Vaginal speculum up the bum

I have seen a few porn pictures of models with a vaginal speculum up the anus. I have never tried this with my play patients and would like to ask female members if they had tried this and what did it feel like compared to having it in the vagina and would it be something they might enjoy in a play exam or is it just something a model might agree to do for an extra hundred pounds.Smith

There are many people who do it, women and men, I've seen on the internet amazing pictures of people with a large collins inserted in the rectum and open wide. In terms o realism there are rectal speculum's like Matthieu ans Sims and of course anoscopes ans sigmoidoscopes thatare more confortable to the patient and more effective for a good examination.

My only advice is NEVER USE PLASTIC DISPOSABLE SPECULUMS IN RECTAL EXAMS!

- they may break inside and you'll end at the hospital emergency room

I agree with all the points Amaral has made. We have three specula that we use anally, I tiny Collins, a medium Collins, and a Pratt. Because we also have a medium Collins for vaginal use, we've marked the one we use anally with some bright red nail polish so that we know where it can go, and where it can't.

Both of us use these specula anally, and I think it's safe to say that we both love them. There's nothing like the feeling of being opened up that way for an extensive and intrusive examination.

As Amaral said, no plastic there, please.

Play On!

LadyDoc

If in doubt, use common sense. The term Vaginal[/b] Speculum should be the first indicator that it is not designed for rectal use. If you compare an anal speculum such as a Pratt with something like a Pedersen or Graves vaginal specula, it is immediately evident that not only do they have a much smoother round profile to ease insertion, they are also much heavier and stronger. I suggest that if it is a vaginal speculum, that is where it should be used. If you need an anal speculum there are numerous choices such as the Pratt or Mathieu, which are widely available and affordable.

LadyDoc, although that is not bad practice to segregate rectal instruments from others, provided they are properly reprocessed and sterilized there should be no concern as to where they are used.

Absolutely right, your point is well taken. I guess we'll just have to chalk it up to the fact that I'm a little "anal" about such things. Go figure!

A little anal? You're one to talk, I'm writing a book. 😁

I've been using a colins speculum anally for years. Of course not on all of my patients. There are some that are receptive to it and enjoy being opened to their limit. I too mark the one I use anally so it only gets used for that purpose.

The small normal vaginal speculum hurts being used up the bottom as its not the right shape for the anal canal .

truest me i had it done on a play exam and never again . it will have to be the anal speculum or not again for me .

Here in the US, the Collins is one of the most commonly used specula for vaginal examinations. In fact, as far as I know, it's the only type that's ever been used on me during my exams, and I've been getting them for just over 30 years.

Obvioulsy, in Italy and other countries, practices may be different and your mileage may vary.

Play On!

LadyDoc

This is curious ...

Obviously the Collin speculum is used even in Italy, but for sure it is not usually used in a normal gyno examination also because it is not certainly the best tool to expose well the cervix, however I must say that it's the preferred of mine for like exposes the internal pussy.

M2000

This topic may become The Great Speculum Debate 😉

LadyDoc, I am surprised that all of your exams have been with a Collins. Here in Canada we might as well say we are "American", as virtually all of our standards are those of the U.S. regardless of our British heritage. My experience has been that a Collins is quite popular in Europe. However the vast majority of "routine" vaginal specula used in America, 90% or higher, is the Pederson or Graves, in either disposables or stainless steel. Frankly I've never seen any real difference between the Pederson and Graves, but most seem to be called a Pederson. It is such as common style in the U.S.A. that it is often used as the classic symbol of Gynecology in printed media.

A Pederson or Graves is NOT designed for rectal use btw.

I've tried a Collins once or twice and found it nice and smooth in use, but I find them difficult to source in the UK and nearly always use the Cusco type...Which I guess is similar to a Graves, Pederson, or Winterton.

Dr Philip - The UK Play Doctor.

Dr Philip, the main difference between a Cusco and Pederson or Graves is that the Cusco has a fixed pivot. The Cusco only allows Angulation with the tips of the blades opening, the Pederson and Graves allow another movement of Elevation to separate the blades. A Pederson is more comfortable for the patient than a Cusco in most instances, as it may adjusted to better conform to the patient's size and shape.

Thanks for the information DrJ...I've noticed today some Collins and Graves available on Ebay in the UK so I might add to my collection. The Pederson seems more difficult to obtain over here but presumably the Graves is similar.

I examined a woman a couple of years ago and she had a collection of her own speculums including the Collins, but also a Ferguson which was just like a hollow tube and a Trelat which was again totally different to others and had two adjustment screws if I remember correctly. I have some photos from the examination somewhere.

Going on to Smith's question, personally I haven't used a speculum in the rectum but just a plastic proctoscope. Women in the UK are not given rectal exams as a matter of routine so it is something outside of their normal experience. However I do offer a rectal exam as an option during play and most women do take up the offer.

Dr Philip - The UK Play Doctor.

Here is something you might want to consider if you're in the UK

http://www.lovehoney.co.uk/product.cfm?p=6418

Thanks for the link but I prefer to purchase my instruments from a genuine medical source such as www.midmeds.co.uk I'm never confident that the instuments sold by adult sex shops are fit for purpose. There are some negative reviews for that anal product on the shops site.

But many thanks for your input anyway it's very much welcomed

Dr Philip - The UK Play Doctor.

Quite so Dr Philip - You and I both say, quite honestly and openly, that we use genuine instruments of that type - and surprise surprise the prices are lower!!!!

Quite so Dr Philip - You and I both say, quite honestly and openly, that we use genuine instruments of that type - and surprise surprise the prices are lower!!!!

I agree with my esteemed colleagues that purchasing instruments from a medical supplier is more economical than an online sex toy shop, item for item of like quality. The sex shop versions are almost always basic quality manufactured in Pakistan. Not to fault Pakistani instruments, for the most part they are suitable for MedFet use without concern for quality, and when purchased from medical suppliers may cost the same as a single disposable from the sex shop.

What the sex shops do not offer is a higher quality alternative such as Miltex or Sklar. The basic instrument is virtually the same as the Pakistani versions, however the quality of finish and plating is far superior. Instruments such as forceps are available in even higher grades with carbide insert tips and gold plated handles. They are hardly necessary for a PlayDoc, but if you have an autoclave it literally strips the finish off of the Pakistani made instruments after a few reprocessing cycles. Vag Specs, etc. are not much concern as they are so economical, but sets such as urethral sounds do not last long before corrosion and rust appear. A Miltex or Sklar sound will last many years with daily reprocessing and you often find used sets listed on e-Bay for a fraction of the new cost.

Amen to that!

I have seen some less-than-quality instruments (of Korean manufacture perhaps) where the plating has flaked away after very few uses. Anywhere that happens presents an opportunity for pathogens to set up shop and do their evil work.

When I graduated from grad school, my husband-at-the-time gave me a basic set of implements; needle drivers, scalpel holders, tweezers, forceps, bandage, suture and tissue scissors, etc. They were all Miltex and 30 years later, they're still with me, looking a little shopworn. I like to say they have experience.

Certainly, if you're playing you don't have to make the investment in instruments that will last that long but it never hurts to buy the best you can afford. Even second-hand instruments properly sterilized before use can be a wise investment.

Play On!

LadyDoc

Yes as my colleagues rightly say it is normally cheaper to buy from a reputable medical supplier and you can be more confident of the quality. I have sourced instruments from both westons health.com and mostly now from midmeds.co.uk after a recommendation from my respected colleague BigK. Both companies are happy to supply most types of instruments by mail order except filled syringes. I've found midmeds to be significantly cheaper in some cases, for instance a box of 25 mixed plastic speculums is very reasonable.

Talking of instruments I am considering purchasing a supply of disposable metal speculums to add to my normal re-usable metal speculums.

I'm thinking of perhaps using these during examinations with some new 'patients' who might be understandably more nervous during the first appointment with a new play doctor, and the presence of a new instrument might give them more confidence relating to hygiene.

They retail at around £29- for a box of 20 so won't break the bank!

Dr Philip - The UK Play Doctor.

I'm thinking of perhaps using these during examinations with some new'patients' who might be understandably more nervous during the firstappointment with a new play doctor, and the presence of a newinstrument might give them more confidence relating to hygiene.

Of course, unless they are supplied as being Sterile, it is imperative that they be sterilized before use. One should never assume a new instrument is sterile unless it is packaged and labeled as such.

I appreciate quality and agree with LadyDoc that Miltex instruments are a pleasure to use. All of my Gyn instruments are Miltex and they look as good as the day they were new. The precision of Miltex's atraumatic tenaculum forceps is far superior to any bargain store version and I would not consider using anything less on a patient. Quality lasts longer and costs less in the long run.

I was checking out the Graves and Pederson speculums and apparently the Graves is normally used for sexually active women, while the Pederson is used more for virgins and older women...

Dr Philip - The UK Play Doctor.

That would make perfect sense Dr. Philip. The Pederson seems to have a narrower blade than the Graves. My stainless vag specs are (Sklar) Graves, now that I actually notice after 20 some years lol. I find I use mostly Welch-Allyn disposables which are closer to the Pederson in terms of width with the small, and wider like a Graves with the large, the medium is halfway between the two. Functionally they all allow both angulation and elevation. In Medfet play terms, they open MUCH further than a Collins.

Those who like heavy metal may also enjoy an Auvard. 😉

The lady I mentioned previously had an Auvard speculum in her collection. To be honest I didn't know what to do with it and neither did she! It looked rather fearsome though!

I asked another of my 'patients' who is a senior nurse in real life but she wasn't really sure either. Does anyone know the purpose of an Auvard and how it is used?...

Thanks

Dr Philip - The UK Play Doctor.

The Auvard is used in vaginal surgical procedures such as a vaginal hysterectomy.

Does anyone know the purpose of an Auvard and how it is used?

The Auvard is a single blade vaginal speculum functionally the same as the single blade Sims vaginal speculum. It relies on weight to dilate the vagina, the average weighs about 2 pounds. It is intended to be used only as a vaginal speculum, with the patient in the lithotomy position. When positioned correctly the weighted arm will hang posteriorly, and the speculum has a drainage slot. Some may also have a suction tube attached. It is a surgical speculum and is seldom used in office practice. Fun for play however.

Thanks for your help...

[quote author=DrJ58 link=topic=37820.msg326999#msg326999 date=1292165216]

The Auvard is a single blade vaginal speculum functionally the same as the single blade Sims vaginal speculum. It relies on weight to dilate the vagina, the average weighs about 2 pounds. It is intended to be used only as a vaginal speculum, with the patient in the lithotomy position. When positioned correctly the weighted arm will hang posteriorly, and the speculum has a drainage slot. Some may also have a suction tube attached. It is a surgical speculum and is seldom used in office practice. Fun for play however.

[/quote] I have a question to pose you DR.J58 have you ever used an auvard on a patient? is it painful for the patient without anhestesia, a friend of mine Gynecologist on real life advised me not to use it...

I'm just going to jump in here, real quick. I don't know about the experience of anyone else but I know I sure wouldn't want an Auvard used on me without anesthesia. Perhaps a lady that can really relax or is seriously into fisting could handle such a monster. Seems to me that this is one of those implements that bear an uncanny resemblance to something in use at the time of the Spanish Inquisition!

Play On!

LadyDoc

Amaral, to answer your first question, yes I have. It is a medium which weighs 1kg (2.2lbs).

Is it painful? I never do anything which is beyond a patient's pain tolerance, and honestly although it looks pretty medieval, it is not that uncomfortable at all. If the patient has already been dilated with another speculum, it slips in easily with very little discomfort. It is naturally cold due to the solid metal and stays cold since most of it is not inside the patient.

Unlike a bi-valve speculum such as a Graves or Collins, it does not exert any pressure on the anterior structures such as the bladder and urethra, which is often a source of discomfort with a bi-valve speculum. It is very similar to using the lower half of a medium Graves or Pederson by itself, except it has a much sharper angle so it exerts more pressure towards the rectum once it finds it's own position. The weighted portion often presses against the anus, which is a cold sensation of course. In terms of "how far does it open" a large Graves will open much further than a single blade speculum, it is more of a natural dilation of the vagina as occurs during intercourse "Doggie Style". (Knee-chest for the female, not barking and yelping btw).

I have seen Med-Porn where weights have been attached to a Graves or other speculum, an Auvard is the way to do it under medically feasible scenarios.