Is a gynecological examination painful?

With the change of life rhythm and habits, more and more female friends have gynecological problems, especially women of childbearing age, who are prone to gynecological problems, mainly caused by frequent sexual life and lack of attention to private care. Usually, they need to go to the hospital for regular gynecological examinations. So, will gynecological examinations be painful?

A gynecological examination is not painful. It's just a little painful and uncomfortable when the speculum is inserted. If it is an internal examination, if there is pelvic inflammatory disease or adnexitis, there may be tenderness. Keep the vulva clean and hygienic, wear pure cotton underwear, change sanitary napkins frequently during menstruation, and have hygienic sex to prevent gynecological inflammation.

Many people feel embarrassed and afraid of pain when undergoing gynecological examinations, which is why they are reluctant to do so. Generally speaking, a gynecological examination for people who have had sexual life will not be very painful, but there will be a little discomfort. However, if women can psychologically realize the importance of gynecological examinations, accept it, relax their bodies and take deep breaths during the examination, the reaction will generally be good. If it really hurts, it may be related to the way the doctor uses the instrument, or the movement may be too fast or a little rough. Sometimes, in order to reduce the patient's discomfort, the doctor will apply some lubricant during the gynecological examination.

Vaginitis is one of the common diseases among women. It is directly related to personal constitution and hygiene, and there is a certain possibility of recurrence. In your current situation, it is recommended to do a routine test for leucorrhea to determine the pathogenic bacteria and treat it with symptomatic medication. It is recommended to pay attention to lifestyle, diet and personal hygiene, avoid spicy and irritating foods, and have regular physical examinations.

Step 1: Check the vulva:

Normal vulva, pubic hair with downward-pointing tips and triangular distribution, labia majora pigmentation, labia minora slightly red, no ulcers, dermatitis, growths or hypopigmentation in the perineum, clitoral length <2.5cm, light pink mucosa around the urethral opening, no growths.

Married women have old cracks in their hymen, and pregnant women have old cracks in their hymen and perineum, or there may be incision scars in the perineum. If necessary, the doctor will ask the patient to hold his breath and look for bulging of the anterior and posterior vaginal walls, uterine prolapse, or urinary incontinence. If there is a lesion, doctors will often describe it as "married type" or "given birth type".

Step 2: Vaginal examination:

The vaginal wall mucosa is light pink in color and has wrinkles, without ulcers, growths, cysts, vaginal septum, double vagina or other congenital malformations. Normal vaginal discharge is egg white-like or white paste, has no fishy smell, and is in small amounts, but increases during ovulation and pregnancy. If there are any abnormalities, the patient will have corresponding clinical symptoms, namely local itching, burning sensation, etc. The doctor will record them in detail and conduct tests.

Step 3: Cervical examination:

A normal cervix has bulges around the periphery and a hole in the middle. The shape of the navel for non-pregnant women is round, while that for pregnant women is "I"-shaped, tough, flesh-red, and has a smooth surface. If the examination is normal, it means that it is light, of medium quality, without itching or pain, etc. If abnormalities are found, the degree of erosion (mild, moderate, or none), the degree of cervical hypertrophy, and the size and location of the growth will be described in detail.

Step 4: Examination of the uterus and appendages:

The normal uterus is inverted pear-shaped, 7 to 8 cm long, 4 to 5 cm wide, and 2 to 3 cm thick. Most are in an anteversion and anteflexion position, with a medium hardness and good mobility. The ovaries and fallopian tubes are collectively called the "appendages." A normal ovary can occasionally expand to a size of 3×2×1cm3, is movable, and feels slightly sore and swollen when touched. Normal fallopian tubes cannot be palpated. If it is a "median" or "posterior" uterus and there are no obvious clinical symptoms, it is not a big deal.