YOUNG-WOMEN Messages for April, 2001: Re: ctal exam necessary?

Re: ctal exam necessary?

From: R. Daniel Braun, MD (anonymous@obgyn.net)
Thu, 19 Apr 2001 23:50:56 -0500 (CDT)

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In reply to: Amy: "Rectal exam necessary?"

At Thu, 19 Apr 2001, Amy wrote: >
>Hi, I have a fairly quick question. I had my first GYN exam about 1
>year ago at my college health center. The nurse practitioner did a
>rectal exam unfortunately with NO warning to me at all, I was shocked
>and had no idea what she was doing!!! But that's another story. My
>question is whether or not a rectal exam is necessary and what factors
>or symptoms would call for one. I have heard varying opinions but
>nothing straightforward. I am a 20 year old virgin with no major
>problems except for some symptoms of what I think may be vulvodynia or
>something similar. I know the current nurse practitioner at the health
>center did not do a rectal exam when my two friends recently went for
>their GYN exams and I'm just wondering if this is good or bad or
>neither. Although I would love to not have the rectal ever again, if it
>is important for my health I still would like it to be performed. Is it
>something I should ask for, as strange as that sounds? Thanks in advance
>for your help!
>Amy :)

The rectovaginal exam is indeed considered to be necessary. Many people don't do it on a regular basis. It is probably more necessary after 40 than before. Doing it without warning is unfeeling and asking to decrease your practice.

--
R. Daniel Braun, MD FACOG  FOG

This is for educational purposes only, and is not intended to be replacement or substitute for consultation and examination by an appropriate medical professional.  Due to time constraints, private e-mails cannot be answered.

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