Gynecology skills trainingTheDept.of clinicalmedicine,yangzhoumedical college
Gynecology skills training The Dept. of clinical medicine ,yangzhou medical college
contents1.gynecologic examination （"bimanualexam)2.culdocentesis3.cervicalsmea
contents ⚫ 1. gynecologic examination（"bimanual exam） ⚫ 2. culdocentesis ⚫ 3. cervical smea
PelvicexaminationTheexamination canbeuncomfortableDuring the pelvic exam the vaginal wall isassessed forrugae,texture andweak spotsInadditiontoathoroughpelvic exam,othertests may ordered to further determine thecauseofsymptomsthatareconcerning.Duringthepelvicexam,samplesofvaginalfluidsmaybetakentoscreenforsexuallytransmitted infections or otherinfections
Pelvic examination ⚫ The examination can be uncomfortable. During the pelvic exam the vaginal wall is assessed for rugae, texture and weak spots. In addition to a thorough pelvic exam, other tests may ordered to further determine the cause of symptoms that are concerning.During the pelvic exam, samples of vaginal fluids may be taken to screen for sexually transmitted infections or other infections
PelvicexaminationSome clinicians combinea routine pelvicexam alongwithotherpreventativeprocedures like a breast examination andpap smear
Pelvic examination ⚫ Some clinicians combine a routine pelvic exam along with other preventative procedures like a breast examination and pap smear
ExternalexaminationThepelvic exambegins withan explanation of theprocedure.Thewoman isaskedto put onanexamination gown,get on the examination table, layonherbackwithherfeetinstirrups.Slidingdowntoward the end of the table is the best position fortheclinician todo avisual examination.Apelvicexambegins withanassessmentofthereproductiveorgans that can be seen without the use of aspeculum.Manywomenmaywantto'prepare'fortheprocedure.Douching beforetheexamisdiscouragedbecausecellsneededfromthecervixtoassessforcervical cell abnormalities maybe washed out
External examination ⚫ The pelvic exam begins with an explanation of the procedure. The woman is asked to put on an examination gown, get on the examination table, lay on her back with her feet in stirrups.Sliding down toward the end of the table is the best position for the clinician to do a visual examination. A pelvic exam begins with an assessment of the reproductive organs that can be seen without the use of a speculum.Many women may want to 'prepare' for the procedure.Douching before the exam is discouraged because cells needed from the cervix to assess for cervical cell abnormalities may be washed out