Regular gynecological examination is a necessary component for preserving women's health. With the help of inspection, it is possible to identify genital pathology in time, start timely treatment and prevent the development of complications. Women should consult a gynecologist twice a year, even if they do not experience problems in the genital area.
Going to a female doctor has one feature - dependence on the menstrual cycle. Almost every woman wondered whether it is possible to go to the gynecologist with monthly. In the modern world, when work, study and other things take up the lion's share of time in a day, it is very difficult to set aside an hour for yourself. And when the opportunity to visit a doctor appears, unfortunately, menstruation begins. Postponing a visit to the doctor, or armed with several gaskets, yet to visit a specialist? We will look at this dilemma from both the doctor’s and the patient’s side.
Discomfort of medical work
Gynecological examination involves primarily a visual examination of the female genital organs. And if the patient does not present any complaints, and her genitals have no pathologies, then the examination can end there.
With a menstruating woman this is not possible for several reasons:
- visualization of the picture is hampered by the reaching monthly periods. The doctor can not fully examine the genitals to draw conclusions. For example, it is very easy to miss the erosion of the cervix, which can later provoke a cancerous tumor,
- menstrual flow has its own specific color, texture and smell. Therefore, when examined by a doctor, it is impossible to draw conclusions on these parameters in a normal state, and he still has to wait until the end of menstruation, and the patient will notify
- during critical days it is impossible to take an analysis of the microflora - one of the most basic indicators of the presence or absence of infection. Ninety percent of women who have been applying for the first time and who have not had treatment before this or that sexually transmitted infections are detected. These are not necessarily serious sexually transmitted diseases. Even a thrush can bring significant discomfort, but, unfortunately, it can also not be seen in the smear,
- nor will the doctor be able to prescribe general tests, even if he performs a visual examination. A familiar blood and urine test, which is submitted for this purpose, will not be informative, since menstruation changes most of the blood parameters, which will be confirmed by laboratory research. Urinalysis during menstruation also can not be collected, because it gets at least a minor admixture of blood,
- during menstruation, the doctor cannot determine the normal position of the uterus, since it is slightly changed.
The above arguments explain why a patient with a monthly in the first place will bring inconvenience to the doctor. And here it is not even said that it is indecent to see a doctor with menstruation - this will not surprise them, but they will not be able to conduct a qualitative examination.
Disadvantages for the patient
The first inconvenience is connected purely with the psychological factor, when the woman will be embarrassed on examination, knowing that she has come in such a delicate position to a doctor. Especially if this specialist is male. However, in addition to embarrassment and embarrassment, the woman will feel other unpleasant features of the examination during menstruation:
- during menstruation, the uterus has a special sensitivity, so any manipulations in the genital area will be much more unpleasant than in other periods, even if the gynecologist examines very carefully,
- the instrumental examination of the genital organs can damage their integrity, because the mucous membrane, especially in the uterus, becomes thinner due to the detachment of the endometrium and becomes more vulnerable to external influences,
- during menstruation, the cervix opens slightly to expel the endometrium and blood clots. If, during the inspection, an infection is recorded in the uterus, this can lead to serious consequences for the woman.
It is for these main reasons that a woman should postpone a visit to the gynecologist for at least another five days after the end of menstruation, when the microflora is restored to normal, and smears become informative in terms of diagnosis. Also, the vagina will begin to produce mucous secretions in full, which facilitates access to the genitals, and makes the pelvic examination less painful.
Emergency gynecological care
In some cases, a visit to a gynecologist during menstruation is not only permissible but also necessary. In this case we are talking about visits for medical reasons. The doctor looks at patients even with “critical days” in the following cases:
- if menstruation goes on for a long time (this is considered to be bloody discharge from the vagina for more than ten days),
- if menstruation is abundant, which is not typical, and the volume of discharge does not decrease by the expected end of the month,
- a sharp deterioration in health during menstruation, characterized by severe weakness, dizziness, visual hallucinations, fainting,
- if discharge of varying intensity does not stop during the whole cycle,
- if the discharge appeared at an unusual time for a woman, and recently she had a baby or had an abortion,
- when the temperature rises above thirty-eight degrees (or more) for no apparent reason
- if the discharge during menstruation has acquired a sharp unpleasant odor, as well as atypical inclusions of a different color (for example, with a yellowish-green tinge),
- along with monthly severe itching and burning in the genital area,
- if a woman has a sharp severe pain in the lower abdomen, lower back.
If such situations occur, the woman should not wait until the end of menstruation, she needs to be examined as soon as possible by a doctor. The specialist, in turn, should not ignore the patient's complaints and postpone the visit for several days - in this case, the patient's complaints, the nature of the discharge can be assessed, associated with the possible cause of their occurrence.
Sometimes these complaints can signal an exacerbation of chronic diseases of the genital organs under the influence of menstruation. For a full examination, the doctor will still make a smear and send it to the laboratory, but in the future, you may need to re-study to clarify the diagnosis.
Installing the intrauterine device
One of the most common methods of contraception - the installation of an intrauterine device - also requires a visit to the gynecologist during menstruation. True, doctors recommend doing it approximately one to two days before the end of menstruation, when the cervix is ajar, and the penetration inside is not very painful and difficult.
In this case, a visit to the gynecologist during menstruation is fully justified. By the end of the month, as a rule, the discharge is not so abundant, and if after a careful hygienic procedure to visit a doctor, then there will not even be traces of discharge on the gasket, and psychological discomfort can be avoided. After the installation of the spiral, the menstruation will continue, they may be delayed for 1-2 days, but in general the cycle will stabilize and the next menstruation will begin on time.
A visit to a gynecologist during menstruation is undesirable, but if necessary you should not be shy and wait for the end of critical days - qualified assistance should be provided on time.