain during pelvic exams

From: Susie (anonymous@obgyn.net)
Wed, 23 Jan 2002 20:26:21 -0600 (CST)

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Reply: Lynn D. Montgomery, MD: "Re: pain during pelvic exams"

At Wed, 23 Jan 2002, Lynn D. Montgomery, MD wrote: >
>At Wed, 23 Jan 2002, anonymous wrote:
>>
>>Hello, I'm wondering if someone could answer a couple of questions for
>>me. From everything I've read, pelvic exams should not be painful. So,
>>my question is why are they always painful for me??? I have endo and
>>some adhesions and I'm wondering if these would cause the pain. I know
>>the initial pain (at the opening of my vagina) is from me being too
>>tense & I try to relax (but it is really hard)...but, I'm more concerned
>>about he actual "pelvic pain". If it is because of the endo/adhesions,
>>is there some way to make them less painful or is the pain the only way
>>the doctor knows what's going on? Thanks in advance for any advice. :)
>
>There are several issues here. First, the "standard" speculum used for
>pelvic exams is frankly too big for most women. I use a narrower
>speculum and don't notice patients having much discomfort. You can
>certainly ask your physician to use a smaller speculum. Second, the
>adhesions and endo may make your exams more sensitive, however, if you
>don't have pain with intercourse, then an exam should not be
>significantly uncomfortable. Third, the ovaries tend to sensitive in
>all females-not that different than if you squeezed a man's testicles.
>To assess them, one must actually feel them and this tends to be like
>squeezing, which can cause discomfort...
>Lynn
>
>Dr. Lynn, What is the standard speculum called? What is the smaller one called
>--
>

Next message: Adrienne: "Loop of bowel?"
Previous message: Annie: "Re: Vaginal birth after rectovaginal fistula"
In reply to: Lynn D. Montgomery, MD: "Re: pain during pelvic exams"
Next in thread: Lynn D. Montgomery, MD: "Re: pain during pelvic exams"
Reply: Lynn D. Montgomery, MD: "Re: pain during pelvic exams"

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