Sedation during gyno exam

I agree with switchablesusie re sedation during gynaecological exam. It's better not to have it if at all possible. I have been with my wife for exams, she has not had any. Tough on us both, but very interesting for different reasons. Hope you find the same.

I can see where sedation might be used for minor gyn in-office procedures, but would be surprised to hear of it for just a normal annual exam / PAP smear. For an IUD insertion or biopsy, yes, other standard exams, probably no.

It would be interesting to hear whether any female members here actually underwent any office gyn procedures using in office sedation. This could either be using IV sedation or nitrous oxide. Any ladies care to share their experiences here?

I believe all woman should be offered the option of going under mild sedation for even just a regular pelvic exam and Pap smear. This of course would probably be more expensive and the insurance would probably not pay for the extra expense. However, it would be interesting to see the patient laid back, prepared to be strapped to the exam table, and a mild sedative injected into a vein in the arm.

Ace imho redaction too risky

@toshe Agree. No reason to take any drug you don’t need, even if there is a low risk. Reactions can be severe

I’ve been with my wife during a pelvic. I didn’t see that It was terribly discomfortable other than not liking someone probing her there. Obviously I was an observer and didn’t feel what she did. She has more discomfort every month when they replace her Supra pubic catheter and that lasts for 2-3 seconds. Wouldn’t let them sedate her for that either.

In a play exam it would be reckless and dangerous to use sedation.

This is my opinion that there is no need to have sedation Unless it is a painful procedure. I think a normal GYN exam is quick and there’s no need for sedation

Nope it's faster without it.

While it might be tempting to want sedation, it's best not to. If you are thinking about having it for a play exam, think of what happened to Michael Jackson - and that was with a licensed anesthesiologist.

The Michael Jackson simile is not so relevant as he was inappropriately prescribed over a long period of time. Short-acting anaesthetics with known cardiac and respiratory side-effects should never be used for insomnia. Sedation agents eg midazolam are very safe to use by trained personnel.

Looking at some previous posts I can say sedation can be useful in psychologically distressed individuals about to undergo procedures which cause little or no discomfort usually and are used (in UK hospital settings)

My point is that it can be risky and should not be done in play.

It's not about being hot. It may become necessary if the patient is agitated/scared and exam is essential. Like it happens for scans in case of kids and others who are claustrophobic.

First timers may get nervous during a gyn exam. But I think this would happen more in a hospital setting than in clinic. I have never heard of sedated gynec exam though.

@JenSchaefer I totally agree with your comment about then being sober before leaving, if you’re going to play, you have to smart about keeping people safe! Love the GSD pic btw

Many of us older folks were given Nembutal (pentobarbital) suppositories as children. Doctors handed that stuff out like candy to parents. In addition to the usual pre doctor or hospital visit dosing, I remember being given a “sleeping suppository” as a small boy to ensure 100 percent behavioral compliance for a train trip.

I have had an IUCS fitted under a sort of conscious sedation when I was a young teen. When I was older and had it exchanged for a new one I didn't get offered it. Learnt I was very glad I had the light sedation the first time.

Cool idea as fantasy 😉 I had one small gyno procedure, quick and painful but without any analgesia. I'd delighted lying and straps on gyne chair on attic, sunrice surgery room and have HSG and more through check up my genital area with docs and assistant. Moreover-in reality, I think that mildly sedation are used during not rejected abortions.

Sounds dangerous unless given by a licensed dr.

Use of sedation should be restricted to real medical settings involving qualified persons, so I hope no one is thinking of it in a play setting.

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* Discuss or promote dangerous activities - Activities discussed in an unsafe or dangerous manner, are prohibited on this site. Violations may result in disciplinary action, up to, and including, bans. It is assumed that most activities discussed on this site have a level of risk attached to them, but blatant violation of basic safety and good practice is not permitted.

Some posts discussing actual use of sedation in a play setting have been removed.

I love the fantasy of sedation (or other drugs used to control the patient) both as doctor and patient. But in play, it is crystal clear to me that real drugs have absolutely NO place - imagination is a powerful thing that should be made use of in this scenario 😃