Anyone else Anti-pelvic exam? (or anti-gynecology.)

Contributor: AndroAngel AndroAngel
Quote:
Originally posted by P'Gell
More than just cervical cancer or ovarian cysts are checked for during a yearly or every other year pelvic exam. Ultrasounds are very expensive and as some internal abnormalities are similar in tissue density to normal tissue, things can be missed. ... more
The use of "Saying, "Nobody gonna touch me there!" is quite immature" and "is simply hiding your head in the sand." are both shaming statements. I didn't feel shame, it just got my hackles up. Besides, it's hardly immature to say I get to decide who touches my genitals, and who doesn't. It is my right to decide such things.

Having said hackles up also prevented me from admitting that in some instances you're perhaps correct. My problem with pelvic exams is how many fear tactics are used to force women into having them and the fact that they're required to get birth control (which only serves as a deterrent from using birth control for many.) I also have an intense level of disdain for the practice due to the fact that no "respectable doctor" will sterilize someone my age to begin with, according to such "respectable doctors".

I am personally against pelvic exams and my stance isn't likely to change. The doctor I spoke to admitted in my case, I was accurate in the assumptions that I argued. Also, the doctor I spoke to was also of the opinion that we do too many tests and women really only need pelvic exams after 30 without a family history of issues.

Further, I can admit that they should exist because they have their place, but I also think there should be more information out there regarding alternatives and what, exactly, a pelvic exam checks for, because there are people like me out there who will not have them.

In all respect, I would like to know what a pelvic exam is used to diagnose, still. I'm curious since no one has ever told me anything but infections, cancer, cysts, and STDs.
01/05/2012
Contributor: Tori Rebel Tori Rebel
Quote:
Originally posted by Ansley
Bravo!! I could kiss you right now!
Not if I get to her first!

I've had great luck with OB/GYN's and if I come across a doctor, in any specialty, that I'm not comfortable with, I find a new one.

While there are other technologies present in the medical world, they're not necessarily available to all patients or even all physicians. I'm more than happy to jump in the stirrups once a year to have a medical professional make sure the tissues of my vulva and the inside of my vaginal canal, my cervix, and ovaries are all healthy. I have ovarian cyst issues and have had several ultrasounds, am happy with the information that PAP tests provide, and actually like that a doctor (actually an NP) that I trust and that trusts me in knowing my own body, takes the time to feel around for anything out of the ordinary. While some medical technology may be able to do the same, I personally, trust a person especially when the other tests are far harder to come by. While I am generally healthy and have not had any MAJOR gynecological problems, I am not willing to risk my health (vaginal or any other area) for any reason. I like to make sure all systems are 'go'. Until futher technologies are available to all doctors and all patients, I'm going to stay with what I know works.

I've also never had any gynecological exam or procedure that I would consider 'uncomfortable'. If a doctor did something to me that caused physical discomfort, I would find one that did not. I can feel pressure when my NP is checking my lower abdomen for abnormalities but I can honestly say that I've never felt uncomfortable or put in any painful or embarrassing position.
01/05/2012
Contributor: Ghost Ghost
Apparently it's just me who's found the shitty doctors! lol.
01/05/2012
Contributor: AndroAngel AndroAngel
I think honestly I might have had a different opinion of the whole practice if I'd met more doctors that didn't treat me like a moron or a number. I like to be in the loop about the tests that doctors want to perform and the treatments they prescribe. I also like to know the truth about how necessary they are, and having been lied to far too often by people in this particular field, I find it difficult to trust any of them. In fact, I find it difficult to trust any doctor, because I've had more than one lie by omission on important issues just because they thought they were right and I didn't know my own body.
01/05/2012
Contributor: P'Gell P'Gell
Quote:
Originally posted by AndroAngel
The use of "Saying, "Nobody gonna touch me there!" is quite immature" and "is simply hiding your head in the sand." are both shaming statements. I didn't feel shame, it just got my hackles up. Besides, it's ... more
The phrase "Nobody gonna touch me there" wasn't directed at you, someone else actually used the phrase themselves. I think that is an immature reason to ignore one's health.

Yes, you need a pelvic to use most prescribed forms of birth control. If you had certain health issues that your doctor or midwife needs to know about from an exam, and the Pill, an IUD, a cervical cap or a diaphragm could be dangerous, and three out of these four absolutely require an internal exam to be prescribed and inserted. (How could a doctor fit you for a diaphragm or a cervical cap, or insert an IUD or learn your internal physiology for a surgical procedure without first doing a NO risk internal exam? I have no idea, and neither does anyone else.)

As for "I also have an intense level of disdain for the practice due to the fact that no "respectable doctor" will sterilize someone my age to begin with, according to such "respectable doctors"." I didn't say that. I said I knew of no good doctor who would do one without a full exam first. And that would be ONLY for your health. Age doesn't matter, and most people, if they present themselves properly and politely to their HCPs should have little resistance to the procedure. If you come in swinging, of course you're going to have problems. Doctors are human, if they are in the receiving end of someone's rage, they are going to be upset and it may effect the way that person is treated. Don't you think so?

You said I would like to know what a pelvic exam is used to diagnose, still. I'm curious since no one has ever told me anything but infections, cancer, cysts, and STDs. First of all, that's not enough??? Then add pelvic position issues, tilted uterus, cervical issues, vaginismus, undetected pregnancy, some digestive issues, rectal problems etc. I think this is MORE than enough reason to do a NO risk, quick, virtually painless exam.

You have every right to deny a doctor or midwife or NP the ability to perform a pelvic on you. It's a free country. But, as they usually follow their Standard of Practice, (their insurance depends on these SoPs) they then have the right (and often the legal requirement) to deny you prescribing certain medications, procedures and, yes, to warn you about the risks. You can't just walk into a doctor or NPs office and say, "I want to to use an ultrasound to perform a cervical check instead of a pelvic exam." It isn't the Standard of Practice, and few will risk their licensee, and your total health to do it. There are standards in medicine, and those are a result of years of practice, evidence based data and research. You can refuse to have the procedure, but you are closing doors to some tests and procedures that you may someday need or want.
01/11/2012
Contributor: indiglo indiglo
I just had my yearly checkup yesterday. (I am lucky to have an OB/GYN that I absolutely adore, but I have had bad OB/GYNs in the past.) I honestly appreciate having an opportunity to ask any questions I might have, address any concerns, etc. once a year.

My doctor also always checks for blood in the stool (after the rectal exam) so that's something else the exam is good for.

I respect anyone's right to deny any kind of exam or medical treatment. But I don't mind my yearly pelvic exam at all, so I plan to keep going.
01/11/2012
Contributor: shcoo shcoo
I've never been to the gyno. I'm strongly against it. I have a slight phobia of ALL doctors, actually, but especially if they're going down there. There's no real reasoning behind it; I'm.. just plain uncomfortable with it.

The family doctor that I've been going to since I was 10 or so gives me birth control without a pelvic exam because I just told her it is "strongly against my personal beliefs," but I have a feeling when she retires, my future doctors will not be so chill about it. She only requires me to get a blood test for it once a year. It's cool to read about these alternatives though!
01/12/2012
Contributor: EnChAnTiNg EnChAnTiNg
I think there are 2 reasons we still get PAP smears.

1) Most people may not able to afford the blood test, and I'm not sure if a lot of insurance companies would pay for it.

2) The PAP smear is also used to do a physical examintaion to make sure that everything else is healthy. Many times other things are found during a PAP smear that would be missed if it have been denied.
01/13/2012
Contributor: Ms. Spice Ms. Spice
Quote:
Originally posted by P'Gell
More than just cervical cancer or ovarian cysts are checked for during a yearly or every other year pelvic exam. Ultrasounds are very expensive and as some internal abnormalities are similar in tissue density to normal tissue, things can be missed. ... more
I haven't had internet for the last couple weeks, so I didn't get to read your posts till now. Thank you for posting this.

Personally, I'm just going to reiterate what has been said by many women here. I would much rather my Dr. prod around down there than bypass my health and blood work down. Pap smears are so crucial for me.
01/15/2012