What is a recto-vaginal exam: Many doctors perform a recto-vaginal exam along with a normal pelvic exam. A doctor inserts a gloved, lubricated finger into the vagina and one into the rectum. He or she will then palpate the abdomen with the other hand.
What can a doctor tell by a recto-vagianl exam?: This type of exam allows the doctor to examine and identify abnormalities, especially on the uterus and ovaries more clearly. If you are experiencing rectal or pelvic pain, a recto-vaginal exam may help to find the source.
Does it hurt?: A recto-vaginal exam can be a little uncomfortable and should not produce any pain. If you feel pain, tell your doctor. Deep breathing exercises can help relax you. Just like in a pelvic exam, your muscles need to be relaxed.
How long does a rectal-vaginal exam last: It can last anywhere form 1-5 minutes, depending on the doctor and what he or she finds.
What does it feel like: A recto-vaginal exam may feel like you are having a bowel movement. Again, deep breathing exercise come in handy.
Are there any risks?: There are no risks involved with a recto-vaginal exam.
How do I prepare: Normally, there is no preparation. With any pelvic exam, no sex for 24 hours prior, and that would go the same for anal intercourse. Your doctor may want you to take a laxative, and he or she will let you know beforehand.
Is this the same as a rectal exam: No, a rectal exam is a different exam. The doctor only inserts a finger into the rectum during a rectal exam.
Reference: Last Updated: 04/25/06
Source: The American Cancer Society
Columbia University
Columbia University
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