I'll try to answer some yours questions:
I think the time was planned: when we arrive there was another woman who, just finished to speak to the nurse/receptionist, was going to leave the doctor office and no one arrived after…or maybe just because it was Saturday from 10 to 11,30 A.M. 😃 !
We went to a private gynecologist, Italian national health service offer no more than a smear test every 3 years…
What was billed:
Gyno exam general 220 €
Pap-test 100 €
HPV test 100 €
What my wife say about exams performed:
Breast exam (palpation+ breasts ultrasounds). A very thorough external exam Pelvic exam (not quick, but not so long). Colposcopy+ speculum+ smear
I'm very taken aback by the prices you advertise.
In France, patients are reimbursed by the health insurance system and the price of a gynecological consultation is around thirty euros.
If the practitioner is contracted free fees (most) we ask between 60 and 80 euros.
This is all inclusive.
On the other hand, you tell us about examinations which are redundant and do not combine, they are done either one or the other.
The HPV test is the new version of the cervical smear and is more interesting because it should only be carried out every 5 years (pap test recommended every 3 years)
In addition, if we perform a colposcopy with +/- a biopsy, it is useless to take a smear because we will analyze the tissue taken by the biopsy and that is enough.
You're right, in France too, gynecologists in private practice do not work on Saturdays. In case of imperative need, you must go to a hospital emergency department.
Bimanual palpation and rectovaginal touch are complementary.
With the bimanual we introduce 2 fingers into the vagina and we use the other hand to help palpate the organs (uterus and ovaries)
In the recto-vaginal finding we have a finger in the rectum and a finger in the vagina and the objective is to check if all is well in the cul de sac of Douglas. We also have a different approach to the ovaries and that is useful.