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Islamic vaginal exam video

I am uncomfortable doing something so intimate on a patient. It is not that I cannot do the exam: I have been trained, practiced on the professional gyn models, and practiced on some patients, but that was a long time ago, and like the medical student in this GomerBlog article , I have avoided it ever since. I am bringing it up now because due to a personnel change in our practice, I have been asked to consider performing vaginal exams. I work with adolescents age and I have seen — or projected — discomfort in their eyes and in their body language when I have brought up even the notion of future Pap smears or vaginal exams. The current Pap recommendations are to start at 21 years of age and, if negative, repeat every 3 years until age 30, and then repeat every 5 years. Women also need pelvic exams if they have a growth in their genital area, a change in vaginal discharge, a change in smell emanating from the vagina, genital itching, painful intercourse or abdominal pain. Until now I have been able to defer this practice to a female provider in our clinic, but with the recent decrease in our providers, this may change. To avoid doing pelvic exams, I have had some patients do self-swabs , have switched patients with another provider, or have had patients come back to see a different provider. One of the reasons I feel I should not have to do these exams is that there are plenty of female providers although some may be opposed to doing them as well. During my clinical rotations, I was overly gentle when doing pelvic exams specifically because I am a male and will never know what it is like to have one done on me.
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The questions have also contained the reasons for the stated preference. Plunkett, B,A. The importance of physician gender in the selection of an obstetrician or gynecologist.
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The pelvic exam is a vital part of every woman's preventative care and is also important towards making a number of diagnoses when presenting with abdominal or pelvic complaints. Here we cover each aspect of the pelvic exam and demonstrate both in text and in our video how this done.
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The male gynecologist can be a polarizing figure: Some women avoid them as a personal policy, while others actively seek them out. But what motivates those who do choose this female-dominated — and female-focused — field? We asked ten male gynecologists, ages 30 to 70, about how they ended up in the vagina-care business. All my patients try to fix me up. If you come in often enough and take all the preventable measures, you can find things, and you can fix them … almost always. It is also a great field where there is a combination of medicine and surgery with favorable outcomes. Finally, I grew up with six sisters, and so I was used to having my life revolve around estrogen, ovulation, and hormones. The vagina is so desensitized to me, I hardly notice anything about it. But if a woman is attractive, I do have to fight that part of my brain. The female body is a metaphor for her womanhood, and I am granted access to her whole identity.
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Why Men Shouldn’t Have to Do Pelvic Exams

Fill out the form below to receive a free trial or learn more about access :. We recommend downloading the newest version of Flash here, but we support all versions 10 and above. If that doesn't help, please let us know. Unable to load video. Please check your Internet connection and reload this page. If the problem continues, please let us know and we'll try to help. An unexpected error occurred. Add to Favorites Embed Share Translate text to:. Jaideep S. A bimanual exam is a thorough check of a patient's cervix, uterus, and ovaries.

The pelvic exam is a vital part of every woman's preventative care and is also important towards making a number of diagnoses when presenting with abdominal or pelvic complaints. Here we cover each aspect of the pelvic exam and demonstrate both in text and in our video how this done. The main equipment you will use is the speculum so it's important for you to understand the most commonly used types.

These include the:. Example of a Grave's or Duckbill speculum which is a little wider, often used for prodecures. Image credit. Pederson most common vs the Grave's or Duckbill speculum. Click this link to jump to the pre-exam section of the video. Click this link to jump to the palpation section of the video. Click this link to jump to the vulvar and speculum examination section of the video. Note: a little bleeding especially if patient nulliparous after a pap smear is expected.

Click this link to jump to the bimanual exam section of the video. Insert index finger and possibly additional finger with lubricant in vaginal canal with non-dominant had free to palpate the abdomen. Click here to jump to the rectovaginal exam section of the video. If yeast vulvovaginitis is suspected, you or patient can obtain a swab and look under microscope or send to lab.

Abraham Verghese Interviews Dr. Jerome Kassirer on New Book Signs of Scleroderma can-improv-help-doctors conversation-about-bedside-medicine-gains-momentum. Stanford 25 Skills Symposium Announced! What will bedside manner look like for new data-driven physicians? What is Plummer-Vinson syndrome? What is the Sister Mary Joseph nodule? What is rhinophyma? What is the ugly duckling sign? Diagnose this skin lesion with newest Stanford 25 video and topic.

What is the exam of calciphylaxis? Rick Hodes. Happy Halloween! What is it? An interesting illustration of the physical exam If you put your stethoscope over this, what will you hear? A patient presents with foot pain and these chronic findings? This patient presents with chest pain. Website Reaches Half a Million Visitors! A patient asks you… what is this? The History of Pulsus Paradoxus Do you know how to measure pulsus paradoxus?

Remember this finding??? Verghese Welcome New Stanford Interns!!!! Teaching the teachers… Our methods. Do you know Marcus Gunn? Abdominal Wall Pain Do you know what this is??? Measuring Central Venous Pressure with the Arm. Introduction Pelvic Exam. Speculums come in various sizes, including smaller, pediatric sizes.

Before the Exam Pelvic Exam. Before the exam, ensure you have: Speculum and lubricant Light source Needed materials if doing wet mount, pap smear or STD testing Have patient empty their bladder Click this link to jump to the pre-exam section of the video. Palpation Pelvic Exam. Vulvar and Speculum Examination Pelvic Exam. Examine the vulvar region looking for erythema or other rashes. Place lubricant on both index finder of non-dominant hand and warmed speculum. Insert index finger into base of vagina. Open speculum and adjust until the cervix is in sight and lock open.

If planned, conduct pap smear and STD testing Note: a little bleeding especially if patient nulliparous after a pap smear is expected. Abnormal Findings. Lichen Sclerosis — itching without any discharge, all age groups.

Also note, bacterial vaginosis is another common cause of discharge and often we need a microscope to differentiate between the two. Bimanual Exam Pelvic Exam. Obesity may create a challenge to appreciating the adnexa. The post-menopause ovary can often be too small to palpate. Rectovaginal Exam Pelvic Exam. Special Considerations Pelvic Exam.

Related to Pelvic Exam. The Stanford Medicine



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