Teen daughters 1st pelvic exam... - page 4

Hi all! I think this is the right place to post?? Any ways, my 16 year old daughter has to have a pelvic exam and is absolutly petrified. She has heard the many horror stories from all her... Read More

  1. by   OBNURSEHEATHER
    I had my first pelvi after already finding out I was pregnant. So I was pretty much too scared about a host of other things to be worrying much about the exam.

    It's one of those annoying facts of womanly life, but I'd rather get a Pap than go to the dentist.
  2. by   Flynurse
    Originally posted by ShandyLynnRN
    That is standard practice with every doc I have been to. I have never had to ask for a female nurse to be present... they just always waited until she was available and asked her to come in. It is definitely a liability issue, and all the docs I know have a female present for exams. Even antepartum patients in my OB unit... the docs always ask us to come in when they do a vag exam. I was surprised to hear that some docs DON'T.
    It was my understanding that every office had that as a standard practice. I was nearly in shock when after the exam the doctor said to me, "If you aren't comfortable with a man doing the exam you should ask for a Nurse Practitioner next time you come in, then you won't have to have a third person present."

    I told him that I did ask for a female to do the exam, but since I was in need of an exam I took the first person available. And that it wasn't a problem for me to have a MAN do the exam, but it was a problem for the nurse to have an attitude!!!
    To top it all off I just got a letter in the mail saying I am due for another exam. Hmmm.....guess I may have to call them and tell them to screw off. Time to look for another place.

    Wish I could go back to my old doctor's office in Nebraska. They were absolutely wonderful. Male or female doing the exam it didn't matter, there was always a female nurse present through the whole proceedure. The PA always said what she was going to do just before she did it. AND no matter which nurse it was she would always say something to make me feel better if I felt uneasy.
    Unfortunately that GYN bill would be about 400$ for plane tickets, lodging, meals, and exam. :chuckle
    Last edit by Flynurse on Apr 3, '03
  3. by   deespoohbear
    Originally posted by Flynurse
    My mom made my first appt when I first went. She insisted that a female doc or NP did the exam. A female PA did the exam with the assistance of a female nurse. I don't know why, but I was more comfortable that way and every exam since then.

    Except for the last exam. I had to go to a new office since I had moved out of state. It was sort of a ASAP visit d/t needing a new Rx. The Doc was male and I asked for a nurse to be present. The FEMALE nurse acted as though she was annoyed that I had asked for someone else to be present.

    So, I guess my advice is females all around and someone you know you can trust. Needless to say I fell like on my next exam I need to find a new office.
    I would think any doc of either sex would want another person in the exam room with them when they examine you. Big time liability issues there....
  4. by   Chaya
    Some clinics have initiated changes in recent years to make the patient feel more comfortable. In my more recent pelvic exams, the back of the exam table has been elevated so that I was in a half-sitting position and could look the doctor in the eyes. During vaginal ultrasounds, the practitioner usually asks if I prefer to insert the probe myself (I believe this could also be done with a speculum, or your daughter allowed to guide Md's hand to control the rate of insertion). Finally, they taught us in school that if we have a very ticklish patient who cannot tolerate the abdominal exam, we could have them put their hand on top of our own and control the pushing-sound weird but seems to work! Good Luck to your daughter; make sure she knows she has the right to speak up and ask for a "play-by-play" as she is being examined.
  5. by   Disablednurse
    Itsme, has she had her pelvic exam yet. How did it go? Just was thinking about you and her.
  6. by   OBNURSEHEATHER
    Originally posted by Disablednurse
    Itsme, has she had her pelvic exam yet. How did it go? Just was thinking about you and her.
    Ditto. Hope it went well.
  7. by   chiefswife
    All of the advice you've received so far is great, so I won't repeat or try to add anything serious.

    Just tell her not to sneeze:chuckle ! My best friend did and shot the speculum across the room!:chuckle :chuckle Fortunately she missed the doctor and hit the wall. The doctor said something like "could ya warn me next time??" She was so embarassed!! :imbar She hasn't gone back to him since!

    Good luck!
  8. by   OBNURSEHEATHER
    Originally posted by sara610
    Just tell her not to sneeze:chuckle ! My best friend did and shot the speculum across the room!:chuckle :chuckle
    Wow! I'm impressed!

    (bet her boyfriend/hubby is too)
  9. by   itsme
    Hi guys! We have her appt. made, and I have been talking alot to her and she is a bit more ok with it. she really does like her doc. She has a female doc who is young, like only a year or two out of school. I told her she has to do this so she may as well get it over with, then we will go shopping after!!
  10. by   bobbiesal
    Having done pelvic exams on young women under the very worst of circumstances (I was a SANE nurse), I can tell you that it's the talking through & explaining everything that REALLY helps. I worked for a year in a grant funded family planning clinic as well (not Planned Parenthood, but similar) & I didn't have one complaint from a patient. I live in a small town and have 3 sons, the oldest would often bring his friends in for free condoms, putting me in the wonderful position of having to teach them how to use the condoms. Likewise, I ended up performing exams on girls that "knew" my son, daughters of cousins, daughters of friends, girls I'd see later in McDonalds... It's not always easy being on the other side of the stirrups either!
    From my personal experience, I wish I'd gone to Planned Parenthood, or somewhere that really explained birth control instead of simply prescribing it like my pediatrician did. I ended up pregnant at 18 after a course of tetracycline for a UTI because no one thought to tell me about the potential interaction, nor the importance of taking the pill the same time daily! I'm very glad young women today have all the options they do, and I never have missed an opportunity to discuss those options with my sons' girlfriends!
    In the big scheme of things, pelvic exams are really a nuisance at worst. Small price to pay for taking good care of yourself!
    Best of luck!!!!!!
  11. by   ERNurse752
    Originally posted by bobbiesal
    Having done pelvic exams on young women under the very worst of circumstances (I was a SANE nurse), I can tell you that it's the talking through & explaining everything that REALLY helps. I worked for a year in a grant funded family planning clinic as well (not Planned Parenthood, but similar) & I didn't have one complaint from a patient. I live in a small town and have 3 sons, the oldest would often bring his friends in for free condoms, putting me in the wonderful position of having to teach them how to use the condoms. Likewise, I ended up performing exams on girls that "knew" my son, daughters of cousins, daughters of friends, girls I'd see later in McDonalds... It's not always easy being on the other side of the stirrups either!
    From my personal experience, I wish I'd gone to Planned Parenthood, or somewhere that really explained birth control instead of simply prescribing it like my pediatrician did. I ended up pregnant at 18 after a course of tetracycline for a UTI because no one thought to tell me about the potential interaction, nor the importance of taking the pill the same time daily! I'm very glad young women today have all the options they do, and I never have missed an opportunity to discuss those options with my sons' girlfriends!
    In the big scheme of things, pelvic exams are really a nuisance at worst. Small price to pay for taking good care of yourself!
    Best of luck!!!!!!
    I'm taking a SANE class right now...we're learning how to do speculum exams on Tuesday. Maybe I should print out this thread and take it in.
  12. by   NICU_Nurse
    Originally posted by OBNURSEHEATHER
    Wow! I'm impressed!

    (bet her boyfriend/hubby is too)
    She said SPECULUM, not ping-pong ball. Gutterbrain. ;>P
  13. by   HazeK
    You might also let your daughter know that women are notorious for "embellishing" their experiences, so that the 'teller-of-the-tale' gets setra sympathy, or admiration for their endurance!

    You know, the "I was in labor with my baby for two weeks" stories...

    Tell her to throw out all the experiences she has heard, to relax, and it will be over in <3 minutes, most likely!

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