Usually it consists of several stages:
1. Doctor's conversation with the patient
Frequently asked questions are about:
- Your state of health
- Used contraceptive methods
- Menstrual cycle (its length and special features)
- You will be asked to tell about chronic and previous illnesses, operations, previous pregnancy and childbirth (if you had them) – their course and special features etc.
2. Examination on the gynecological chair
- Examination of the outside genital area, evaluation of lymph nodes
- Examination with a vaginal speculum (the doctor will insert the sterile medical instrument - vaginal speculum – into the vagina and with its help the vagina and cervix uteri will be examined , simultaneously smear samples are taken). This method allows to evaluate the structure of the vagina and cervix uteri as well as to find possible diseases. Usually this process does not cause any discomfort to the woman; it may appear if a pathologic process is present or if the woman is frightened/nervous. For that reason her muscles are strained and it would disturb the examination.
- Pelvic examination
It is performed for women who have a sex life – the doctor is inserting her/his middle finger and forefinger together of one hand into the woman's vagina, getting assistance of the other hand which is placed on the anterior abdominal wall, he/she will palpate the uterus and uterine appendages. This method is perfect for detecting the uterine, ovarian and oviductal diseases as well as to diagnose the pregnancy etc.
- For the women who didn't have a sex life this examination is performed in a different way – the doctor will insert the forefinger of one hand into the woman's rectum and getting an assistance of other hand which is placed on the anterior abdominal wall, he/she will palpate the uterus and uterine appendages.
- In some cases as an additional method – rectovaginal examination is performed ( through the vagina and rectum simultaneously) – it is recommended for women age 30 and older.
US examination of the organs of the lesser pelvis is performed for women through the transabdominal way (through anterior abdominal wall) or the transvaginal way (through the vagina). With the help of transvaginal US diagnostics it is possible to discover non- malignant and malignant formations of the uterus and ovaries, urethral pathologies, inflammation processes, urination disorders and reasons of urinary incontinence, early pregnancy as well as to monitor the ovarian follicular apparatus during treatment of infertility. For successful performance of the transabdominal US diagnostics, a full bladder is needed and it is also recommended to drink 500ml – 700 ml of fluids - 2-3 hours before the examination. It is recommended to undergo this examination once a year, even when there are no existing complaints, in order to find hidden pathologies. (If hidden have already been found, then your doctor should establish a schedule for additional examinations).
4. Examination of mammary glands
This is a mandatory procedure because mammary glands are a hormone dependent organ.
It is performed when woman positioned lying or standing. Doctor will carefully examine and then palpate the mammary glands, having evaluated their shape, structure, symmetry, sense of pain and other factors.
5. Other tests may be required, for example:
Full blood count; urine test; biochemical blood test; blood coagulogram; various hormones testing; blood type, Rh factor, Rh antibodies (which are important for pregnant women); tests for infectious diseases, etc. – The doctor treating you will establish the necessity of the tests mentioned above and their performance plan.
6. Other methods of examination
For example: hysterosalpingography, hysteroscopy etc. – if any required.