Pelvic examination while standing

I recently went in for lower abdominal and lower back pain and was asked to stand while Gyn inserted two fingers he said he could feel different things with me standing. Just curious has anyone else ever had this done standing I thought it was different while standing.

Hey

You should take a look at some older exam pics, like 18 hundred something

Pelvic exams where done in standing back then

Makes sense somehow cause the organs kinda drop

I saw a movie set in the 19th century. A girl is examined standing to check for virginity.

I saw a movie set in the 19th century. A girl is examined standing to check for virginity.

What movie?

Was it an older doctor?

Yes it was an older doc why does that make a difference

Yes, my wife went in to see our family doctor complaining of chronic low back pain. He had her in strip down and put on a gown opening to the front. He then had her place one foot on a stool while he was seated in front of her. He used two fingers placed inside her and palpated her. He said he was checking to see how her uterus was positioned.

I have read about it and certainly seen medical illustrations and pictures of it being done in the “old days” but I’ve never seen it performed.

When my wife had her diaphragm fitted at the family planning clinic the doctor told her to stand with one foot up on a stool while he put his fingers in her vagina from underneath and also instructed her how to insert the diaphragm while in that position.

Yes it was an older doc why does that make a difference

Old guys rock!

The As I understand, it’s often done to better diagnose prolapse, or stress incontinence. The way the pelvic structures and organs rest naturally may be different when standing.

Pelvic examination with the patient standing is not often necessary but may be done for a more complete examination of vaginal wall relaxation, uterine descensus or prolapse, and to evaluate stress incontinence.

https://www.ncbi.nlm.nih.gov/books/NBK286/

Yes...it is supposedly done infrequently, but is a viable examination option for several female issues, particularly urinary.

A friend’s wife was even asked to void first sitting down in private and then examined standing and asked to cough/void again to see if there was residual.

He and I researched it afterwards thinking the male doc, who has a reputation for full female exams as a matter of privilege, might have pushed the envelope too far. Turned out it’s a medically accepted practice.

That said, that male doc “clearly loves his job.”

No way! Just when I thought I heard it all, there is this helpful post. Who would have thought? I guess it makes a great deal of sense. Something to look forward to I suppose along with the DRE. I guess this means less distinction between male and female exams when it comes to probing. Another victory for equal rights!

It does sound perhaps serious if one is examined in that position so here's wishing all of you Good Health.

Julie

It's not typical for an annual exam but does come up, especially for urinary incontinence or pelvic wall issues since the anatomy is completely different standing than laying down. The other position is knee chest...and yes it really does occur contrary to what I'm sure the "real" doctors here will claim does not happen and criticize me for saying. Knee chest creates a natural distension so that the vaginal walls can much better evaluated. I agree about older docs being more inclined to use this position...but also more common among doctors who are not gynecologists

I think women in their 50's should be regularly examined standing, as its easier to feel any prolapse and also judge any incontinence while the bladder is pushed down with gravity..

I would love to be examed first standing, while naked from waist down and Dr sat on his chair, two fingers in my vagina feeling deep inside, possibly made to cough or bare down at that point...

Then continuing the exam lying on the couch with feet together, and knees wide apart..

I have incorporated the standing pelvic exam into our play exams. We use that method once in a while for something different.

To keep it as realistic as possible, which we like to do, my wife will visit our “clinic”, presenting with some urinary incontinence issues. I go over her medical history and specific symptoms, then instruct her to undress from the waist down. As she does I snap on a pair of white nitrile gloves and lube up the index and middle fingers of my right hand.

I have a seat on a small rolling desk chair that we use for our play exams (we also have an old folding massage table that I can attach the stirrups that I made) and have her stand in front of me, feet slightly wider than shoulder width apart. I then proceed to insert my two fingers deep into her tight vagina, while palpating her lower abdomen with my left hand. I then have her turn her head and cough three or four times while I hold her labia parted with my left hand, so I can visualize any signs of urinary discharge or leakage from her urethra.

After I withdraw my fingers from her now wet vagina, I inform her that although I didn’t see any urine leakage, I will still refer her to a gynecologist that specializes in bladder control issues.

It is at this point the play exam is over and we go to town on each other. Fun times!

After receiving my first hernia exam as a kid, I thought all women were examined this way. I used to imagine all the cute girls standing in front of the doctor, lowering their pants, and having the doctor insert a finger in their vaginas while they coughed. I used to love that visual... still do!

Never happened to me. Guess it would limit your view and be difficult for dr to do a bimanual so not practical at all.

I’ve never experienced this but I suppose there’s always something to look forward too.