Recto vaginal exam discussion

I am interested in learning why the doctor uses one finger in the anus and one finger in the vagina. What is the purpose? I have done this in play exams and the only reason I can figure out is to gauge the thickness between them. Also I use a thumb and middle finger because it seems more natural but I understand when it is done the first and middle fingers are used. This seems awkward to me. Medical professionals fess up. Inquiring kinky minds need to know!

It helps to assess for scarring, endometriosis and pelvic masses.

Guess you need to ask a gyn what more he or she can feel that doesn't come up on simple bi manual exam.

Guess the rectovaginal septum is certainly easier to palpate.

Bimanual exam isn't the same as rectovaginal the bimanual is the fingers in vagina and abdominal palpation.

Thanks, another thing I wasn't sure of. I renamed it to be correct.

A rectovaginal exam is performed to assess for the presence (or hopefully the absence of) a rectovaginal fistula, which is a hole or tunnel that attaches the vagina and rectum (not something you want to have). A bimanual exam is performed to palpate the ovaries. Two fingers are inserted into the vagina while simultaneously pressing on the outside of the lower abdomen on each so that the examiner can palpate each ovary between the outer abdominal wall and the fingers that are in the vagina, similar to a male testicular exam except in a male the testes lie outside the body while the ovaries lie inside the female body.

A rectovaginal exam is performed to assess for modularity usually due to endometriosis. You can also evaluate the uterus and whether it is fixed or mobile. Also the uterosacral ligaments can be palpated

Thanks for all this great information. I have done a bimanual exam and have trouble feeling the ovaries. I guess practice makes perfect.

I also love this in play exams and do it every time no matter what my play patient complains of.

She has the sniffles: rectovaginal exam.

She has allergies: rectovaginal exam.

But for real male doctors to do it to female patients without any symptoms seems a bit “tactile voyeuristic.”

(Cute term...I may need to trademark it?)

Anyway, I suggest tactile voyeurism happens more frequently than the medical profession willingly admits. I know it happened to my wife on a visit to a local male doctor when she had zero issues in that area.

This is a doctor that extended the privilege of ausculating her bare chest (gown dropped to waist) EVERY time she went in...once for an ear issue that was clearly a localized infection.

So this same dude, on another visit for a simple UTI, has her take off her jeans and panties and get in the stirrups to check her urethra. I can see the logic in that, and sure want to be present for the next exam because he proceeds to do a rectovaginal before he finishes.

Hmmmmm

I think he is just having a good time being a doctor with “plausible deniability” of wrong doing...after all, why not check “while he is down there.” I know I use that line in my play exams?

And I intend to go back with her on her next UTI or the like visit. I wonder if he will do the same thing with me in the room? Well, if he does, I may LEARN something for my next play exam??

Hmmmmm

I think he is just having a good time being a doctor with “plausible deniability” of wrong doing...after all, why not check “while he is down there.” I know I use that line in my play exams?

This happens all the time. Remember Larry Nasser the Olympic gymnast team doc that had his finger in their ass at every opportunity? I think he is serving about a 600 year term in jail. Now it's his turn with the boys.

Larry Nasser was doing pelvic floor massage, which I am certain is very helpful to enable young gymnasts get limbered up and achieve their goals, especially in floor exercises where splits and other gymnastics positions are used where a strong groin is necessary.

Of course, I think the women gymnasts he treated would have had a better time getting the same massages and gettiing laid by the men's gymnastics team. 😁

Nasser had his bare fingers in their vaginas allegedly to treat hip disorders.

I guess my dry sense of humor didn't come through loud enough with only one smiley.

Of course, I think the women gymnasts he treated would have had a better time getting the same massages and gettiing laid by the men's gymnastics team.

The men need to be flexible as well. Perhaps prostate massages would help them!

Oh shit 😞 All this talk about prostate massages and now you take that away from me 😮 ?

That reminds me of last week when I went to see my new doctor at the VA. She is Chinese I think and I have a hard time understanding her. She asked if I wanted a rectal exam and stupid me had to ask what that was. She said "rectum" so rather than sound any stupider I just said yes and wondered if she was going to stick a speculum in there. She had me get on the table on my side and in went her finger for what felt like a prostate exam. I never heard it called any other name.

It is called a rectal exam.

What did you think DRE stands for?

Digital (which means finger) Rectal Exam

When performing that, they check the rectal tissues and the prostate.

Of course, I think the women gymnasts he treated would have had a better time getting the same massages and gettiing laid by the men's gymnastics team. 😁

Chances are it would have been equally effective as well. Pelvic floor massage/release/PT is a godsend if/when you need it, but I doubt many of the gymnastics team was suffering from pelvic floor disorders. Unless of course it was brought on because of the sexual assault.

Yes, it does also affect guys as well, but in most cases the prostate is not touched because the problem is in the pelvic floor (sometimes it is the muscles around the prostate). Also, when you need it it is highly unlikely to be pleasurable or fun, except for the relief of the pain and tight muscles.

It is called a rectal exam.

What did you think DRE stands for?

Digital (which means finger) Rectal Exam

When performing that, they check the rectal tissues and the prostate.

Don't confuse me with all this modern digital stuff. I thought Dr Dre was some new generation singer or something.

My old doctor just called it the Oooo, Oooo test. You have heard of the Oooo Oooo bird?

Yes, it does also affect guys as well, but in most cases the prostate is not touched because the problem is in the pelvic floor (sometimes it is the muscles around the prostate). Also, when you need it it is highly unlikely to be pleasurable or fun, except for the relief of the pain and tight muscles.

I remember having something once when I was a kid that hurt like hell down there and it didn't involve the crossbar on my bike. It did feel like a muscle cramp but I never knew what or why.

Of course there are prostrate massages. I mean, who gets a massage standing up?