Visiting the gynecologist is crucial to women’s health, but it is common to wonder what to expect and feel nervous about potential discomfort or pain. In a recent episode of the Healthful Woman podcast, Dr. Nathan Fox and Dr. Stephanie Melka discussed what patients can expect during a gynecologist visit, including strategies to minimize discomfort and make the experience more manageable. Learn more about what to expect and the different procedures involved.
What to Expect During a Routine Exam
Patients’ most common interaction with their gynecologist is an annual gynecological exam. Often, patients worry about the pain involved in their visit; however, exams typically involve mild discomfort rather than pain. Procedures such as a Pap smear or pelvic exam may cause a sensation of pressure or slight irritation. For most patients, this discomfort is brief and manageable. Preparation beforehand plays a key role in reducing discomfort. A conversation with your doctor about the exam steps can help ease anxiety. Additionally, many gynecology offices use lubricated and warmed speculums to make the exam as comfortable as possible.
Procedures That May Cause More Discomfort
Certain procedures, like IUD insertion, colposcopy, or manual vacuum aspiration (MVA), can involve more intense sensations. The pain associated with these procedures often comes from cervical manipulation or uterine cramping. IUD insertion requires placing a small device in the uterus, which can cause brief but sharp cramps. Similarly, a colposcopy involves taking cervical biopsies, which may feel like a strong but momentary pull.
To manage discomfort, doctors often recommend taking over-the-counter pain relievers like ibuprofen before the procedure. For patients with heightened sensitivity or anxiety, additional measures such as cervical numbing agents or light sedation may be options.
The Importance of Communication
Dr. Melka and Dr. Fox emphasize the value of open communication between patients and their doctors. Dr. Fox states, “Pain is complex, and there’s, like, the sharp physical pains, and then there’s some of the pain or discomfort that is definitely lessened by just someone feeling a sense of comfort in general.” Before your exam, you should feel well-prepared and knowledgeable about each of the steps your gynecologist will perform. If you feel pain during an exam or procedure, it is important to speak up. Your provider can adjust their approach, pause, or explore other options to make you more comfortable. Patients should also feel welcome to discuss their anxiety about upcoming appointments and ask questions about what to expect.
While gynecological exams and procedures are not ideal, they should not be traumatizing. Doctors strive to create an environment where patients feel heard, safe, and informed. If you have concerns about an upcoming visit, contact your provider to discuss ways to make it as comfortable as possible.
Learn More
Routine gynecological visits and minor procedures may involve some discomfort, but there are many strategies to minimize pain. Preparation, open dialogue with your doctor, and taking pain management measures can all contribute to a more positive experience. To learn more about gynecology appointments or schedule an appointment, contact Carnegie Women’s Health today through the online contact form.
