Female Medical Exam in New York

Dr. Gafanovich’s office provides annual physical exams, health checkups. Her practice can provide a broad range of services. The office is filled with staff that is understanding, multilingual, highly trained and knowledgeable. If needed, Dr. Gafanovich will refer to a specialist Ob/Gyn who will be able to complete your female physical.

What does a female physical examination include?

A typical annual female exam here in NYC consists of a checkup of your weight and vital signs, review of past medical history, pelvic exam, pap smear testing, breast exam and routine STD checkups. The goal is to get an overall health assessment and to find areas in which you can improve your health. The female exam also includes an external examination and palpation of the stomach area.

Regardless of your sexual orientation, or whether or not you are sexually active, a pelvic exam is an important part of your routine health check. During the exam your cervix, ovaries, fallopian tubes, uterus and internal and external vagina are evaluated. The doctor will also check for signs of infection or hormone imbalance, or any other possible conditions. To check the health of your cervix and vagina, the doctor will be swabbing a few cells in a process called a pap smear or pap test. This is an important part of maintaining your health. Remember having your exam yearly will maintain the health of your body and keep you alert to any changes you could be going through.

Pre examination questions:

The doctor will want to know the last time you had your period, whether they are regular, how long they last, and if you have ever bled in between periods. Previous successful and unsuccessful pregnancies, abortions and previous birth control methods will also be addressed. If you have any other medical conditions now is the time to make the doctor aware of them. Other questions the doctor may ask include: Are you currently sexually active? Do you have any pain during sexual intercourse? Are you using birth control? Do you think you might be pregnant or is there a chance you could be pregnant? Are you trying to become pregnant? What do you do to prevent sexually transmitted infections?

The doctor may ask you more questions, including whether you have been tested for chlamydia, herpes, HIV, HPV or other infections. Also, she may ask you if you have any unpleasant vaginal odor and discharge. Remember these questions need to be answered truthfully so that the doctor is able to assess your overall health.

What is a speculum?

A speculum is the instrument that the doctor uses to open your vagina for examination. It is the best way to be able to see if there are any problems that you might have. This is a necessary implement in the female pelvic exam, and fortunately it is used only for a minute or two. While use of the speculum may not be pleasant, it is nothing to fear. The doctor goes to great lengths to ensure your comfort during your pelvic exam.

Why should I have a female exam?

Your reproductive health is vitally important to your overall health and well-being. A female exam is the first line of defense against cervical cancer and other female issues. It is also a good way to screen for fertility problems and to lead the way to a healthy pregnancy and childbirth if and when you are ready. Pelvic exams are quickly completed, and are covered by most insurance plans.

NY Preventive care examinations offer you the ability to take control of your health today. These exams are focused on the health and well-being of your sexual and reproductive organs. Don’t worry if you find yourself a bit anxious. It’s very common for women to be worried about having an exam, but without one your physical health could be at risk.

What will the exam feel like?

The exam will only take few minutes. Some people might experience a sensation of gentle pressure or pinching, but that is only if you are extremely tense. The best way to get through your exam with the least amount of discomfort is to breathe deeply and relax. The doctor will be keeping you informed every step of the way, letting you know what she is doing and looking for and whether or not she sees any signs of possible problems.

What does the doctor do?

Your doctor looks at your external vaginal area and inspects for cysts, abrasions, any unusual discharge, irritation, lesions, abnormal cell growth or any other issues that she might see. She will then move on to the speculum exam. At that point she will be inserting the speculum into your vagina. These instruments are sanitary and made of either of metal or plastic. When she uses the speculum, she will first warm the instrument and apply hypoallergenic lubrication on the instrument to ease the insertion. The feeling is a little unusual, but there should be no pain associated with it. If there is, please inform the doctor. When the speculum is inserted, it is actually the most intense part of the female physical exam. By practicing breathing exercises, it will aid you during the exam.

Dr. Marina Gafanovich, MD

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Physical exams should be a part of an annual plan of every New Yorker. Visit Dr. Gafanovich in Manhattan to get a peace of mind in knowing that you are in good health.

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The doctor will swab some of the cells from your cervix. These cells will be examined for abnormalities that could be a sign of cancer or other diseases. She will most likely be checking for sexually transmitted diseases during your exam. You will be asked when your last STD test was given and how many sexual partners you have been with since then. It is in your best interest to be honest. STD testing is imperative for women who are sexually active, since sexually transmitted diseases tend to affect women’s health more profoundly than men’s health.

The next part of the exam is called the bi-manual exam. The physician will insert two gloved fingers into your vagina and press on your abdomen with the other hand. This test is to make sure that the size and shape of your uterus is healthy and within normal range. She will look for any signs of an enlarged uterus, pregnancy, fibroid tumors, swelling of the fallopian tubes, and possibly enlarged ovaries. It is extremely important to let the doctor know if you feel any tenderness. In some cases, the doctor may place a finger in your rectum to check the muscles between your rectum and vagina for tumors behind the uterus. At this point you will feel like you need to have a bowel movement. This is perfectly normal. Don’t worry; it only lasts a few seconds.

When the exam is over…

Once the examination is complete and the doctor has evaluated your results, she will let you know of any abnormalities she may have found. If any issues have been discovered, she will advise you on the best course of action, alternative methods, and how and when to proceed with additional procedures. If any follow up testing is needed, it will be scheduled with the receptionists or other staff members.