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Abstract While there is a large body of evidence on the effectiveness of Pap smears for cervical cancer screening and on screening for cervical gonorrhea and Chlamydia, there is sparse evidence to support other portions of the pelvic examination and little guidance on examination logistics. Maximizing comfort should be the goal; lubrication use and careful speculum selection and insertion can ease this intrusive procedure. This is particularly important in adolescent and menopausal women, sexual minorities, obese women, women with disabilities, and women with a history of trauma or prior instrumentation affecting the genitalia. We review the evidence and provide guidance to minimize physical and psychological discomfort with pelvic examination.
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Glossary When should I have my first gynecologic visit? An obstetrician—gynecologist ob—gyn is a doctor who specializes in the health care of women. Girls should have their first gynecologic visit between the ages of 13 years and 15 years. Is it normal to be nervous before the first visit? It is normal to feel nervous about your first visit.
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The Genital Examination Examination of the genitalia should occur within the context of a complete physical exam. Children generally respond well to this part of the examination when the examiner is confident, uses age-appropriate language to explain what is happening, and can find ways to engage the child in conversation. Using a Colposcope In some medical centers, a colposcope is available and can be utilized in the examination. The advantages of a colposcope include an excellent light source, magnified view of the external anatomy, and opportunity to record the findings of the examinations when the colposcope is attached to a camera. It can be particularly helpful in children because of its nonthreatening and noninvasive characteristics.
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Sorry for my bad english, i'm not american. The girl will still renaming a virgin; The exam does not tear the hymen. A small "virgin" speculum may be used and the bimanual exam may be performed with care. Hymens vary from woman to woman but normally will have an elasticity that allows the exam.
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    It's going to be a problem for 80%-90 of married women when hubby wants to go to a nude dancing club with his friends. Even though he won't give money, or spends only $10-$20 it ain't gonna fly with them unless you have a reason for going, bachelor party's, ect. And if hes going to get a lap dance, he sure as hell won't tell her he's even going to a club, let alone get a lap dance. Most men don't tell their wives they're going, because its an argument that can't be won. You bring it up to them, they get mad, you tell them your going to one, they get mad, you go and they find out later that you went, they get mad. I've been, and yes she knew, they're no big deal, they're just another bar, but have dancers instead of sports. Its all just a hustle for your money. But to most women, they know your going to cheat on them if you go to a strip club because you're so irresistible strippers can't keep their hands off you. Lol. I've been 3x for bachelor party's. Would I go just for fun, or to hang out and have a drink, no. Watching girls trying to dance with 4 heels, and watching men in the front row, wondering if this women dancing naked in front of them is worth a dollar, is sad and hilarious at the same time. As far as my wife going to one, who cares, I trust her. Besides, if someone wants to cheat they will, they don't need to go to a nude bar to do it. Now if I was, or she was, going every week then it would be a problem for me, and im sure it would be for her if I went every week. But most guys I know who go to them regularly, don't tell their wife. Most of them i know who go regularly, are just not in a happy marriage, and I'm sure the wives feel the same way. Just my opinion, I work with some very interesting people. Now if you want to talk about hubbies going to adult bookstores, I got some great story's for you. Lolol

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