Patient's question:
Detailed medical condition and consultation purpose: Every time the doctor uses a speculum to examine my vagina and dilate my cervix, I experience severe tearing-like pain. The doctor said my perineum is too small. Is it true that a small perineum makes using a speculum painful? Even when there is no inflammation, the examination is equally excruciatingly painful. I'm so afraid of speculum exams. Does every speculum exam cause pain? Do speculums come in different sizes? How can I avoid the pain? Thank you.Medical history: Candidiasis
:
Doctor's answer:
The speculum is used for gynecological examinations and comes in different sizes to suit the width of the vagina. When placing it, first align the front ends of the two leaves together and apply lubricant to the surface to facilitate insertion and avoid injury. When inserting the speculum, use the left hand to separate the labia with the right hand, inserting the speculum at an angle along the posterior wall of the vagina slowly. After insertion, gradually rotate it forward until it is properly positioned, then slowly open the two leaves to expose the cervix, vaginal walls, and fornices. Then, rotate it to one side to expose the lateral walls. These procedures should be performed under the guidance of an experienced physician and should not be self-administered.