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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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