A gynecological examination

When to visit gynecologist?
A gynecological examination is usually enough to do once a year, unless there are some additional issues. Regular gynecological examinations are important because that is how at the right time you can notice even the slightest changes that indicate diseases of the reproductive system, and therefore they can be treated and cured quickly and successfully.

The ideal time for gynecological examination is the eighth to twelfth day of the menstrual cycle.

After examining your anamnestic data, and the results obtained, the gynecologist will tell you when the next control should be. More frequent gynecological examinations are recommended for the following problems: if you notice changes in menstrual bleeding (frequency, abundance, pain), pain in the lower abdomen, increased vaginal discharge, as well as the abnormal PAPA test findings. More frequent controls are also needed if you use hormone therapy, or you have an intrauterine cartridge or spiral, or if you are pregnant.

Visiting a gynecologist is also important after entering the menopause and the cessation of menstrual bleeding, because some malignant tumors are more common in the menopausal age.
If you are planning regular gynecological control, be sure to make an appointment for a time when you do not have menstrual bleeding, unless you have problems with improper menstrual bleeding and because of that you must immediately come for the examination.

How to prepare yourself for the examination?
The day before you plan to come for your scheduled appointment, do not put vaginal pills, creams or gels because they can affect the results of the tests and cover some events. Some patients prepare a list of questions so that they do not forget to mention some of their problems or ask a gynecologist for advice, because they often forget to ask a gynecologist about the problem they have because of discomfort.

Gynecological examination is not a pleasant examination for a woman or young girl because it is the matter of an intimate area, but after the conversation, they usually overcome the fear. A gynecologist will ask you about family disorders and all your illnesses or surgeries that you have had so far.

The most common questions that are asked are: how old were you when you got your first period, the date of the last period, the length of the menstrual cycle, what type of contraception is used, have you have been pregnant so far, and if so, how the past pregnancies and birth occurred.

It is important to indicate which medicines are you taking and are you allergic to some of them. It’s important to know if you are a smoker. Furthermore, you will be asked if you have any gynecological problems and why did you come for the examination.

Pri pregledu se utvrđuje stupanj čistoće koji predstavlja mikroskopsku analizu iscjetka, gleda se nativni preparat u kojem se analiziraju epitelne stanice, fiziološki nazočni laktobacili, leukociti, bakterije, Trichomonas vaginalis i kvasnice. Zatim slijedi bimanualni pregled koji će vašem ginekologu dati uvid o smještaju, obliku, veličini i bolnoj osjetljivosti maternice i jajnika.

And, of course, you can ask questions and report all of your problems. It is important to mention to a specialist gynecologist if you are planning a pregnancy or you want to start using some (new) contraception, so that you can discuss what is the best solution for you and which additional examinations or tests you should do.

What includes gynecological examination>
After the conversation, there is an examination that does not last long and with good preparation it is completely painless. First, the external genital area is examined, and then, with the aid of speculum, an examination of the vagina and cervix is performed and the PAPA test is taken. By doing regularly PAPA tests and following the instructions of a gynecologist, you can decrease uterine cancer by 90%.

Very often women think that a PAPA test is also meant to test sexually transmitted diseases at the same time, but this is not the case. Namely, by doing the PAPA test, it is determined whether there are abnormalities of the epithelium on our cervix, but if we want to investigate the inflammation in more details or make screening for sexually transmitted diseases, we have to do the targeted swabs, such as the swipe of Chlamydia trachomatis, Mycoplasma hominis, Ureaplasma urealyticum, Gardnerella vaginalis, Neisseria gonorrhoeae, HPV viruses and Herpes simplex, as well as the parasite Trichomonas vaginalis.

During the examination is determined the degree of purity that represents the microscopic analysis of the vaginal discharge, a native preparation is observed in which epithelial cells, physiologically present lactobacilli, leukocytes, bacteria, Trichomonas vaginalis and yeast are analyzed. Then there is a bimanual examination that will give your gynecologist an insight into the accommodation, shape, size and painful sensitivity of the uterus and ovaries.

If you are troubled by doubt, or if you have symptoms of inflammation, you can do it during the examination in consultation with your gynecologist.


Darko Jović

Word of doctor

Doc. PhD. Darko Jović

Gynecology as a branch of medicine that deals with diseases and the treatment of the female reproductive system occupies a special place in the life of every woman. In the S.TETIK clinic in a modernly equipped clinic we are able to provide you with the best service and care for you and your offspring.

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