No patient should have a painful GYN exam.
If pain does occur, it may be due to use of a metal speculum, use of a larger speculum than needed, lack of estrogen (in menopausal women not using hormones), associated diseases (like prolapse) or a rough examiner.
Still, if my patient starts to feel discomfort, I abandon the speculum exam and use only a digital exam.
In a digital exam, the provider inserts two gloved fingers into the vagina and places the other hand on your abdomen, applying slight pressure.This exam permits the detection of any growths, abnormalities, swellings, or areas of tenderness in the pelvic area.
– Dr. Samuel Saleeb
Dr. Saleeb is a urogynecologist, which is a gynecologist who specializes in the care of women with pelvic floor dysfunction. He practices at the Saleeb Uro-Gynecology Center in Williamsville. He also practices twice monthly at the Ken-Ton FamilyCare Center in Tonawanda (a full evaluation of the pelvic floor is not available at this location).
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