Annual Exam with Mammogram

It was time again for my annual exam and since I recently turned 40 a mammogram is no added. But my old gyn moved and the practice closed. So I started asking a few trusted friends on who they use. Turns out there is a practice that my friend Jackie uses that has a mammogram in the office, something that is usually in a hosp or imaging center. Jackie had two mammograms there already and had nothing but good remarks about the service.

So I got an annual exam scheduled with the new patient intake and the mammo added. The office girl told me, this reduces missed appointments and is a one stop shopping type of deal.

I was scheduled with a nurse practitioner for 10:40 on a Monday.

I did my research online and all the providers had excellent reviews.

So this morning I went to the appointment with my new patient 4 pages already filled out. I got there early out of nervousness with some excitement. The office building was just this practice and it was newly renovated.

I walked into the waiting room and four other women were waiting. I checked in with the receptionist who took my insurance, ID and paperwork.

As I was putting my stuff back in my purse a lady in her fifties entered and spoke with the receptionist. She stated her name was Teresa and she had her physical with Dr Brenda scheduled. Teresa then sat a few chair’s away from me. We exchanged pleasantries and I went to read on my phone.

I waited about 25 minutes, a few ladies left and two more came in when the door open and my name was called.

I followed the medical assistant back to an exam room stopping for height and weight in the hallway. We went into the exam room where at the center of attention was the exam table with stirrups extended, and paper gown and drape on the table.

I sat in the chair while the assistant went over my history. She then directed me to the bathroom for a urine sample. Filled the cup and put my information on it before placing it in the little door and headed back to exam room 3.

Teresa was now being led into an exam room by another assistant.

Back in my room, the assistant told me everything needs to come off. Gown open in the front with the drape on my lap. Ashley the NP will be in shortly.

I get undressed and sit on the exam table looking at the speculums in the drawer. They are plastic.

About five minutes later a knock on the door and in walks Ashley who is about 30, with shoulder length brunette hair. She shakes my hand and immediately starts to review my chart. Asked me questions about my prescription and talked about the mammogram and how it would follow immediately after this. She starts with the preliminary exam. Eyes, ears, mouth and lymph nodes. She exposes my left breast and listens with the stethoscope. The door then opened (there is a curtain to prevent the outsiders from seeing me) It was the medical assistant who was in her late 40’s or early 50’s. She rolls over a tray and gets a Pap smear container out. Meanwhile Ashley opens both sides of the gown and exposes my tits. She looks over my breasts and then has me lay back. My nipples are now rock hard. My breast exam is finished and Ashley instructs me to place my feet in the stirrups. The assistant asks if Ashley wants a fecal occult card, ask replies yes. I know how this is going to end.

I’m now fully exposed to both women. I know my labia is naturally separated when they shine a goose neck lamp on my parts. Ashley dons gloves and touches my pubic hair, she quickly runs her fingers through the hair. Ashley then tells me to open wider.

The speculum is then slowly inserted into my pussy and I’m spread open. She takes two swabs, and hands them to the assistant. The assistant then holds up the lube tube and places some on Ashley’s two gloved fingers. Next thing they are in my vagina and she is pressing on my stomach.

The assistant is grabbing another glove for Ashley. There is still no mention to me of the impeding rectal exam.

The NP’s fingers are withdrawn from my now wet pussy. She removed the one glove and places the new glove on. Then she informed me of what is going to happen next.

I take a deep breath as instructed and felt the digit enter my ass, l let out a gasp. She rotated her finger, then withdrew it.

Her finger is then wiped on the occult stool card. She removes her gloves and tells me I can sit up. The assistant offers me a hand while the NP does some much needed hand hygiene.

She explains some things with the lab and leaves. The assistant offers me a few tissues and placed two wet wipes on the tray. She tells me to clean up, and put my pants on but leave the gown on. She will be back to take me for my mammogram.

I get dressed leaving my shirt and bra off. Nipples still stiff.

A few minutes later, the assistant is back. She knows this is my first mammogram and tells me that it will be a little uncomfortable but quick. I walk down the hallway, nipples still hard and my tits have a bounce to them. Another provider is walking out of an exam room. There are three wings with 4 or 5 rooms in each wing. One room I pass says Ultrasound and the door is open with machine and hospital bed visible. We arrive at the end of the hall, the sign on the wall says mammography. The assistant opens the door and leads me in. The mammogram technologist is standing at her work station.

She is friendly and introduces herself as Ann. Ann has shoulder length hair that is going gray. She tells me to set my stuff on the chair behind a partition.

The assistant says good bye and pulls a curtain across as she exits the room.

Ann confirms this is my first one and explains the process.

She enters a few things in the computer and then walks back to me. I find myself exposing my breasts to the third stranger today. She has me lift my breasts so she could look underneath before having me step up to the machine. She tells me we are going to start with the left breast first and there will be two images done. She grabs ahold of the left one and placed it on the plastic tray for the CC view. Then she lowers the plastic top portion onto my breast my holding pressure. Once it is set she adjusts my face and moves my hair out of the way. She walks over to her station where she dies the exposure. Some noise comes from the machine and a few long sections later the compression is released.

Then it is time for the MLO view which is at a 45ish degree angle. Does the positioning again and has me hold the right boob out of the way. The exposure is done, compression is released.

Onto the right side. She is positioning me when there is a gentle knock on the door. It’s some woman saying to Ann that their patient is ready. I don’t see the woman, but I think she stayed on the other side of the curtain.

Ann replies it will be a few more minutes. Ann then apologizes to me saying it has been a busy day.

The same thing is done to the right breast. Ann has me step back and cover up. She goes and reviews the images and tells me she wants to do the left side MLO view again.

So back to the machine. We repeat the process again for that view. She looks at her work and tells me I can get dressed. I go behind the partition and remove the paper top and place my bra and shirt on. My 40 Cs are finally covered back up. I walk out and Ann tells me I should hear from the doctor in a day or two.

I then thank her for making it comfortable and then leave. As I go into the hallway, Teresa from earlier is walking with an assistant to the mammography room. My mind then goes to what is about to happen to her. Her arm is across her breasts to prevent the poking nipples from being seen by all the other folks.

@esallost Nice! Thank you very much for the descriptive account of your annual exam.

@esallost , thank you for your detailed and matter-of-fact account of your annual exam and mammogram!