GYNECOLOGICAL CONTROL
the full medical history and gynecological examination remains the basic and guiding step for further diagnostic and therapeutic approach even in our era of technological development
in our clinic, a detailed history is taken, including (any current pathology, individual – family – surgical and anesthetic history)
if necessary, the patient is recommended to sit on the special examination bed where the appropriate adjustments are made to ensure a comfortable position. The patient is covered throughout the examination in sterile clothing
the patient’s bladder is empty during the examination so as not to cause discomfort, although in some cases (incontinence screening) a full bladder is required first
the examination is performed in such a way that the patient is comfortable and relaxed. First step is to explain in detail to the patient what will follow
the examination begins with a thorough check of the patient’s external genitalia for the presence of abnormalities that deviate from normal
a vaginal examination with a vaginal dilator is then performed to review the vagina and cervix to exclude abnormal findings
the next step is a bimanual gynecological examination in which the uterus and appendages are palpated and checked for adhesions of independent origin that immobilize the uterus, large-sized fibroids and cystic formations of the adnexa, as well as a check for sensitivity on the bimanual gynecological examination that indicates foci of inflammatory disease such as pelvic inflammatory disease and endometriosis
a vaginal ultrasound is then performed to thoroughly examine the internal genitalia