Unexpected GYN exam

Recently I decided to get permanent birth control. This obviously required a doctor's appointment. I went in a couple weeks ago and it was…quite thorough.

I wasn't necessarily surprised to be examined, but I wasn't expecting a complete physical, gowned and no underwear.

I have a lot of fantasies about older females examining me, and she was older, so I was a little excited when she said she had to examine me to clear me for surgery.

I put the gown on and she came back and she got started. Eyes, head, neck general and then my favorite, the stethoscope. Sitting up and laying down, front and back. Then down to my abdomen, all the way down to femoral pulses. Breast exam. Belly palpation.

Then the gloves and speculum came out. I was flat on my back (my favorite) while she spread my labia, palpated them, pulled back my clitoral hood, looked at my urethra, looked at my vaginal opening. Then came the speculum, and the light. She took her time looking, then removed the speculum and lubed her fingers. While she felt internally she asked me to cough, then palpated my ovaries and uterus. Finally she looked at (but didn't examine) my rectum.

I was cleared for surgery, and can't wait to be examined again, maybe the day of surgery.

What method of permanent contraception are you considering?

I think this is a topic that you discussed with your gynecologist.

You can choose several more or less invasive solutions either the implant in the arm, or the implant in the tubes which will eventually diffuse hormones towards your ovaries, or the tubal ligation which will prevent the migration of oocytes to your uterus.

If you choose tubal ligation, it is a laparoscopic surgical procedure. You will therefore be asleep and will not benefit from a prior gynecological examination.

Probably just a preliminary visit with the anesthesiologist.

For the placement of an implant in the fallopian tubes, on the other hand, we go through natural ways. You will therefore be installed in the examination position and, after placing a speculum, the operator will insert a probe which he will mount through the uterus (it is like the insertion of an IUD but we go deeper)

I am having a bilateral salpingectomy. It reduces the risk of cancer (which is rampant in my family and terrifies me) and I have been sure since I was 15 that I don't want children. I have an IUD right now that expires in about 6 months and I'm 39, so don't want late in life kids. The IUD was my favorite non-permanent method though.

I do think they have to medically clear you for surgery so I think that's why I was examined. They're also taking out my IUD which is nice because I've heard having them out can be almost as unpleasant as the placement (I did well with it but, it was no walk in the park. They had to dilate me 3x.)