Requesting thorough gynecological exam?

Ladies: hypothetically, what if you went to a new doctor after not going for 3 years. Could you ask the doctor for a complete and thorough gynecological exam, and if so, what would you expect? Would the doctor think the request is unusual, or would they actually give you an actual textbook exam?

I also wanted to know, if you requested to keep the gown off after the breast exam, would the doctor allow it, or would they insist that you wear a gown?

I just wanted to know how exposed the exam could get if the patient wasn't modest, and if they requested a thorough exam. Any replies are appreciated.

A few years ago I had to return to my previous GYN as mine had left his practice to make a great deal more money in the IT world without all overhead as well as the out of control overhead of working as a physician. The appointment was as if I was a brand new patient, he was very thorough. I will also add he has always been that thorough on annual physicals. This particular appointment I had a very suspicious lump in my breast and his nurse knew ahead of time. She made sure the time scheduled for my physical was more than enough.

Regarding the gown. He is actually very modest and very astute to making sure the modesty of his patients is well respected. He covers up what he has examined per what he feels is appropriate and needed. I also happen to know him on a personal level as I went through High School with his daughter and I have also worked for him side by side. I would NEVER sacrifice the relationship of respect and friendship with him to satisfy my medfet kink.

Side note: It came out as a suspicious hamartoma which has since gone away and returned in the same spot several times since. We keep a close eye on it with exams and diagnostic monitoring.

Thanks Andie. Do most new patients get a more thorough exam regardless of age?

I'm asking because my partner went to 2 new male doctors over the years, and neither one did an external exam at all, and one did a breast exam over the gown (the other one did a quick lying breast exam).

Does she specifically have to request a more thorough exam in order to get the seated/lying breast exams, an external exam, and a bimanual for more than 10 seconds?

I know most doctors are very conscious about patient modesty, but what if she wanted to keep the gown off after the breast exam?

When I get a physical by a female, I'm offered the option of underwear or a gown, but I think either is silly, as they're going to see me fully naked anyways, and I would prefer that they can make a quick and complete assessment of my condition. I end up leaving my underwear on because I don't want the N.P. to be uncomfortable. It's not really a medfet for me, as I really enjoy giving play female exams, but it wouldn't bother me to be naked either.

Dr Stifler,

It boils down to the style and demands of the Dr, the way the practice is run, time constraints, the way appointments are booked, triage, the availability of the physician and countless other issues that influence the way a group or private practice is run. Insurance billing and what is and is not covered, what is written off on the bill, the size of the practice. This is just a handful of things that can and do affect how a physician, PA, NP schedule actual face time, and hands on time with their patients.

I would suggest asking how much time is normally allowed for the appointment you are requesting. You can always ask for more, ask to speak with the nurse or MA on duty or even the office manager. Be aware you will probably be charged for additional time requested. You also have the option of shopping around for the right fit. Talking with nurses in the hospital wards is a good place as they see in day and day out which physicians put the time in and then some, who are the best and worst for various reasons. Ask co-workers, neighbors, family etc for names. Communicate with the provider your questions, concerns, etc. Even the very best providers are not able to read your mind. Communicate. Ask them their style, find out before. Make an appointment for a consultation to just talk with them to decide if you and the provider are going to be a good match. Yes, this is time consuming. Its your time, money and energy just as it is their time, energy. These are some of many options and ideas to consider.

My N.P. is always very thorough and I always feel good about my exams, which are much more lengthy than my partner's exams. She had one male doctor talk to her for 20 minutes about his family, hobbies, etc before he did the exam, and then he did a 10 second breast exam over the gown and no external exam. It seems that male doctors are more skittish with female patients and they seem to rush the exams, whereas female practitioners are more thorough, deliberate, and less concerned witn allegations of malpractice. She has gone to male doctors, but she feels females are more comfortable examining her and doing a more thorough exam.

I asked the gown question to see if it would be realistic for play exams, as there is no consensus: some females say a real doctor would insist that a female patient wear a gown, while some say the doctor would allow the patient to leave the gown off.

As a male seeing a female N.P. it doesn't seem to be as much of an issue. I leave my underwear on, but it wouldn't bother me to go without them, and my N.P. probably wouldn't really care if I left them off. It's mildly exciting for both of us, but she is always professional, and neither one of us crosses any boundaries. The fact that I like to see her, and I don't mind her examing me is a positive, as I always go to my appointments,.which benefits my health.

I don't want to mix real health concerns with play exams, as I had cancer myself and I have to go to frequent appointments; however I do enjoy realistic play ob-gyn exams, so I would like to know what is possible from a female perspective. : ).

I don't think that asking for a "thorough" exam would elicit much more that a weird look from the doc. Same with the gown. Doctors have standards of care that they are required to abide by, and most would not honor a request to leave the gown off or keep already-examined areas exposed. This would set them up for a potential malpractice suit, which they want to avoid.