Examined vaginally from behind

I read in stories about ladies being examined while on their knees in the doggy style position on the examination couch.

Has any one actually experienced this? especially vaginal examinations like this?

I look forward to your comments

Before laparoscopy became common, a procedure known as culdoscopy was performed to view the exterior of the uterus. It was performed with the patient in a modified knee-chest position and involved dilation of the vagina prior to introduction of the culdoscope through the vaginal wall. Other than this now obsolete procedure, I have never heard of a legitimate vaginal exam being performed in this position. Normally this position is used for rectal, not vaginal examination.

That reminds me of the old bit of advice on when we want to get pregnant. After sex, put your butt in the air and rest like that a while, allowing gravity to help the little swimmers as much as possible.

"The knee-chest position (Fig. 13-1 C) is excellent for complete inspection of the vaginal walls, since the vaginal rugae are smoothed out when air is introduced into the vagina in this position;" This quote was taken from the book "Physical Examination of the Surgical Patient".

I've been examined in this way, i have a tilted cervix and some nurses can't find the right area when doing a smear, i've been in a few strange positions, but from behind was one of the most interesting. I was on all fours but with my butt high, the nurse stood behind me and slid the speculum in, it felt very different from behind and i felt more vulnerable then normal but it was one of the best exams.

[quote author=Nurse in practice link=topic=22877.msg221154#msg221154 date=1245492031]

I was on all fours but with my butt high, the nurse stood behind me and slid the speculum in, it felt very different from behind and i felt more vulnerable then normal but it was one of the best exams.

[/quote]

When I inserted a speculum, while the patient was in this position, you could hear the air being sucked in to her open vagina. She was quite embarrassed by it.

That position really does work for a reverted uterus.

Wow... that would be quite exotic ;-) never experienced and never heard of... interesting thought tough...

Good question. First, the knee-chest position is fairly common in pediatric gyn because it causes a "ballooning out" of the vagina and facilitates inspection. In some cases it may reduce anxiety because the child cannot see the examiner and any equipment. It seems rarely used in adult gyn, however, for four reasons (I believe). First, the adult patient may feel more exposed in this position. Second, it may be more tiring if there is a prolonged exam or procedure. Third, in this country the dorsal-lithotomy position has become tradition. The patient expects it and may think the examiner "strange" or "kinky" if they want to do a knee-chest exam. Fourth, the examiner feels less comfortable with this position since it is not the usual one, and it requires them to re-orient themselves in terms of anterior/posterior, etc. The same goes for the Sims position, which I understand is much more common in Europe but may seem awkward for the US practitioner.

For me this is a position that is very nice. Good view and quite humilating for the "patient"

Gynecologist

I once read a Robin Cook medical novel, where the main character had to have an exam like this. Does anyone remember the name of that novel?

I agree with nero i have been examined in this position as a child to gyn issues but never since becoming an adult

Vaginal exams from behind are great for G-Spot stimulation. Especially if they are squirters.

Dr. J

That would be just delicious. I think I'll suggest that to a certain play-doc I know for our next get together!

Play On!

LadyDoc

I found this very and real description. I's not a vaginal exam - it concerns a rectal exam done on a female patient from behind...

I recently went to a new doctor for my yearly exam because of my insurance. I'm 36 years old so I've been through this a few times with several different doctors. In the past the doctor performed a rectal exam with me lying on my back in the same position as the vaginal exam. It was always quick and even though it was unpleasant it was never really painful. This time the doctor had me stand up at the end of the table and bend over resting my elbows on the table. She spent a considerable amount of time feeling my anus before inserting her finger. It was the most painful rectal exam I ever had. It felt like my anus was really being stretched and her finger was in my stomach. The whole rectal part of the exam took two or three times longer than any previous exam. She did apologize for the exam being so uncomfortable. She explained that she felt some irregularities. I'm suppose to return for a follow up in a couple of months and she wants to do another exam. My question is does this sound normal or legitimate.

Oh yes some very interesting things happen in the real world!

This position sounds like great fun.

Ive heard of this and have done play exams of this sort