Dr. Angela Fleming presents information on the pelvic exam for women. Botsford Hospital sponsors the My TV20 Detroit's Medical Minute video.
This video shows a medical examination of a vaginal exam. It can be used for self studying or for simple scientific examination
Pregnancy Journey from weeks 4 through 26. Due June 10th, 2008. After dealing with infertility due to PCOS(Polycystic Ovarian Syndrome), many tests and 3 rounds of Clomid(medication used to induce ovulation) We are overjoyed to say that We are FINALLY pregnant!!!
What is polycystic ovary syndrome (PCOS)?
Polycystic (pah-lee-SIS-tik) ovary syndrome (PCOS) is a health problem that can affect a woman's menstrual cycle, ability to have children, hormones, heart, blood vessels, and appearance. With PCOS, women typically have:
high levels of androgens (AN-druh-junz). These are sometimes called male hormones, although females also make them.
missed or irregular periods
many small cysts (sists) in their ovaries. Cysts are fluid-filled sacs.
Lack of ovulation is usually the reason for fertility problems in women with PCOS. Several medications that stimulate ovulation can help women with PCOS become pregnant. Even so, other reasons for infertility in both the woman and man should be ruled out before fertility medications are used. Also, there is an increased risk for multiple births (twins, triplets) with fertility medications. For most patients, clomiphene citrate (Clomid®, Serophene®) is the first choice therapy to stimulate ovulation.
What tests are used to diagnose polycystic ovary syndrome (PCOS)?
There is no single test to diagnose PCOS. Your doctor will take a medical history, perform a physical exam, and possibly take some tests to rule out other causes of your symptoms. During the physical exam the doctor will want to measure your blood pressure, body mass index (BMI), and waist size. He or she also will check out the areas of increased hair growth, so try to allow the natural hair growth for a few days before the visit. Your doctor might want to do a pelvic exam to see if your ovaries are enlarged or swollen by the increased number of small cysts. A vaginal ultrasound also might be used to examine the ovaries for cysts and check out the endometrium, the lining of the uterus. The uterine lining may become thicker if your periods are not regular. You also might have blood taken to check your hormone levels and to measure glucose (sugar) levels.
A patients talks about her previous pelvic exams.
Jeune fille parle de son premier examen pelvien (test de Pap)
Young girl talks about her first pelvic exam
The clip pelvic-exam from North Country (2005) with Charlize Theron. Powered by: Anyclip. any moment from any film.
- Clear of what? - You're not pregnant.
I already told you that.
Well, company just wants to be sure before they hire you.
It's to clean yourself with.
You submitted to the exam willingly, correct?
Yeah. I submitted.
Before your law firm hired you, they put your feet up and look around your insides?
- I got you. - You got me?
Fourth request fulfilled - Need I say more? Enjoy! :)
Edit: Sorry guys, but the spam is getting through far more than the general comments, so I had to disable comments.
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A pelvic examination, also pelvic exam, is a physical examination of the female pelvic organs.
Broadly, it can be divided into the external examination and internal examination.
It is also called "Bimanual Exam" & "Manual Uterine Palpation".
examination of anatomy
palpation of stomach area
Use of speculum to locate external cervical os. Examination for foreign bodies and cervical swabs are taken at this point in the exam. These swabs of the epitelium layer of the cervix are known as a Pap smear. Other vaginal swabs can be taken at this time or STI testing.
Bimanual Exam-Two fingers are inserted into the vagina until they isolate the cervix. Then the health care professional tests for cervical motion tenderness, as classically seen in pelvic inflammatory disease. The examiner palpates the uterus, including location of the fundus of the uterus and the adnexal structures.
The exam should not be excessively uncomfortable, but a woman with a vaginal infection may feel pain when the speculum is inserted. During the bimanual exam, the palpating of the ovaries may be painful. The pap test may cause some cramping as well.
A pelvic exam is a way for doctors to look for signs of illness in certain organs in a woman's body. The exam is used to look at a woman's:
Vulva (external genital organs)
Uterus (the womb)
Cervix (opening from the vagina to the uterus)
Fallopian tubes (tubes that carry eggs to the womb)
Ovaries (organs that produce eggs)
Bladder (the sac that holds urine)
Rectum (the chamber that connects the colon to the anus)
When Are Pelvic Exams Done?
When a woman is pregnant.
When a doctor is checking for an infection (such as chlamydia, vaginosis, trichomoniasis, and others).
When a woman is having pain in her pelvic area or low back.
You do not have to do anything special to get ready for a pelvic exam. When you arrive at the office, your doctor may ask if you need to use the bathroom. This question is asked so that you can stay comfortable during the exam. Sometimes, a urine sample is requested.
You can expect to feel a little discomfort, but you should not feel pain during a pelvic exam. The exam itself takes about 10 minutes. If you have any questions during the exam, be sure to ask your doctor.
During a typical pelvic exam, your doctor or nurse will:
Ask you to take off your clothes in private (You will be given a gown or other covering.)
Talk to you about any health concerns
Ask you to lie on your back and relax
Press down on areas of the lower stomach to feel the organs from the outside
Help you get in position for the speculum exam (You may be asked to slide down to the end of the table.)
Ask you to bend your knees and to place your feet in holders called stirrups
Perform the speculum exam. During the exam, a device called a speculum will be inserted into the vagina. The speculum is opened to widen the vagina so that the vagina and cervix can be seen.
Perform a Pap smear. Your doctor will use a plastic spatula and small brush to take a sample of cells from the cervix (A sample of fluid also may be taken from the vagina to test for infection.)
Remove the speculum.
Perform a bimanual exam. Your doctor will place two fingers inside the vagina and uses the other hand to gently press down on the area he or she is feeling. Your doctor is noting if the organs have changed in size or shape.
Sometimes a rectal exam is performed. Your doctor inserts a gloved finger into the rectum to detect any tumors or other abnormalities.
Talk to you about the exam (You may be asked to return to get test results).
What Tests Are Taken During the Pelvic Exam?
A sample of cells may be taken as part of regular test called a Pap smear, or Pap test, to screen for cervical cancer or cells that look like they might lead to cancer. The sample is placed in a solution and sent to a lab where it is examined. Tests also may be taken to screen for sexually transmitted diseases.
A Pap smear is recommended starting when women reach 21 years of age. Women ages 21-65 should have routine screening with Pap test every three years.
Combining a Pap test with a human papillomavirus test can safely extend the interval between cervical cancer screenings from three years to five years in many women between the ages of 30-65.
Women over age 65 can stop getting screened if they've had at least three consecutive negative Pap tests or at least two negative HPV tests within the previous 10 years, according to the guidelines. But women who have a history of a more advanced precancer diagnosis should continue to be screened for at least 20 years.
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*******www.nucleusinc****/medical-animation This 3D medical animation explains the procedure of a Dilation and Curettage, known as a D & C. There are two variations of this procedure: Diagnostic and Therapeutic. The diagnostic version removes a small sample of the uterine lining for biopsy. The therapeutic version removes the entire uterine lining to treat an known issue.
A D & C begins like a routine pelvic exam, but with anesthesia. A speculum is inserted, then dilating rods are used in sequence to open the cervix. A hysteroscopy may be performed at this point. Then a curette is used to complete the intended version of D & C.
In this video a doctor demonstrates pelvic exam tutorial. He shows gynecological examination and a bi-manual of a females pelvis.