What is a Gynaecological Examination?
The thought of having a gynaecological examination can be a little scary for some women. Some simply don’t know what to expect, as it’s a very personal type of medical assessment. It’s completely natural to feel uncertain about what’s involved, but these examinations play a vital role in women’s health, so it’s important to dispel any myths and worries. Early detection of any issues is always best, but any existing problems can be monitored, providing reassurance about reproductive and gynaecological wellbeing.
We’ll take you through what a gynaecological examination is, what it entails, why it’s so important, and how women can prepare themselves for their appointments.
Understanding Gynaecological Examinations
Knowing what a gynaecological examination is, in laymen’s terms, usually helps women become less anxious about any preconceived ideas they may have had. It’s a medical assessment that focuses on the female reproductive system, including the vulva, vagina, cervix, uterus, fallopian tubes, and ovaries. The assessment might also include breast health, menstrual cycles and history, and certain aspects of urinary or sexual health.
These examinations are overseen by specialists in women’s health such as gynaecologists, or trained nurses. Their purpose is to make sure that the patient’s reproductive system is healthy, or to investigate any symptoms (which may include pain, bleeding, or changes in cycles), and to offer advice or guidance on contraception, fertility, and menopause.
Why Might You Need a Gynaecological Examination?
You may have been advised, or you may choose to have a gynaecological examination, and there could be several different reasons for this. They can include
Routine screening – Your regular check-up may be due. This could be for a smear test or general health check.
Symptoms – You could be suffering from pelvic pain, irregular periods, unusual or heavy bleeding, unusual discharge, or changes to your breasts or vulva.
Fertility investigations – If you’re trying to conceive, an examination can be an important first step.
Contraception advice – This will assess your suitability for certain methods.
Perimenopause and menopause management – This looks at your symptoms like hot flushes, sweats, vaginal dryness or changes to your cycle.
Monitoring of ongoing conditions – If you suffer from fibroids, endometriosis, or polycystic ovary syndrome.
In many cases, an examination can be about reassurance; a confirmation that everything is healthy and as it should be, even if there are no concerning symptoms.
What Happens During the Examination?
Gynaecological examinations can be different depending on the reason for your visit, but most follow a similar structure or routine.
Medical History and Discussion – The appointment will usually begin with a conversation about your general health, menstrual history, family medical history, lifestyle, and any concerns you may have. This is also a good time to raise any questions or mention symptoms you may have.
General Health Checks – Basic checks and observations may be taken, including blood pressure, weight, BMI, and sometimes blood tests might be ordered, especially if the appointment relates to contraception, fertility, or menopause.
External Examination – The clinician may carry out an external examination of the abdomen and the vulva area to check for lumps, tenderness, or abnormalities.
Internal Examination – An internal, or pelvic examination is often the part that women feel most anxious about, but it is usually straightforward, quick, and painless, if a little uncomfortable. A speculum is gently inserted into the vagina so that the clinician can see the cervix. This may be combined with a cervical smear test, swabs, or samples for extra investigation.
Further Tests or Imaging – You may be offered an ultrasound scan of the pelvis. This will provide detailed images of the uterus, ovaries and surrounding structures. If there are any symptoms or concerns, this gives a bit of additional insight.
How Can You Prepare for a Gynaecological Examination?
There really isn’t any special preparation necessary, but there are a few things you can do to make your experience more comfortable.
Clothing – Wearing loose and comfortable clothing can make it easier to change and feel at ease.
Timing – Try not to book your appointment for when you have your period (unless you have a concern that relates to heavy or irregular bleeding).
Hygiene – Just wash as usual before your appointment – no special products are needed, neither is douching.
Questions – If you have specific questions you’d like to ask, write them down so you don’t forget them during the appointment. Also, write down any symptoms you think are noteworthy.
Support – If you are nervous and feel like you need extra support, you can choose to have a chaperone with you during the examination.
Common Myths and Misconceptions
You’re not alone if you feel anxious or worried about a gynaecological examination, especially if it’s your first, but we have addressed some of the most common concerns.
“It will be painful.” – At most, there may be some mild discomfort, particularly during a smear test, but it should not be painful. If you do feel any pain, you should tell the clinician immediately.
“It will be embarrassing.” – These examinations are a routine part of your healthcare professional’s day. They’re highly trained and will put your comfort and wellbeing first.
“I’m too young/old to need this.” – Gynaecological healthcare is important at all stages of life, from adolescence through to post-menopause so the likelihood that you’re too young or old is negligible.
“I should only make an appointment if I have symptoms.” – Routine check ups and preventative care are just as important as finding and diagnosing new and existing issues.
How Important are Regular Gynaecological Health Checks?
We should give the same importance to gynae healthcare that we do to dental or optical. As with your teeth and eyes, regular gynaecological check-ups are important in maintaining health. Cervical changes, ovarian cysts, or endometrial issues can develop, sometimes without obvious symptoms, so early detection allows for more effective treatment, giving you reassurance and peace of mind.
At The Surrey Park Clinic, we put your health first. We take the time to listen to your medical concerns and devise a treatment plan specific to you. All treatments are Consultant-led, and we aim to provide women with all the support and personalised medical attention required to ensure they are helped to feel better.
We are passionate about providing personalised healthcare for the treatment of all Gynaecological conditions, including Fertility, Menopause, Menopause Management and Pregnancy Care.
Our clinic is open 6 days a week and offers patients Consultations throughout the day, including evenings and weekends. We also offer same-day Ultrasound scanning for both Gynaecology and Pregnancy in addition to Blood test services. Book an appointment here.