Cervical Play ?

Viewing a cervix is the ONLY thing that you should doing to that beautiful lady part.

During foreplay, I enjoy having my husband manipulate my cervix with his fingers; not too much thought. When I was using a diaphragm, he always felt to make certain the diaphragm was covering my cervix to make certain it was in the right place just before getting on me.

Medical Cervical Scraper ?

Hi, one activity I enjoy with my wife is when she tells me stories about her exams while we do sexual activities. I like her first exam in particular, when she was 16 she had to get it done and the only doctor available after school was an old male doctor. Based on what she told me, the doctor must have been pretty old fashioned, because he was very thorough and the exam would take 30-40 minutes. Something she recently remembered stuck out at me though, apparently when he did the Pap Smear, he didn't use a traditional brush or anything. He actually used an extra long metal rod with a scoop like thing at the end of it. My wife said this hurt a lot more than the brushes she went on to use in the future.

Does anyone know what kind of device this was? Or has anyone had any experience with something similar? Honestly this aspect of it is really hot to me, but I was surprised to hear that anyone used a tool like that. Maybe it was used more in the past? The doctor was really old so it could have been what he was used to. I really wish I could go back in time and watch that first exam, none of her exams with other doctors have been remotely as thorough (sometimes it's literally just a Pap). Guess times have changed huh

The cervical spatulas I have seen as usually made of wood. I have found some online made of disposable plastic. Maybe metal was used in the past.

Yeah same, and for reference this exam took place around 2010. So by this point if he was still using them it was out of familiarity more than anything. Still though, seems pretty rough for a first exam. She said it hurt a decent amount and he had to go back in to collect more. She wanted to kick him in the face when he said that lol

Message to ALL

Any cervical intervention should ONLY be carried out by a suitably qualified medical practitioner . . M D, Gynaecologist, Obstetrician or Uterine Specialist . . Just ONE slip in inexperienced hands places a woman's life at risk !!!

DO NOT PLAY WITH A WOMANS CERVIX - PERIOD

@docinny45 your valued remarks here ?

@ericmacson - See above

@liquidsky - Ditto

There is a cervical scoop that might fit the description and is used for vaginal sample collection, though I've only seen disposables. Seems a bit odd to use it for an endocervical sample though. Almost sounds like the sample he collected was not actually for a pap

As a side note - I don't think the question was about dilation and uterine curretage ro something along those lines…which I'd agree can be dangerous in a play setting. I think this is more about a routine pap test

apparently when he did the Pap Smear, he didn't use a traditional brush or anything. He actually used an extra long metal rod with a scoop like thing at the end of it. My wife said this hurt a lot more than the brushes she went on to use in the future.

Does anyone know what kind of device this was?

@unknownisknown

Yes I have known this way of working well. You tell us that your wife was 16 but we don't know the date of the event. We know that the mucous membrane that lines the inside of the uterus mutates towards the outside of the cervix and the dysplasic transformations begin at the place called the junction zone.

The samples were taken and spread on a glass slide then examined under a magnifying microscope. It was common if the simple Ayre spatula was used that biologists answered "absence of endocervical cells" As a result, some doctors have taken to using a Novak cannula that is inserted into the cervix to remove pieces of tissue.

https://www.dr-karazaitri-ma.net/instrumentation/canule-de-novak/

This gesture engendered a form of intense but fleeting cramp, a bit like the brief pain when an intrauterine contraceptive device is introduced. This method still has its defenders, I have just read a thesis presented at the University of Geneva in 2015 on its interest.

Today knowledge has evolved and it is considered sufficient to look for traces of infection by human papillomavirus (HPV). For this, a simple scan of the cervix is ​​sufficient and gene typing does the rest. In France, it is now said that a swab every 5 years would be sufficient (compared to 3 years for the classic smear)

We even come to think that, perhaps in a few years, patients will have self-sampling kits. These gentlemen will be able to play gynecologist...

@Franklin58200

I don't know if you saw my other comment but the exam in question was 10-15 years ago, so not that long. She seemed to be sure that there was a scoop on the end of it, like a larger version of something you would use to clean out earwax. Perhaps it is just a more general purpose sample collecting medical instrument that this doctor who had been practicing for decades was used to from the past. Either way my poor wife had to deal with the business end of it. She said it was pretty long too, like twice the length of the ones she gets now. I imagine because he was holding it from further back it was harder to be gentle with it as well.

When we have another one of our medical fetish “sessions” where we talk about this kind of stuff, I will definitely be asking her more about it. If she can identify it from a picture or if she can remember where the sample was collected from, like if it was the walls of her vagina or back near the cervix, that could help.

But a Novak cannula (let's say for point of discussion that's the device used) isn't going to be introduced for a routine pap smear. @unknownisknown - was this a followup visit after an initial pap smear?

But a Novak cannula (let's say for point of discussion that's the device used) isn't going to be introduced for a routine pap smear. @unknownisknown - was this a followup visit after an initial pap smear?

@doc4u72

Contrary to what you seem to believe, the Novak cannula is an instrument that is widely used for endocervical sampling, even when it is a first smear.

As I developed in my previous post, the interest is to be sure to collect endocervical cells, which is not the case with the traditional Ayre spatula.

If necessary, read the recent thesis RANDOMIZED COMPARATIVE STUDY EVALUATING THE

ENDOCERVICAL COLLECTION USING A CURETTE

VERSUS OF THE BRUSH FOR THE DIAGNOSIS OF DYSPLASIA

DU COL UTERIN by Dr Manuela UNDURRAGA MALINVERNO at the University of Geneva in 2015

Sorry I don't have an English version of the text.

@doc4u72

Nope this was the very first appointment. He also apparently used it in future appointments as well. Seems like maybe it's just what he used to conduct general pap smears

Maybe it's a difference of regional methods, I'm just trying to get a better idea of the variances in methodology, that's all.

I did find and read through the paper by “Manuela Undurraga Malinverno, University Hospital, Geneva” - but it's related to colposcopy and sampling after an abnormal pap. The conclusion of that trial points more to use of cervical brush over curretage and notes that endocervical sampling is better quality with the brush over currette

So it still leaves the question - why would you use a currete to remove tissue during a routine pap. That rather explains the added pain experienced by @unknownisknown ' s wife vs the brush method. I suppose you could debate that this lowers the percentage of repeat paps, it just seems like a bit of an aggressive approach especially for a first gynecological exam

Oh and sorry to highjack the point about exams being much more involved years ago. That's definitely very true. Some of the most invasive exams I've watched were back in the 1970's and 80s. Very littele concern for modesty and discomfort compared to the typical encounter in current times

So it still leaves the question - why would you use a currete to remove tissue during a routine pap. That rather explains the added pain experienced by @unknownisknown ' s wife vs the brush method. I suppose you could debate that this lowers the percentage of repeat paps, it just seems like a bit of an aggressive approach especially for a first gynecological exam

Yeah like I said this doctor was super old. He actually retired a few years into my wife going to him. She said in general that his exams were provided a lot more discomfort than the doctors that she saw after that. So it's possible he just didn't have a good grasp on what was actually painful? Not like he was gonna get pap smears or anything. She did say that he was actually nice and friendly so I don't think it was done as a deliberate act of discomfort. But I also can't imagine he didn't know it was really painful because she said that she was squirming around and making sounds while he was scraping her with the metal but he just told her to look up at the picture of tulips on the ceiling. This is also what really annoyed her when it seemed like he was finished and was like “oh wait guess I need to get more”.

Oh and sorry to highjack the point about exams being much more involved years ago. That's definitely very true. Some of the most invasive exams I've watched were back in the 1970's and 80s. Very littele concern for modesty and discomfort compared to the typical encounter in current times

Yeah he probably would have started practicing around/before that time, so it tracks. I also wonder that's why his schedule was always more free than any of the other doctors lol. It's a shame because even if I'm allowed back into the exam rooms (ever since covid every single place seems to have a no guest policy, even husbands apparently), I won't ever get to witness an exam quite like that one. The combination of it being her first time along with how long/invasive it was (including a rectal) really scratches the itch of my medical fetish in a way that none of the others really do. Maybe if/when we decide to have kids some of the pregnancy exams will be more involved

RN here. These ignorant questions about cervix/uterine invasion keep coming up. I believe our continued advice here is valuable in that there is always a new crop of creative, yet unlearned, people who would go about seriously injuring each other if they didn't have access to learned advice. So keep on keeping on.

Oh. Hell. No.