Manual exam: For this exam, your provider may or may not use gloves. You may be in a seated position or lying on an exam table. Visual exam: You will raise your arms above your head so the provider can check for differences in size or shape between breasts as well as signs of rash, dimpling, etc. If you are over age 25, providers may also offer you a screening breast exam based on your personal and family risk assessment. You may receive a breast exam for breast issues such as pain or lumps. The provider may position a light or ask a medical assistant to hold a light during the procedure. To ease the placement of the anoscope, the provider may ask the patient to tense and relax internal muscles (as if having a bowel movement) during insertion. The lubricated anoscope is gently inserted into the rectum and slowly withdrawn as the provider examines the rectal canal. The provider may collect tests for sexually transmitted infections by placing a cotton swab approximately 1 inch into the rectum, then gently rotating and removing the swab.ĭigital exam: The provider inserts one gloved, lubricated finger into the rectum, to check for lumps or abnormalities.Īnoscope exam: The provider uses a hollow tube-like instrument, 3-5 inches long, to examine the anus and rectum closely. During a rectal exam, you will lie on your side, lie down with your feet in foot rests (stirrups), or kneel on the examination table.Įxternal exam: The provider visually examines the anus and surrounding area to look for sores, rashes and bumps, sometimes using a light to see better. Rectal exams also test for sexually transmitted infections of the rectum. Providers may perform rectal exams if you have pain in the lower abdomen and reproductive organs, blood in the stool, or other gastrointestinal or rectal symptoms. The provider may also use one finger to check pelvic floor muscles for tenderness due to muscle spasm. The provider may gently move your cervix from side-to-side with their fingers to check for signs of infection. They will insert one or two gloved fingers into your vagina while using the other hand to gently apply pressure and push on the lower part of your belly to check the size and placement of your ovaries and uterus. Additionally, they may collect a swab to test for infections or check vaginal discharge.īimanual exam: The provider may perform a bimanual exam if you are experiencing pain or other symptoms in your lower abdomen and reproductive organs. If you are over age 21, the provider may also conduct a Pap test by using a thin plastic brush to collect cells from your cervix. Speculum exam: The provider will gently insert a duck bill-shaped instrument into your vagina to see the vaginal canal and cervix. You will lie on an exam table with paper or cloth covering over the lower half of your body and with your feet in foot rests (stirrups) or placed at the end of the exam table. What can I expect during a pelvic exam or Pap test?Įxternal exam: The provider makes a visual examination using a gloved hand to check for lumps or bumps in and around your vagina. Patients typically have a first pelvic exam upon experiencing symptoms such as discharge or pain, or at the age of 21. When might I have a pelvic exam or Pap test? In some cases, the health care provider may decide not to perform a particular exam or procedure without a chaperone present. You can opt out when you arrive at your appointment. The chaperone is trained to observe for signs of pain or discomfort, answer questions during the exam, and assists as needed.Ĭan I decline to have a chaperone present during my exam or procedure?Īdults who are able to make their own medical decisions have the right to decline having a chaperone present during their exams or procedures. The chaperone is a specially trained member of the clinical team who enhances the patient’s and provider’s comfort, safety, privacy, security and dignity during sensitive exams or procedures. Examples include breast, vaginal, penile, scrotal or rectal exams. What is considered a “sensitive” exam or procedure?Ī sensitive procedure involves a physical examination of the breasts, genitalia or rectum. Our trained chaperones help ensure that sensitive exams and procedures are safe, comfortable and considerate. We understand that certain medical exams and procedures are more sensitive than others and we want to make sure you are as comfortable as possible.
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