There are basically two reasons why a woman goes to see her gynecologist.Either she is going for a routine check up .So the patient has no gynecological diseases. This check up is therefore part of a screening procedure.Or the patient has a gynecological pathology that means she consults her gynecologist as part of a diagnostic approach.Anyway, it's your gynecologist's responsibility not to turn this consultation, into a stressful and uncomfortable moment.He must adapt to your situation, your background and your psyche in order to create a trusting atmosphere and the best conditions for examination.
Gynecological consultation: :
Interrogation:
For starters, your gynecologist will ask a number of questions to track your medical history, the context in which you live, and the reasons for your consultation (if there are complaints). During the consultation, please ask your doctor any questions if necessary.
Personal history:
The gynecological history:Puberty: age of onset, possible disorders, treatments received, Description of cycles: regular, monthly bleeding, premenstrual syndrome, contraception: the nature, duration, tolerance, pre-menopause or menopause date, modality treatments. Obstetrical history:Number of pregnancies, gravidity, parity, dates of births, abortions, miscarriages or ectopic pregnancy, pathology of pregnancy, childbirth and postpartum.Medical history:Research should be guided by the reason of the consultation. Note the use of medications, allergies ... the existence of surgical history: In particular the history of gynecological and gastrointestinal surgery..Family history::Of systemic diseases: diabetes, hypertension, familial hypercholesterolemia, thromboembolic disease or cardiovascular disease tumor: breast cancer and pelvic pathologies related to genetic family diseases .
Symptoms:
If this is not a routine gynecological exam, complaints often found are: :
Abnormal bleeding::
- Metrorrhagia: bleeding outside of menstruation. . - Menorrhagia: increased abundance of menstruation - Oligomenorrhea: Decreased abundance of menstruation - Hypo or hypermenorrhea: menstruation for less than 3 days or more than 8 days. - Pollakiménorrhée: short cycles. - Spanioménorrhée: long cycles.
Absence of periods, Amenorrhea:
- Primary amenorrhea: the patient has never had a period..- Secondary amenorrhea: after having had normal menstruation, the patient has an absence of menstruation.
Pelvic pain::
The patient has pain in the pelvis..Leukorrhea: :This is vaginal discharge without blood.Infertility Breast diseasesDisorders of sexual lifeAfter specifying your symptoms, your gynecologist will perform a pelvic examination.
The pelvic exam: :
The patient is on an examination table in lithotomy position, feet in the stirrups.The gynecologist begins with a general clinical examination: BP, pulse, conventional clinical examination The pelvic examination then begins The pelvic examination then begins. The doctor examines the vulva, and then introduces a lubricated speculum to examine her vagina, cervix and appearance of cervical mucusThey perform a Pap smear.After removing the speculum, they perform a vaginal examination to look for pain caused or pelvic mass. The realization of a suprapubic or transvaginal ultrasound may be necessary. Similarly, a rectal examination can be made for certain diseases.Your gynecologist then performs a breast examination. Based on data from the examination and data collected during the clinical examination, your gynecologist will prescribe additional tests in order to confirm a diagnosis, or he will prescribe medication immediately (if necessary) if the diagnosis is obvious.
Les informations fournies sur ce site sont destinées à améliorer, non à remplacer, la relation qui existe entre le patient (ou visiteur du site) et son médecin.
Victor Hugo