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Pelvic Exam Related Questions

A pelvic examination is the physical internal or external examination and evaluation of the female pelvic organs. This exam can be very uncomfortable for some women especially if they have a vaginal infection. However, a pelvic exam is a useful medical procedure that provides the doctor an opportunity to ensure everything is normal in the woman's pelvic region and diagnose problems if any. To learn more about pelvic exams and why they are so important, take a look below at the questions that have been answered by the Experts.

Is it normal to feel sore after a pelvic exam while pregnant and are the exams safe to undergo in this condition?

Doctors commonly perform pelvic exams during a woman's pregnancy. While these exams can be rather uncomfortable for a pregnant woman, the procedure is usually completely safe. There are occasions when a woman will spot after a pelvic exam but this is usually nothing to become concerned about. The cause of the spotting is generally due to irritation of the cervical or vaginal tissue.

What is the recommended frequency of a bimanual pelvic exam or a pap smear of a patient who is in menopause and is 55-yrs old?

. Many doctors feel that a pap smear isn't really important for a woman who is over the age of 35 and who has had at least three normal pap smears in a row. In a case like this, pap smears that are done every three years would suffice. In other words, if the woman has had no history of precancerous pap tests, HIV, low immune system, or any previous in utero exposure to diethylstilbestrol, she needs to get pap smears done only every three years just to be on the safe side. In most cases, a woman aged 65 or older can discontinue pap smears if she has received at least three negative test results in the last 10 years.

As for bimanual exams, many doctors prefer doing one yearly unless the woman has undergone a hysterectomy for a benign problem. In other cases, doctors wait until a woman is symptomatic after menopause. This means that only if a woman is experiencing bleeding, pain or swelling after menopause, will a doctor typically express the need for a bimanual exam.

Should there be cause for concern if spotting and bleeding occur after a pelvic exam?

Many women sometimes experience spotting after a pelvic exam. This is a normal occurrence and should not be a cause for alarm as it is often due to atrophy. However, if the woman experiences bleeding that won't stop a complete pelvic examination by her doctor, along with an ultrasound and perhaps even an endometrial biopsy, may be required.

Will a pelvic exam cause preterm labor for a woman who is 14 weeks pregnant with twins?

Pelvic exams have not been known to cause preterm labor. However, being pregnant with twins can often increase a woman's chances of preterm labor. This is why it is important for the woman to report any pains, spasms, discharge or bleeding to her OB/GYN or physician as and when they occur. The doctor may then make the woman undergo a pelvic exam to ensure that she isn’t undergoing preterm labor.

Can you have a pelvic exam while bleeding?

Many women get pelvic exams done while still on their period. It is also advisable to have a pelvic exam if a woman is experiencing excessive bleeding. In addition to this, it is recommended that the woman get a pelvic ultrasound, a blood test to check the thyroid, a pap smear and a biopsy of the inside of the uterus as well to determine the cause of the excessive bleeding. All of these tests can be performed in the OB/GYN's office in just a few minutes.

Pelvic exams are routine exams that are seen as a necessary evil for many women since they experience great discomfort during this exam. However, a pelvic exam can throw up any problems early on and it is necessary for a woman to take these exams to ensure that she is in good health. If you have any concerns or questions regarding a pelvic exam, get in touch with an Expert now. They can provide medical insights and information based on the details of your case.
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