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1. Necessity: According to statistics from the Ministry of Health in 2014, more than 90% of Vietnamese women have had gynecological diseases at least once. This alarming number proves that, to protect themselves, women should have regular gynecological examinations as advised by a doctor.

However, due to subjective and fearful psychology, many women do not take regular gynecological examinations seriously. This is the main reason why the rate of gynecological diseases is increasing. Therefore, the first thing women need to do is to eliminate their fear and then carefully learn about gynecological examinations.

2. What does a gynecological examination include?

The female reproductive organs are divided into two main parts: the upper reproductive organs (uterus, fallopian tubes, ovaries, fallopian tubes) and the lower reproductive organs (vulva, vagina, cervix). During a gynecological examination, the doctor will conduct a general and detailed examination of all organs in the reproductive system. At the same time, women will be assigned to perform necessary tests such as: blood tests, urine tests, abdominal ultrasound… to accurately detect diseases encountered in the reproductive organs.

In case the doctor suspects that the patient has cervical cancer, vulvar cancer, vaginal cancer, they will be assigned to do additional necessary cancer screening tests such as cervical biopsy, PAP test…

3. Basic gynecological examination steps

Asking for information, current condition of the patient: Before performing the examination activities, the doctor will ask for personal information, medical condition, abnormal signs and medical history of the patient. Through this survey information, the doctor will decide on the next detailed examination steps.
External examination: In this step, the doctor will observe and check the external genitalia and chest area for any abnormalities.
Vaginal examination: In this step, the doctor will observe the vagina for any abnormalities. Then, a speculum will be inserted into the vagina to observe the vaginal wall and cervix. In this step, the doctor may take a sample of vaginal fluid or cells if he or she suspects the patient has gynecological diseases.

In addition, the doctor will perform a transvaginal ultrasound to examine the entire genitalia for women who are married or have had sex. For girls who have not had sex, the doctor will use an abdominal ultrasound to examine this information.

Vaginal fluid test: Most gynecological examinations include a vaginal fluid test to help the doctor determine whether you have vaginitis caused by fungi, trichomonas, or bacteria. Vaginal fluid is usually taken by the doctor on the ultrasound probe or taken when examining the vagina with a speculum.
Uterine examination: The doctor often uses his hand to palpate the abdomen to determine the position and size of the uterus. In addition, at this step, the doctor can perform an ultrasound or probe ultrasound to determine the structure and condition of the uterus, cervix, ovaries and fallopian tubes. Uterine examination is to determine pathology in the uterus, the doctor cannot skip this examination step.
Tests: Depending on the patient’s condition, the doctor will order the patient to do other necessary tests such as blood tests, urine tests, etc.
Treatment consultation and follow-up appointment: After a general examination and obtaining the necessary information, the doctor will conclude your condition and advise on the most appropriate treatment method, and schedule a follow-up appointment to check the effectiveness of the treatment process.

 

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