Examin of Females ABOUT THE ENEMA/EXAMINFORM And how to perform a routine Females

Examin of females

ABOUT THE ENEMA/EXAMINFORM

And how to perform a routine

Females

This document explain how to use the enema/examin form and give some advice and ideas how to benefit if you use the form in every enema or examin.

Your comments and remarks dont need to focus on the same issue each time, but you will find that some issues really is usefull to focus on each time and in each session. If you focus consistant on certain issues you will see a use full outcome of your effords.

Introduce this examin form to your patient by your authority and inform about the purpose of the examines and then try to make a daily routine.

Temperature taking is a generally deciplin for making a time line on which the enemas and the examins can be noted during a periode. And in an other way the temperaturetakings will be like ”waypoints”. If only the temperature is taking without in a context of enemas or examin it will be noted on a seperate tp-chart.

OBS! Its important to take the temperature rectally several times a day in between the examins /enemas.

You need as soon as possible to start when the patient arrive. The very first examin will tell you how to perform the very first clean out and if any kind of prerinse is needed. If you start with taking the temperature you can get an image by looking at the tip of the thermometer afterwards. Then you can begin the examin it’self. You can ask the patient about if there have been bm lately or do a test with a lubricated gloved finger up rectum.

Its important to note observations and do some remarks. These notes can be useful. If you decide to insert a suppos or give an enema - maybe both.

There is no need for enemas the day after unless you decide there is a need for it but each time when taking the temperature if the patient will have bm soon. In that case you can wait until the patient have had bm. In anyway you can check that out every morning when taking the temperature or with a gloved finger with KY. Sometimes it would be better to do enemas in the evening before bedtime. This time you can combine the enemasession with an rectalexamin.

If you in the morning recognize that an enema should be giving the evening before you can insert a suppos as deep as possible.

Before the examin or the course if it runs over a period of time you need to clarify about the charecter of the examin to the patient.

PATIENT MEDICAL

PATIENT MEDICAL HISTORY AND PRE-EXAMINATION INFORMATION FORM

Your information will be kept in strict confidence. Please copy and complete, and then email back. All Patients are requested to complete this form prior to scheduling their examination.

PATIENT NAME:

PATIENT EMAIL ADDRESS:

PATIENT CITY and STATE:

PHYSICAL DETAILS

Height: ( )feet ( )inches

Build: ( )slim ( )average ( )a few extra pounds ( )bbw

Measurements: ( )breast ( )waist ( )hips

Brassiere Cup Size: ( )

Pubic Hair: ( )dense ( )trimmed ( )shaved

Natural Hair Color:

AGE😢 ) teens ( ) 20’s ( ) 30’s ( ) 40’s ( ) 50’s ( ) will discuss later

YOUR EXAMINATION

Your examination will be exceedingly thorough and complete. In addition to the typical procedures, there specialized procedures recommended to ascertain the sexual health, function, and responsiveness of the patient. Some of these procedures might cause the patient to feel embarrassed or otherwise be reluctant to undergo them. In this case, the patient has the option to decline to authorize the procedure(s). Of course, should any procedure(s) not be authorized, the doctor's evaluation of the patient's sexual health, function, and responsiveness may be incomplete in the related area.

GYNECOLOGICAL HISTORY AND DETAILS

Have you given birth vaginally? ( )yes ( )no

Have you had a tubal ligation? ( )yes ( )no

Do you have regular periods? ( )yes ( )no

Have you had a hysterectomy? ( )yes ( )no

Do you douche? ( )yes ( )no How regularly ________

Menstrual Cycle:

Date of last period (beginning):

Length of typical menstrual period:

Typical timing between periods:

Date of last pelvic exam:

Practitioner: ( )male ( )female

Manual Breast Exam? ( )yes ( )no

Manual Internal Vaginal Exam? ( )yes ( )no

Vaginal Speculum Exam? ( )yes ( )no

Manual Recto-vaginal Exam? ( )yes ( )no

Rectal Speculum/Proctoscope Exam? ( )yes ( )no

Did you experience sexual arousal? ( )yes ( )no

Did you masturbate following Exam? ( )yes ( )no

Do you do breast self-exam regularly? ( )yes ( )no

Do you lubricate spontaneously? ( )yes ( )no

Do your nipples erect spontaneously? ( )yes ( )no

Do you experience nipple secretion? ( )yes ( )no

Does your clitoris erect spontaneously? ( )yes ( )no

BASIC SEXUAL HISTORY

Age of first masturbation:

Age of first orgasm:

Age of first receiving oral:

Age of first performing oral:

Age of first vaginal intercourse:

Age of first anal intercourse:

SEXUAL ACTIVITIES

Do you have any bi-sexual tendencies? ( )yes ( )no

If yes, have you had a female partner? ( )yes ( )no

Do you often experience multiple orgasms? ( )yes ( )no

Do you squirt (female ejaculation)? ( )yes ( )no

Have you ever experienced a vaginal orgasm? ( )yes ( )no

Have you ever experienced a clitoral orgasm? ( )yes ( )no

Have you ever experienced a g-spot orgasm? ( )yes ( )no

Have you ever experienced a cervical orgasm? ( )yes ( )no

Have you ever experienced a urethral orgasm? ( )yes ( )no

Have you ever experienced an anal orgasm? ( )yes ( )no

Have you ever experienced a nipple orgasm? ( )yes ( )no

Do you masturbate? ( )yes ( )no

If yes, how often? ( )daily ( )2-6 days/week ( )weekly ( )rarely

Have you ever used a vibrator? ( )vaginally ( )rectally ( )no

Have you ever used a dildo? ( )vaginally ( )rectally ( )no

Have you ever used a shower massage? ( )vaginally ( )rectally ( )no

Have you ever used a vibrating egg? ( )vaginally ( )rectally ( )no

Have you inserted fruits/veggies? ( )vaginally ( )rectally ( )no

Have you inserted a bottle? ( )vaginally ( )rectally ( )no

Have you inserted a hairbrush? ( )vaginally ( )rectally ( )no

Have you inserted other objects? ( )vaginally ( )rectally ( )no

If yes, list all other objects used:

Birth Control

Do you currently practice birth control ( ) yes ( ) no

Type of birth control:

Please review the list of typical and specialized procedures and select those that you authorize, pursuant to the advisory statement above.

Examination While Restrained? ( )authorized

Manual Breast Exam? ( )authorized

Nipple Oral Responsitivity? ( )authorized

Nipple Suction Pump Responsitivity? ( )authorized

Vaginal Douche Prior to Exam? ( )authorized

Manual G-spot Responsivitity? ( )authorized

Manual Deep Internal Vaginal Exam? ( )authorized

Vaginal Speculum Visual Exam? ( )authorized

Vaginal Vibratory Responsitivity? ( )authorized

Vaginal Oral Responsitivity? ( )authorized

Observed Urine Specimen? ( )authorized

Enema Prior to Rectal Exam? ( )authorized

Rectal Temperature? ( )authorized

Manual Recto-vaginal Exam? ( )authorized

Rectal Speculum Exam? ( )authorized

Clitoral Oral Responsitivity? ( )authorized

Clitoral Vibratory Responsitivity? ( )authorized

Clitoral Suction Pump Responsitivity? ( )authorized

Oral Penile Capacity Evaluation? ( )authorized

Vaginal Penile Capacity Evaluation? ( )authorized

Rectal Penile Capacity Evaluation? ( )authorized

If you are aware of any other conditions or relevant facts that the doctor should be aware of, or procedures which might be advisable, please list them below:

Thank you in advance for your time and attention to detail in providing this information.

Your information will be kept in strict confidence. Please copy and complete, and then email back. All Patients are requested to complete this form prior to scheduling their examination.

PATIENT NAME:

PATIENT EMAIL ADDRESS:

PATIENT CITY and STATE:

PHYSICAL DETAILS

Height: ( )feet ( )inches

Build: ( )slim ( )average ( )a few extra pounds ( )bbw

Measurements: ( )breast ( )waist ( )hips

Brassiere Cup Size: ( )

Pubic Hair: ( )dense ( )trimmed ( )shaved

Natural Hair Color:

AGE😢 ) teens ( ) 20’s ( ) 30’s ( ) 40’s ( ) 50’s ( ) will discuss later

YOUR EXAMINATION

Your examination will be exceedingly thorough and complete. In addition to the typical procedures, there specialized procedures recommended to ascertain the sexual health, function, and responsiveness of the patient. Some of these procedures might cause the patient to feel embarrassed or otherwise be reluctant to undergo them. In this case, the patient has the option to decline to authorize the procedure(s). Of course, should any procedure(s) not be authorized, the doctor's evaluation of the patient's sexual health, function, and responsiveness may be incomplete in the related area.

GYNECOLOGICAL HISTORY AND DETAILS

Have you given birth vaginally? ( )yes ( )no

Have you had a tubal ligation? ( )yes ( )no

Do you have regular periods? ( )yes ( )no

Have you had a hysterectomy? ( )yes ( )no

Do you douche? ( )yes ( )no How regularly ________

Menstrual Cycle:

Date of last period (beginning):

Length of typical menstrual period:

Typical timing between periods:

Date of last pelvic exam:

Practitioner: ( )male ( )female

Manual Breast Exam? ( )yes ( )no

Manual Internal Vaginal Exam? ( )yes ( )no

Vaginal Speculum Exam? ( )yes ( )no

Manual Recto-vaginal Exam? ( )yes ( )no

Rectal Speculum/Protoscope Exam? ( )yes ( )no

Did you experience sexual arousal? ( )yes ( )no

Did you masturbate following Exam? ( )yes ( )no

Do you do breast self-exam regularly? ( )yes ( )no

Do you lubricate spontaneously? ( )yes ( )no

Do your nipples erect spontaneously? ( )yes ( )no

Do you experience nipple secretion? ( )yes ( )no

Does your clitoris erect spontaneously? ( )yes ( )no

BASIC SEXUAL HISTORY

Age of first masturbation:

Age of first orgasm:

Age of first receiving oral:

Age of first performing oral:

Age of first vaginal intercourse:

Age of first anal intercourse:

SEXUAL ACTIVITIES

Do you have any bi-sexual tendencies? ( )yes ( )no

If yes, have you had a female partner? ( )yes ( )no

Do you often experience multiple orgasms? ( )yes ( )no

Do you squirt (female ejaculation)? ( )yes ( )no

Have you ever experienced a vaginal orgasm? ( )yes ( )no

Have you ever experienced a clitoral orgasm? ( )yes ( )no

Have you ever experienced a g-spot orgasm? ( )yes ( )no

Enemasession/Rectalexamin

(use one form for each enema/examin)

Date:

Time:

Session no.

Enema no.

Total numbers of enemas:

MarriedYes No

PreferenceHetero Homo Bi

With the Patient fully clothed, please provide the following:

ORAL temperature o C/F Pulse

Blood Pressure / Heart

(Put "N/A" if not measured)(Shirt may be removed, if necessary)

ANUS/RECTUM

On the examination table the exam should start with the patient lying supine on the exam table with the head elevated 30 to 45 degrees, her thighs flexed and abducted (knees up), her feet resting in stirrups (or chairs) for support, and her buttocks extending slightly beyond the edge of the examining table.

Anal/- Rectalexamin:

Every examin starts with temperature taking

Rectaltemperature at session start: time: F

Beside the temperaturetaking you also get an first impression about the condition of rectum.

Does the rectalthermometer indicate that an enema is needed:

y/n

With a gloved and lubed finger you perform a deep (deep as possible) rectal examin (DRE) and focus on anal respons and conditions and the need for enemas.

Digital rectal massages: Deep/Low Forced y/n

Number of fingers:

Lenght of time in minutes:

Did it produce an erected clitoris: y/n

Rectal speculum/anoscope examin y/n

Analrespons: Did rectum relax and tighten on demand when holding a finger in rectum y/n

Analrespons: Did rectum relax and tighten on demand whitout your finger in rectum: y/n

Is it responsive to the touch? y/n

Is the anal sphincter firm? y/n

Does the Patient appear to like anal stimulation? y/n

Is the general condition acceptable? y/n

Is it responsive to the touch? y/n

Is the rectal muscle tight? y/n

Does the Patient appear to like rectal stimulation? y/n

Resistence when inserting a finger: y/n

Are there some dirt on the finger: Nothing Less More

If you do only a DRE and if its long time since an enema is given this point give you an idea og what kind of treatment is needed next time. This item is in that way pointing both backwards and forward to next treatment.

Comments and visual observ.:

Here you can do a note about if you are using an anoscope or other equipment. Look for haemorrhoids outside and inside rectum. You can do a note about if haemorrhoids suppositories or Anusol ointment is needed. Maybe you also find it reasonable to comment if the patient coorparate or is embarressed.

Rectaltemperature at session start: F

Beside the temperaturetaking you also get an first impression about the condition of rectum.

Stool in lower part of rectum: y/n

Stool in upper part of rectum: y/n

This examin will tell you if the patient have had bm recently. And for that reason its important that you immediately soon after the patient has arrived start the session. As probe a rectalthermometer can be used or you can use a gloved finger with KY. The examin will tell you how you should go further with the clean out and which kind and how much clean out that is needed.

Serious clean out is required (even low or high): y/n

In the light of the examin above you answer this question. Over a period of time you will see how this answer is changing. This issue is very important and you need to follow up

Remarks:

Here the results of the examin eventually can be noted as well as your comments or if you can feel a kind of resistence or embarressing from the patient. You can also do note based on your visual observations.

Suppositories given as prerinse:

Rectaltemperature before prerinsing: TP: time:

Temperaturetaking before inserting of the suppossitories

Time: Amount: Inserted: low/high BM: y/n – time for BM:

Note the apx-time when you inserts the suppositories and eventually the amount of suppositories. Over the period you will see if there is a connection to how high the suppossitorie is inserted and if the patient have bm. Note the time of bm/voiding from the suppossitorie. This issue and the examin above have a connection to each other. You will remark that in the first 2-3 days of the periode of time.

Rectaltemperature after prerinsing: TP: time:

Remarks etc: You can do some comments about the benifit of inserting suppositories high or low and the ”holdingtime” compared to the patient urge to void or having bm. You can also do a note about how embarressing the treatment is to the patient.

Visual observ.: Is the area about rectum looking sore ?

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Enemas:

Date:

Time: Position: knees/chest left/right on the back

Solution:

soap(castil/ivory) Salt Fleet enema Baking soda

Olive oil Coffee Water/glycerine Urine

Soap: Castil Ivory

Type of nozzle: Bulb: Higginson:

Enema bag: Colontube: inserted length in inch

Amount of solution:

Time of expelling:

Clear water y/n Cloudy Very cloudy Dark/dirty

This issue is usefull and helps you to decide if an other enema is needed in an enemasession you will see after how many enemas the water will turn from dark/dirty to being more clear. And you can compare this issue from session to session.

Remarks etc.:

Here you can add some coments to the expelling (the waterflow) and about the transparentcy of the water.

Visual observ.: Here you can add comments about how the muscle open and close while expelling. At this step you also can check rectum with a gloved finger concerning to the clean out if you feel that its needed

Rectaltemperature after enema: TP: time:

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Urine:

Please collect a urine specimen from the Patient, holding and guiding

her uretha into the collection device, and answer the following:

Was the volume adequate? y/n ml:

Was the flow adequate? y/n

Was there any odor? y/n

Was the Patient able to urinate in your presence? y/n

Was the Patient able to urinate in your presence? y/n

Was the Patient able to urinate while you held her inner labias ? y/n

Was the Patient's clitoris erect at any time during the collection? y/n

Quilify the erection of clitoris: full medium weak

Colour: a light medium dark b clear cloudy

Female ejaculation and masturbation:

Please ask the Patient to masturbate and ask about her last masturbation – fantasies and about ejaculating. Hold a measure cup close to vagina to collect the fluid:

Was the volume adequate? y/n ml:

Approximately how long did it take for the Patient to ejaculate?

minutes:

Measure and describe clitoris when fully erected:

Final Remarks and conclusion:

Here you can consider in general during the past session (enema / examin) or you can note about the goals for next session – things which need to be followed up based on your observations or you can look back to the previous sessions to compare.