Unexpected internal

Thanks for the stories, folks. Too many to name!

It was 1992 and my wife was going to our GP for a repeat prescription for the pill.We had been with this doctor since moving to the area a couple of years before a few week after the birth of our forth and last child.

The doctor was about ten years older than us so this would put him in his early forties and we found him to be very pleasant.I had only met him once professionally and that's when we registered with him.My wife on the other hand had seen him a few times mainly to do with the children's health but also for the contraceptive pill and a post-natal exam.Up to that point we had always had a male GP not by choice but due to the locations where we lived through my work they were quite rural and normally a one or two doctor practice and this was no exception. So she was used to having intimate exams by male doctors but there was always the district nurse present if it was at the surgery.

Now this was a time when the doctor still did a Saturday morning surgery and it was a good time for her to go as I didn't work weekends so I could look after the kids.I can't remember what she was wearing to the appointment but I do remember that she said she was going to mention to him that she had been having some light spotting each month.She had been put on the mini pill which meant she took it all the time and as a result she did not have periods.

About forty five minutes after after leaving for the doctors she returned home and I asked how she got on.She said that he gave her a renewed prescription for only three months and also did an internal exam.When she mentioned the spotting to him he said that it was common but thought he had better have a look to make sure things were OK.He did offer to prospone the exam until the Wednesday afternoon when he has his 'Ladies Clinic' and the nurse would be present.

My wife said it would be fine and he told her to undress from the waist down and lie on the exam couch.She did as requested and he first inserted a speculum and on looking inside he said that she had slight erosion of the cervix.He took a swab and a cervical smear before having a quick feel around with his fingers and then told my wife to get dressed.

The prescription was only for three months as he wanted to see if the spotting continued around her period time.The swab and smear came back clear and after three months he put her back on the regular pill although there was no more spotting.

My wife went on to have one more smear test and internal with him before we moved away three years later.He was a good doctor and my wife felt comfortable with him.

ASOK really? I don't think so. Without a glove? Sorry I don't believe it.

I'm having trouble with the logic of the OP. A gyno exam for an upset stomach? you've got to be kidding.

And how often do you have an upset tummy that lasts long enough to schedule and wait for an appointment.

This doesn't appear to be fantasy, but perhaps it is.

Very graphic and realistic

Well..Liquidsky post 60..if you dont' believe it you don't believe it. This was a g/f who knew I had the fetish.,.and went along with it. I had heard about a lot of her examinations..she had no reason to lie to me..and wasn't that kind of person anyway.

How many years ago was that gloveless exam ASOK?

Doc Rob

There are reasons to wear gloves which everyone knows. Not only to protect the patient but also the physician. If that really happened the doc was an idiot and guilty of malpractice. It was certainly done in the nineteenth century before the advent of Lister and Semmelweis. In the 20 th century? I don't think so.

No gloves for an exam like that? NASTY! I wouldn't let that doctor come near me, I don't care if I was dying. Because if I wasn't in the moment I sure would be when I contracted something from that quack. Do you have any idea how much bacteria and germs are harbored in fingernails? Unless that doctor was scrubbing like a surgeon before surgery then he is wickedly dirty, disgusting and needs to be reported. I know you are thinking what did they do 40 years ago before they used gloves on a regular basis. Well a lot of nastiness was passed around and people died. Remember 100 years ago and I can't remember exactly who, but a doctor decided to start washing his hands between patients and the instruments too and people and their wounds started healing, healing faster and closing completely. With the advent of gloves being worn for anything more extensive than skin to skin contact the percent of disease and infections decreased even more. Remember 50 years ago we didn't have the super bugs we have now, AIDS wasn't even named yet. Today not wearing gloves is one of the biggest no no's a medical professional can commit. Medical professionals take an oath to first, and I quote, "do no harm". Your girlfriends doctor is in violation and really needs to be reported to the board. And if you know anything about me, me saying that is HUGE!

Mashie

. . . . Remember 100 years ago and I can't remember exactly who, but a doctor decided to start washing his hands between patients and the instruments too and people and their wounds started healing, healing faster and closing completely. . . . . Mashie

That was Semmelweiss that Liquidsky mentioned.

Ahhh, thanks. I thought I would have remembered if I saw it and I didn't. Makes sense. Thanks for teaching me something today.

Mashie

Yes it was Semmelweis in Austria in 1847 who noticed that hand washing decreased puerperal fever in post postpartum women by about 80%. This was largely caused by Strep pyogenes. Until the advent of antibiotics in the twentieth century it was a major killer.

This was years and years ago lol..I'ld be wracking my brain.. Like I said I believed her...had no reason to not believe her. I cannot imagine her reacting the way she did otherwise..she was not a good actor..lol.

The first rectal exam I had in my 20's..again..years and years ago..I had no idea I was getting one or what to expect. That Dr was bad. Took him forever..I think he just wanted to hear me..as he asked me to breathe deep. ..breathe deep while some moron Dr is trying..and slowly succeeding..in getting his bare and un-lubed finger..yes..up me deep.

Don't need to be a rocket scientist to see how I felt when the next one was going to be done by a female Dr with a rubber glove and a tube of lube..oh and a nurse present too.She as so gentle with so much lube I barely felt it.

Yes..for a long time now..gloves..no discussion even of that.

I remember sitting in the waiting room..we had done this before..I had taken her to exams..we went home and had sex..There was of course no sex for the day before the exam.

I don't know if her Dr gave her an un-warranted internal..she did not think so..no gloves..ya..hmm..she had just had sex..hmm. Like I said..he was her GP for like ever..at that time..and had been giving her internals since she was 15. He did that once.. Not again. I remember seeing him many times. He sure did not look lecherous.Good looking well dressed Dr. The no gloves thing sure shocked my g/f. She did not think a big deal of it..She was more shocked than angerred.She was never angry..never wanted to do anything about it..just wasn't that big of a deal..for her or for me..I never thought about it really.

There's no discussion of all the people who should be wearing gloves now..I can't even imagine the stuff health care workers get exposed to now..

I remember years ago when I was 12 I needed to go to the doctors because I had a rash on my upper thigh and I also needed blood work done (I can't remember why) and I needed to have a yearly basic psychical done

My mom and my cousin who was 15 at the time were in the room with me when the doctor was examining me, first he drew 2 tubes of blood and I remember it hurting really bad, I was laying down on the exam table and looking the other way and then he did the psychical and then he had me strip down my pants so I could show him the rash on my leg and he asked my mom if he could look at my vagina to make sure the rash didn't spread there and of course my cousin was trying not to laugh and my mom said no because the rash was just on my leg and the doctor kept saying he just wanted to double check and so my mom said "ok, well, if you want to check, go for it but I have to warn you she might bite, scratch or kick you" then the doctor said "well, I guess we can just skip that part" lol

A rectal without lubricant? WTF? You have the most amazing stories! Without a glove? I don't believe that either. The thought makes me queasy!

Few years ago my friends had to call 911 because I've been throwing up continuously for 4-5 days in a row and I was at the point I couldn't lift my head off the floor or hardly have any energy to say something or open my eyes.

The paramedics asked me if there could be any possibility of me being pregnant but I said it wasn't especially after taking a home pregnancy test few days before.

In the ER they've asked again same question, did blood work and surprise...it was actually positive.

As I was trying as hard as I could to control my vomiting situation I didn't even get to completely absorb the news of being expectant. All of a sudden a lady nurse I don't even know what she was, told me to open my legs as she was going to perform a vaginal and rectal exam... What? Why?That was unexpected.

So here was I having that lady sticking her fingers inside me and I couldn't be any more embarrassed at that moment, wishing at least I would have had the strength to shave my legs and...that area before my friends called 911...

I know, that sounds ridiculous but, hey I'm a woman and I certainly wanted to look at least not like I was looking at that moment.

A nurse did a pelvic on you in the ER? How utterly bizarre! Our nurses never do internals. Was it a PA or nurse practitioner? The only time the nurses do one at my hospital is in labor and delivery.

Given her condition, she probably didn't notice any significant difference in clinical garb or degrees on name tags.

It probably was a PA or NP.

I was scared, really sick throwing up uncontrollably. I had no idea if it was a doctor, nurse, someone else. Was medical staff from that hospital. I'm not familiar with who does that, or why it was ever done. Whoever has seen in their career hyperemesys or experienced, it's the most horrible thing. At least it was for me.

Hyperemesis gravidarum is absolutely no joke. I've seen profound dehydration even shock due to it. Frequently such patients have to return over and over again to have IV fluids. Sometimes they have to treat themselves with IV fluids at home.

Liquidsky, it's not joke indeed. I did not even know something like this existed and this is one major reason holding me back from having another child...I don't know if I will get HG or not this time. I don't see too much research on it either but at least people hear about it more. My worst fear was to be in the hospital and be told they don't know what's going on or..."it's just morning sickness". But thankfully I ended up in a place where they knew about it pretty well. Even so, after lots of misery, hospital admissions and by taking Zofran, it became controllable. I don't know what would have happened to me or my baby unless I was given that drug in the hospital and at home...I'm thankful for everyone raising awareness on HG and I hope one day the cause will be discovered so no expectant mother lives that hell.

I've never heard of this before.. but am glad to be learning more about it from comments here and from google'ing it on the various websites.

Since it involves dehydration, I am wondering it there could ever possibly be a problem with protective liquid contained by the amniotic sac? I realize that this is NOT water.. but just curious as to whether severe Hyperemesis Gravidarum could have any negative effect on the amniotic fluids?

Just curious.

Doc Rob

Here's a synopsis. I wouldn't be worried about the amniotic fluid. I would be worried about central pontine myelinolysis and rhabomyolysis.

https://en.m.wikipedia.org/wiki/Hyperemesis_gravidarum

And there's amniotic fluid embolism. Check this out. Pregnancy is not a safe thing.

https://en.m.wikipedia.org/wiki/Amniotic_fluid_embolism

I have looked after a few patients with Hyperemesis gravidarum and as both NADYASB and LIquidsky have mentioned its not a pleasant condition during pregnancy.

I was scared, really sick throwing up uncontrollably. it's the most horrible thing. At least it was for me. My worst fear was to be in the hospital and be told they don't know what's going on or..."it's just morning sickness". I did not even know something like this existed and this is one major reason holding me back from having another child..

Hyperemesis gravidarum is absolutely no joke. I've seen profound dehydration even shock due to it. Frequently such patients have to return over and over again to have IV fluids. Sometimes they have to treat themselves with IV fluids at home.

They were severely dehydrated and suffering from electrolyte imbalance but thanking mother and baby were ok. I have found that Ondansetron (Zofran) works very effectively at controlling the nausea and vomiting and makes it tolerable for most. With effective management and a bit of "trial and error" with the antiemetic medication it is possible to get effective control as in the case of NADYASB.

I have had hyperemesis gravidarum with every one of my pregnancies, and this was in the 80's. I had nausea and vomiting from the time I was about 10 days pregnant (long before the older pregnancy tests would be effective) until the day after I delivered. With each pregnancy it was progressively worse. This was before it was so prevalent. Good thing is that I have 4 wonderful sons. It is no fun and I had the advantage of being in the medical field so I did a lot of IV's as an outpatient instead of being in the hospital. This was also before Zofran and after the controversy with the other medications.

It seems like things are better now.

Rolereversal, you are a hero for going through that 4 times! I'm working on fighting the fear and waiting on my daughter to be more self sufficient, at least a few more years... Given what I experienced first time and knowing what I know now, I think even if I were to have HG again, at least I have support and doctors that already know my medical history and I would surely get help very fast.

I was working for Glaxo when they launched Zofran injection. We had approval only for chemotherapy induced nausea and vomiting. (We later got approval for post op. nausea and vomiting). I had a local OB-GYN phone me one day and he asked me to come to his office. I thought maybe he had a family member who was getting chemo. and was vomiting.

I talked with him and he told me he had a lady in the hospital who had uncontrollable vomiting and electrolyte loss. He felt sure she was going to lose her baby if the vomiting didn't stop. He wanted to give her Zofran. I told him we only had approval for chemo. vomiting. At that time Zofran was a category B drug in pregnancy. (Cat. B says that, "So far, there are no known contraindications to it's use in pregnancy, but the physician should be aware that it had not yet be determined as safe." I told the Dr. that he'd be responsible for using this drug for "off-label" uses. He started using Zofran in his pregnant patient, the vomiting stopped and she carried her baby to full term and it was born healthy and well.

I must assume that since those years, Zofran has been approved for use in pregnancy and other conditions where vomiting is encountered.

Wow ! What a fantastic read . Excellently written .

Would love to hear a real life story about an unexpected pelvic exam. Always was hot for this type of scene.