Question to play docs

Do you prefer your patients to have had lots of sexual experience..Has any of you examined a virgin before.Would that make a difference to how you performed the exam.

If i had a virgin patient i would just do rectal thing to her.but i think that when you start to play game you are not virgin...

It's perfectly okay with me if my patient has little or no sexual experience, as long as she is comfortable enough with her own body to have an exam. So far I haven't examined a virgin, but I expect that probably will happen someday if I do this long enough, and I would welcome the opportunity just as I would with any other patient.

How would I do things differently? The main consideration of course would be the pelvic exam. While I am always very careful and sensitive to how my patient is doing during this part, I would be even more so in this case. I normally insert one finger (not two yet) to get a feel for the layout and orientation of her vagina before going in with a speculum, and I would be especially sure to do that first if my patient was a virgin. I do also carry a small Pederson speculum in my box of supplies in case my patient cannot handle the usual medium Graves speculum. I haven't needed to use the small one yet, but it could be more comfortable for a virgin and it's there if she needs it. Finally, when I do insert two fingers for the bimanual exam, I'd be sure to do so very slowly and gently and be ready to stop if needed. If her vaginal opening is too tight for me to insert two fingers comfortably, I still feel that (1) inserting one finger prior to the speculum, and (2) performing a rectovaginal exam at the end (which I normally do anyway), would provide a satisfactory exam.

I am always more gentle when examining a virgin. I give the patient a step by step overview of the exam and what it entails.

Irrelevant to me actually. I'm more interested if she's a gynecological virgin. Previous gyn exams I am sure involved a speculum inserted deeper and opened wider than any penis from sexual intercourse plus I'm going in the backdoor too--something probably not experienced in typical sexual encounter at all.

When I was younger -- like 21 or so, I examined two of my GFs before that had never been to the gyno -- so, their first pelvic, speculum, rectal, etc were from me. They each had only a few partners before me and I also introduced them to dildos, vibrators and being photographed nude.

I'm happy to examine women of any age, size and experience, all women are different and that's part of the attraction for me.

I think I get the question but aside from retaining a hymen, and not all virgins do, then really it's a matter of body type and her vaginal canal itself. In general children and sexual activity means you can get a medium graves speculum in easily as well as perform a two finger bimanual. The opposite though can also be true where you have a sexually active patient and still one vaginal finger is pretty much the limit.

If you have a girl with an intact hymen or very small introitus you'll be using a small Pederson, maybe one vaginal finger, and then really a rectal exam is the only way to palpate the uterus

Regards

Greg

I have examined both and for me it doesn't really matter

Sexual experience would not change my exam technique.