What to Expect During Your Routine and Annual Gynaecological Examination
At Endocare Joburg, your annual gynaecological exam is an important step in maintaining your reproductive and overall health. We understand that you might feel nervous, especially if it’s your first time, but knowing what to expect can help put you at ease. The exam is straightforward and usually takes about 10 minutes. Alongside the physical examination, it’s an opportunity to ask any questions or discuss concerns with your doctor.
Preparing for Your Examination
It is generally recommended that you begin having routine gynaecological exams between the ages of 18 and 21, or within three years of becoming sexually active. Additionally, it’s important to schedule an exam if you experience any unusual symptoms, such as:
- Irregular periods
- Unusual vaginal bleeding or discharge
- Pelvic or vaginal pain
- Itching, sores, or swelling
- Breast lumps or changes
Before your appointment, let your doctor know if this is your first exam so they can walk you through the process and address any questions or concerns. You are also welcome to bring a friend or family member with you for comfort. If needed, a nurse can be provided as a chaperone during the exam.
To prepare for the exam:
- Avoid using vaginal creams, douches, or having intercourse for 24 hours before your appointment.
- If your period begins around the time of your scheduled exam, it’s best to reschedule.
The Gynaecological Exam: Step-by-Step
Your routine gynaecological exam includes several key components. These help assess your reproductive health and screen for potential issues.
- External Pelvic Exam
The doctor will start by visually inspecting your external genital area (vulva and labia) for any signs of irritation, redness, swelling, or abnormalities such as cysts or infections. This part of the exam is important for detecting issues like sexually transmitted infections (STIs). - Internal Pelvic Exam and Speculum Exam
During the internal pelvic exam, a speculum will be gently inserted into the vagina to allow the doctor to examine the cervix and vaginal walls. This might cause some mild pressure, but the process is usually quick. During this time, the doctor will look for any signs of irritation, discharge, or other abnormalities. - Pap Smear
While the speculum is in place, a Pap smear will be done to collect cells from your cervix. This test checks for abnormal or precancerous cells, which helps in early detection of cervical cancer. The procedure is typically painless and only takes a few seconds. - Bimanual Exam
After the Pap smear, the speculum will be removed, and the doctor will perform a bimanual exam. This involves the doctor inserting a gloved finger into your vagina while pressing down on your lower abdomen with their other hand. This allows them to check the size, shape, and position of your uterus, ovaries, and other reproductive organs. You may feel some mild discomfort during this part of the exam, but it should not be painful. - Breast Exam
The breast exam involves checking for lumps, thickening, or any unusual discharge. Your doctor will manually examine your breasts to feel for any changes, and they will also teach you how to perform self-exams at home. Regular self-exams are a key part of breast health. - Urine Sample
You may be asked to provide a urine sample. This can be used to check for infections, pregnancy, or other conditions that affect kidney and urinary health.
After the Exam
Once the physical exam is complete, you’ll have time to discuss any questions or concerns with your doctor. They will ask about your medical history, menstrual cycle, sexual activity, and any symptoms you might be experiencing. While some of these questions might feel personal, it’s important to be open and honest. Your answers help your doctor provide the best care, and all information shared is confidential.
Results from your Pap smear and other tests will be available in a few weeks. If there are any issues or concerns, your doctor will discuss the next steps with you.
Post-Exam Care and Next Steps
After the exam, most patients experience little to no discomfort. If any tests were taken during the visit, such as a Pap smear, you’ll be informed of the results within a couple of weeks. Your doctor will advise you on when to return for your next routine check-up, which is typically every 12 months unless otherwise specified.
Regular exams play a crucial role in early detection of issues such as infections, precancerous changes, and other gynaecological conditions. By attending your annual check-up, you’re taking an essential step in safeguarding your reproductive and overall health.
If you have any symptoms or concerns between exams, don’t hesitate to reach out to Endocare Joburg. We are here to help ensure your long-term well-being.