In what circumstances does the doctor perform the rectovaginal examination?

In what circumstances does the doctor perform the recto vaginal examination?

I don’t know. I feel like doctors are scaling back on what they actually do anymore. All exams are short and not thorough.

Yes I agree I wonder if by indicating any problem he would have more luck

Unfortunately if you mention a problem, it’s no longer a check up, it’s a visit.

I was told way back that it was done to me because of retroverted uterus and I think where suspecting endometriosis will do it checking for nodules in the rectovaginal septum

One of my ob/gyns told me that it was just because of how my uterus is situated. She told me mine is not really retroverted but that she could feel the shape better with a finger behind it in my rectum. Lucky me! 😜

Due to a retroverted uterus it is always done on my gf. Its been so long she anticipates it but is never happy about it at the time. No explanation is needed. Her Dr just tells her he'll be doing her rectovaginal exam next and then he'll follow that with a separate DRE due to her age in her 40s.

I didn't get one during the regular gyno exams. I got it at the first pregnancy exam, but I think it was mostly because the doctor was old fachioned, it's not common on the first check up to get a full a exam. I guess I was just lucky.

In high school I had a friend that had that happen to her. We called it the shocker. It sounded ridiculous. Like what in the actual fuck? The doctor is putting a finger there and there? No they are not.

Fast Forward to my first gyn appointment- I’ve been felt up. Pried open and finger blasted. I think my day is finally over. I try to sit up. “I need to check one more thing. Not all doctors do this. But it helps me feel the back of uterus. I’m going to insert my middle finger in your bottom and you’ll feel my index finger in your vagina. Try to relax”

The nurse smiled at me.

“Oh no she’s going to give me the shocker. Just like Lesley said happened to her. “ I thought. Then I felt the disgusting feeling of being penetrated back there. Like defecating in reverse.

I told my friends after and they all shamed me. “Mandy got double penetrated by her doctor”.

On to answering the actual question-

I don’t know why some doctors do it and some don’t. I know when I was younger it seemed to happen a lot with my friends exams. Magazine articles listed it as a possibility. It was all over the internet. But now? It seems to be much more rare. Articles don’t discuss. I hate exams being less thorough as time goes on. And I feel sorry for all those bottoms not being checked.

Me, each visit. Because I have a problem to my intestine lumen and so my uterus is in a bad position

I have had it performed a few times but definitely not routinely. It is usually a surprise though I always wonder in the back of my mind if my gyno will decide if that particular visit will include the exam or not. I don't dislike the exam but spend more time worrying about than it takes to perform

@Carrie1970 Is it the same doctor who sometimes does it and sometimes does not? Or does it depend on who does the examination?

I suppose it depends on what type of exam it is and how thorough the doctor is.

French girls i know never have this kind of exam.

Neither a simple rectal exam.

@FetishDoc

I'm quite surprised by your post.

Contrary to what you might think, in France, a recto-vaginal examination is a standard part of gynecological consultations.

Its major benefit is that it palpates the pouch of Douglas and allows for an assessment of the posterior surface of the uterus.

However, a simple rectal examination is not part of conventional practice.

@Franklin58200

Be surprised but this is informations that i had by at least 5 ex-girlfriends when we spoke about gyn exam.

A doctor finger never went to their rectum.

@FetishDoc

I don't want to question your friends' experience; it all depends on the practitioner's habits.

However, as you may know, in recent years, special attention has been paid to the signs of endometriosis.

In this context, access and fine palpation of the uterine walls and its appendages is a common diagnostic procedure.

A recto-vaginal digital examination is part of this approach.

It wasn't the same doctor. So for what i know, they all have the same habits.

Its a regular thing for Gyno exams I have experienced.

I can't say all the reasons a doctor might do a recto-vaginal exam. But in my experience it's been related to having a retroverted uterus and the recto-vaginal being performed at the end of most of the pelvic exams I've had. Different doctors have mentioned my retroverted uterus and then informed me that they'd do a recto-vaginal exam as part of my pelvic exam.

In high school I had a friend that had that happen to her. We called it the shocker. It sounded ridiculous. Like what in the actual fuck? The doctor is putting a finger there and there? No they are not.

Fast Forward to my first gyn appointment- I’ve been felt up. Pried open and finger blasted. I think my day is finally over. I try to sit up. “I need to check one more thing. Not all doctors do this. But it helps me feel the back of uterus. I’m going to insert my middle finger in your bottom and you’ll feel my index finger in your vagina. Try to relax”

The nurse smiled at me.

“Oh no she’s going to give me the shocker. Just like Lesley said happened to her. “ I thought. Then I felt the disgusting feeling of being penetrated back there. Like defecating in reverse.

I told my friends after and they all shamed me. “Mandy got double penetrated by her doctor”.

On to answering the actual question-

I don’t know why some doctors do it and some don’t. I know when I was younger it seemed to happen a lot with my friends exams. Magazine articles listed it as a possibility. It was all over the internet. But now? It seems to be much more rare. Articles don’t discuss. I hate exams being less thorough as time goes on. And I feel sorry for all those bottoms not being checked.

It depends. Generally, the reason is when at the vaginal touch they can't feel the uterus, or may feel only a little part of it (like in girls who have retroversed uterus). Also, when they suspect tumor masses or any anomalies to tissues/muscles in the part between the rectum and the vaginal canal. Also for nodules and hemorrhoids.

I'm not a gynaecologist but from my personale experience of girl and student these are the common cases. If u want to know more about, I think that u have to check medical manuals instead articles. Med articles often talk about researches, studies, but the routine medical practice is not often confronted. If u check on MSD manual for example you may find something, I think