About Sensitive Examinations and Procedures
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In order to provide patients with the highest quality of care, the healthcare provider may need to perform an examination of sensitive areas, including the following:
- Breast exam
- Pelvic exam
- Pap smear for cervical cancer screening
- Male genital exam
- Rectal exam
To support the patient’s comfort and dignity:
- The patient or the provider may request the presence of a medical chaperone, who is a trained member of our care team, for any exam, treatment, or procedure at any time.
- For a patient receiving a pelvic or vaginal exam or procedure such as a Pap smear, a medical chaperone is required. For all other sensitive exams, a chaperone will be offered but it is not required.
- If the patient is under the age of 18 a medical chaperone is required for all sensitive exams.
- Before starting care, the healthcare provider will explain what will happen during the visit, so the patient will know what to expect.
- The healthcare provider will step out of the room and give the patient privacy to change. The patient will be provided a gown to wear and a sheet to cover up their legs. The healthcare provider will come back into the room with a chaperone if it is required or requested.
- During the exam, the healthcare provider will inform the patient of what to expect before each part of the exam.
Breast Exam
The healthcare provider will manually palpate (touch with pressure) the patient’s breasts, feeling for lumps, thickening, or discharge.
Pelvic Exam
The patient will lie on their back on an exam table with knees bent and feet placed on the corners of the table or in footrests. The patient will be asked to slide their body toward the end of the table and let their knees fall open. The pelvic exam usually consists of a visual external exam and an internal visual exam where the healthcare provider will use a speculum.
Pap Smear
The healthcare provider takes a sample from the cervix. Learn more about what to expect during an OB/GYN appointment.
Bimanual Exam
The healthcare provider will insert one or two gloved, lubricated fingers into the vagina to check internal female organs. With the other hand, they will gently apply pressure to the lower part of the belly. A rectal exam sometimes occurs at the end of a bimanual exam. This involves inserting one finger into the anus. The patient may feel slight discomfort when the clinician presses in certain places, but if it hurts, the patient should inform the provider.
Male Genital
The healthcare provider will complete a visual exam of the penis and a physical exam of the testicles for nodules, swelling, or tenderness.
Rectal Exam
The healthcare provider will examine the rectum, which may involve inserting one finger into the anus or inserting a short clear plastic tube called an anoscope. Sometimes a swab is inserted into the rectum to test for infection or a special tiny brush to test for abnormal cells.
Can I stop the physical exam if I feel uncomfortable?
Of course. You can ask to stop the physical exam at any time. We want you to feel in control at all times.