What is included in the initial appointment
The initial appointment lasts longer than the second one, as the doctor studies the full history: cycle, pregnancy and childbirth, operations, contraception, heredity. Examination on the chair includes examination in mirrors with taking a smear for flora (and, if indicated, for cytology, HPV, infections) and two-handed examination. Based on the results, the doctor either makes a diagnosis and prescribes treatment, or determines the scope of the examination: tests, pelvic ultrasound, colposcopy, hormones. The cost of additional studies and ultrasound is priced separately. A follow-up appointment will be scheduled with the results.
When to see a gynecologist
- preventively - once a year for each woman from the beginning of sexual activity, including PAP test and HPV screening;
- cycle disorders, delay, heavy or painful menstruation, intermenstrual bleeding;
- discharge, itching, burning, unpleasant odor, pain during sexual intercourse;
- lower abdominal pain, pregnancy planning, infertility, selection of contraception;
- pregnancy - registration; menopausal symptoms;
- fibroids, cysts, polyps, endometriosis detected by ultrasound - observation and treatment.
How is the appointment going?
The appointment begins with a conversation: the doctor clarifies complaints, features of the cycle, pregnancy and childbirth, previous diseases, contraception. Then an examination on a chair: external organs, the cervix in a speculum (smears are taken for flora and cytology), two-handed examination of the uterus and appendages - assessment of size, mobility, pain. If necessary, ultrasound, colposcopy, and palpation of the mammary glands are performed. Based on the results, the doctor makes a preliminary diagnosis, prescribes tests and treatment, or selects contraception. The examination is not carried out during menstruation (except in urgent cases); for girls who are not sexually active - rectally or only ultrasound.
