Vagina examination

Doeas any one got the vagina's lower wall exposed for examination through the introduction of a finger in the anus?

is it pleasant or not?

Oh maramao ... it's lovely, lovely to have a gentle finger introduced through the anus into the rectum ... and feel the lower wall of the vagina palpated ... but keep reading and you'll find so many stories, and so many who agree...

I was very nerous the first time it happened. The male Doctor thought maybe I had an infection, so he touched my cervix through the wall of my anus. It just felt very different.

Heather

It is a very lovely experience, and I enjoy it. I have a male Gyno, and he is very gentle, and very thorough.

Oh yes! It is especially pleasant if the doc also has a finger in my vagina at the same time!

You do that by the rectalvaginalexam for feeling and palpating the uterus by rectal touch and feel the "Douglas" space, the thin wall between vagina and rectum, I just did that in my last play exam as doctor to a friend of mine

* Technique

o Remove the gloves used for vaginal exam. Wear new pair of gloves and lubricate the gloved fingers.

o Slowly reintroduce the index finger into the vagina and the middle finger into the rectum.

o Ask the patient to bear down as the rectal finger is introduced.

o Sweep from side to side and use abdominal hand to bring utereus and adnexa towards vaginorectal hand

* Feel:

o Examine the rectovaginal septum for thickening, nodularity or tenderness.

o While gently pressing your fingers as superiorly as possible, examine the rectouterine pouch.

o During this procedure, palpate laterally, identifying the right and left uterosacral ligaments and noting any masses or abnormal tenderness.

o Re-examine both the right and left adnexa with the rectovaginal technique.

Note: Occasionally, ovarian tumors or cysts may be palpated using this technique, but missed during the bi-manual exam.

Definition and small explanation of the "Douglas":The rectouterine pouch is also known as excavatio recto-uterina (literally, the rectouterine excavation) and the pouch of Douglas, after the Scottish anatomist James Douglas (1675-1742) who explored this region of the female body and left his name attached to at least 3 other structural features in the area.

Links of videos for vaginal exams

http://www.youtube.com/watch?v=fvvpVVQGUtc&feature=related

http://www.youtube.com/watch?v=J6A-oc4ibo8&feature=related

http://www.youtube.com/watch?v=au3jakiaZW0&feature=related

As to your question I have never experienced any pain but then most of the ob-gyns I've had never spend this much time with examinations either.

Like Heather I was pretty tense the first time it was done. It felt kind of horrible and great at the same time - if that makes any sense?

It sure does chrissie. almost all of my playdoctor patients want to rectovaginal exam to be incorporated into the session

Like the breast exam video. Also love giving my wife a good rectal exam.

It was an odd sensation at first, and not all that comfortable. But then again, it was at my first gyn exam and I was very nervous and tense, and not expecting that part either. But I have come to find it enjoyable when the doctor palpates my lower vaginal wall through my rectum during the recto-vaginal exam. It's still a bit of an odd feeling, but one that is quite lovely and exciting.