Asked to cough during exam

Is there anytime a doctor ask you to cough during a vaginal or rectal exam?

Depends on the doctor and the exam. Most asked her to bare down, at least one to cough.

I think that the doctor instructs someone to cough is they have difficulty bearing down or they can't maintain it long enough for a thorough exam.

Of course, you will ask the patient to cough as you tend to insert a finger for a digital rectal exam... it's easier that way...

Yes I think you're right, it's to check the sphincters and internal muscles

Coughing or bearing down is usually done to check for hernias, most commonly inguinal in men and femoral in women. Sphincter tone is checked by just inserting the finger, and that isn't usually done unless there is an incontinence problem.

No coughing, just a normal rectal exam is done. More for guys I would think

I was told to cough at my first exam

Not for mine

Asking a female to cough during a genital exam is to determine urinary incontinence.

You can see urine drip if there is a problem.

We ask women to bare down to relax the anus for a rectal and also see if there is the possibility of uterine prolapse vaginally.

My wife has not been asked to.

Yes, matter of fact. Many times over.

Hmm, as mentioned, it is routine for a hernia check. I've never done that one, but asking a patient to take a deep breath and cough is part of my routine lung assessment.

Bear down and cough with a finger inserted in the vagina checks two things -

Cystocele - weakening of vaginal wall and bladder support

Rectocele - pelvic floor support issues that allows the front of the rectal wall to bulge into the vagina

Slightly off topic ...no coughing...but digital rectal exam is sometimes used during a Valsalva manoeuvre during diagnosis/treatement of atrial fibrillation

I remember the girls in my class returning from their school physical asking how a doctor checks girls for a hernia. Apparently, the doctor had them cough with her fingers pressed into their groins and then again with a finger inserted into their vaginas. I don't know if this was a hernia check or something else, but I was definitely aroused.

I only got asked to cough when the doctor removed my IUD, both times.

I had quite a bit of being told to cough, and mainly at awkward moments with a finger or probe inside me, when I participated in an anal manometry research study, I wrote about it here https://en.zity.biz/index.php?mx=forum;ox=display;msg=939397;nox=1815420