The gynecological examination consists of a visualization of the external genital apparatus in search of lesions such as warts or ulcers or any other type of irritation.
Also in the placement of a vaginal speculum that has to be the right size to the vagina of the patient to not cause any pain. In addition, a visualization of all the vaginal walls and of the uterine cervix that would be the cervix is made and by means of that speculum placement we can take a cytology. This cytology has to be taken in three parts: one at the bottom of the vaginal sac, another on the outside of the neck and another in the cervical canal.Once the cytology is taken, we remove the speculum and perform a bimanual palpation in which we can see if there is pain in any area of the pelvic anatomy such as the urinary bladder, the ovaries or the mobilization of the uterus.
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After the bimanual palpation, we proceed to perform a vaginal ultrasound which will evaluate the uterus and its interior. However, with this ultrasound we can not only diagnose polyps inside the uterus but we can also assess whether the ovaries are of normal characteristics or have any cystic pathology and what type it is.
Once the exploration at the level of the pelvis is finished, we proceed to breast palpation to detect abnormalities such as small cysts or breast pain or engorgement or abnormal secretions from the nipple.
At what age should you perform the gynecological examination for the first time?
If the patient does not present any problem with the pain rules or abundant rules or alterations of the cycle, we recommend that you begin to make revisions after you have a partner and have sex.
How often is it necessary to perform the gynecological examination?
I always tell patients that around the year and even every year and a half there is no problem. Maybe two years would already be an excessive time because in two years there could be an anomaly that has a difficult solution in the future.
