Why does gynecologist test urine
The transducer will be inserted gently into your vagina, and then it will be moved and rotated to adjust the view displayed on the monitor. There is normally no discomfort involved with a vaginal sono.
You may feel a light pressure when the transducer is moved in your vagina. And there are no known risks associated with a vaginal sono, either to the mother or fetus. Pregnancy begins with a fertilized egg. Under normal conditions, the fertilized egg attaches itself to the lining of the uterus. With an ectopic or tubal pregnancy, the fertilized egg implants itself in one of the two fallopian tubes which attach themselves between the ovaries and uterus.
The fallopian tubes normally carry the eggs from the ovaries to the uterus. Rarely, an ectopic pregnancy occurs in the abdomen, ovary or neck of the uterus cervix. An ectopic pregnancy cannot grow normally. When a fertilized egg attaches itself to a fallopian tube; the egg grows and eventually bursts the fallopian tube causing hemorrhaging internal bleeding and left untreated, the severe blood loss can lead to death.
A woman with an ectopic pregnancy may not have any indication of being pregnant. Early signs and symptoms, if they happen, may be the same as any pregnancy, a missed period, breast tenderness, nausea, vomiting and fatigue. If you think you are pregnant and take a test, it will be positive. The first warning signs of an ectopic pregnancy often include:. An ectopic pregnancy can happen to anyone and usually occurs when the fallopian tube is scarred, damaged or misshapen.
When making your first appointment, it is helpful to tell your gynecologist that this is your first gynecological exam. Your health care provider knows that many women feel nervous about gynecology exams, and they will help you to relax and understand the process. It is also perfectly acceptable to have a female family member or friend accompany you during your appointment and, if you would prefer, you can always request an additional nurse chaperone.
Otherwise, there is not much you have to do to prepare for a pelvic exam. Do not douche, use vaginal creams or have sex for 24 hours prior to your well woman exam, and if you have your period during the time you are supposed to have your exam, you will need to reschedule.
The physical exam includes a urine sample, an external and internal pelvic exam, pap smear, and a breast exam. The pelvic exam in your gynecological exam is comprised of four main steps: the external genital exam, the speculum exam, the Pap Smear test and the bimanual exam. For the exam, you will lie on the examining table in a dressing gown with your legs in stirrups or knee rests and a sheet is draped over your legs for your personal privacy.
Once you are comfortable, your gynecologist will ask you to spread your knees apart. At this point, try to relax as much as possible. Breathe deeply and do not tense your muscles. This is will make the exam less painful and more efficient. Rest assured that if you have requested the company of a friend or family member or chaperone, that they will be asked to stand at a location that preserves your personal privacy.
During the external genital exam your clinician will visually examine the vulva and labia. They are checking for abnormalities, such as irritation, swelling, redness, cysts, or any visual indication of sexually transmitted diseases STD. After the external examination is concluded, a sterile medical device called a speculum will be inserted into the vagina.
This is not painful but may feel a little cool. The doctor compares the colour of the test strip with a chart of standard colours. Then, the doctor sends off a sample of the urine to the laboratory for further testing. There, a laboratory technician can view it under a microscope to look for bacteria and cells. If the white cell count is above a baseline level, or if organisms are identified and the patient has symptoms , an infection is very likely. Further testing in the laboratory involves culturing the bacteria from the urine by growing it in a special medium and testing different antibiotics on it to see which one is most effective.
How your urine sample is handled in hospital may be different. Larger hospitals have a laboratory on site and patients will usually wait in the emergency department for the results of the laboratory microscopic evaluation. Doctors then start treatment with this extra information. Patients sent home from the emergency department will still need to visit their GP for the final laboratory results, such as the antibiotic sensitivities.
If you are admitted to hospital, treatment will start and may be modified once these results are known. For any of these tests to be valid, the urine sample needs to be sterile without contamination. Then, catch your urine mid-stream in a sterile urine cup.
The first few drops of urine should not be included. Remember to wash your hands! The test is used to screen for glucose, protein, ketones, white blood cells, red blood cells, nitrites, and bilirubin.
The nurse will also document the appearance of the urine and if there is an unusual smell.