real gynecologist looking for questions
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KUJACK
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Chris_Michael
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True story - we had a transgender woman come in for a pap smear.
What benefit does a pap smear do for a transgender woman?
What benefit does a pap smear do for a transgender woman?
Scareltt
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shelly2inme
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exam
I had an orgasm during an exam. The doctor did not seem to be trying to get me off but it happened. He said it is not that unusual. Is that true? How often do women have an "accidental" orgasm during a vaginal exam?
I had an orgasm during an exam. The doctor did not seem to be trying to get me off but it happened. He said it is not that unusual. Is that true? How often do women have an "accidental" orgasm during a vaginal exam?
SassySheDevil
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Polranny
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And there was i worrying about my prostate check!This is my biggest fear
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MikeSaidNo
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Why are there so many male gynecologists and so few female cock doctors?
Good Morning Class
Female ejaculation is a real thing. It has been studied using a variety of techniques including imaging in a laboratory setting (good times). Women who ejaculate can completely empty their bladder and then still have a significant release of fluid. Some women do release urine as well. For patients that find it disturbing completely evacuating the bladder prior to sex may make for less cleanup.
Regarding orgasms during exams I'm not sure I could tell you if a patient ever had one.... I have experienced numerous interesting experiences which could fill a book. If you have an orgasm during exam all I would say is party on. I doubt that any physician, practitioner or whatever would give it a second thought. Like I tell myself when I'm the patient its just another body. The world is a better place with more orgasms!
Regarding male vs. female obgyns and pecker checkers... Most of the people training in obgyn are female now. You are correct there are not many female urologists in my area.
Cheers
Female ejaculation is a real thing. It has been studied using a variety of techniques including imaging in a laboratory setting (good times). Women who ejaculate can completely empty their bladder and then still have a significant release of fluid. Some women do release urine as well. For patients that find it disturbing completely evacuating the bladder prior to sex may make for less cleanup.
Regarding orgasms during exams I'm not sure I could tell you if a patient ever had one.... I have experienced numerous interesting experiences which could fill a book. If you have an orgasm during exam all I would say is party on. I doubt that any physician, practitioner or whatever would give it a second thought. Like I tell myself when I'm the patient its just another body. The world is a better place with more orgasms!
Regarding male vs. female obgyns and pecker checkers... Most of the people training in obgyn are female now. You are correct there are not many female urologists in my area.
Cheers
transgender paps
Anyone with a vagina should probably get pap/HPV screening. Not too mention routine screening for STDS. Transgender medicine is a growing field. I trained at a center where we did a great number of surgeries to create neovaginas for women born without them and we always instructed them to have regular exams. They used to come in at the end of high school and the lead surgeon used to always instruct them to make sure to keep it open by having regular sex. Fascinating surgery. A topic for another thread perhaps.
Anyone with a vagina should probably get pap/HPV screening. Not too mention routine screening for STDS. Transgender medicine is a growing field. I trained at a center where we did a great number of surgeries to create neovaginas for women born without them and we always instructed them to have regular exams. They used to come in at the end of high school and the lead surgeon used to always instruct them to make sure to keep it open by having regular sex. Fascinating surgery. A topic for another thread perhaps.
saintcero
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Aren't you constantly amazed at the level of ignorance by the masses when it comes to birth control and sex?
Ignorance of masses
Something fascinating I agree. A little unsettling to be asked a question by a picture of dick and balls but I did volunteer to answer questions. I had a patient who had more than twenty elective terminations of pregnancy (not while she was my patient) clearly a bit outside the bell curve. Perhaps the law student who couldn't understand why going back and forth between vaginal and anal intercourse was causing her frequent infections....
Something fascinating I agree. A little unsettling to be asked a question by a picture of dick and balls but I did volunteer to answer questions. I had a patient who had more than twenty elective terminations of pregnancy (not while she was my patient) clearly a bit outside the bell curve. Perhaps the law student who couldn't understand why going back and forth between vaginal and anal intercourse was causing her frequent infections....
saintcero
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Profile photo neutered or at least neutralized.
SassySheDevil
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Oh no. I love my Doctor. Hate the exam. My cervix is tilted from cysts, so it's a very uncomfortable exam.
RubyThursday
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I'm not a doctor, but have your gynecologist check for uterine fibroids.
Now I'll hang up and listen to what the real doctor says...
Thanks Ruby I like a good assistant!
Regarding heavy or irregular periods first of all make sure you are not missing pills. Assuming there is no anatomic cause such as fibroids, adenomyosis, polyps, etc. You may benefit from a adjustment in pill. Ortho makes multiple types of pills. So I would probably recommend you see your MD for an exam, some routine tests, a transvaginal ultrasound and then consider an adjustment. Many patients don't menstruate at all on the pill and that is not a problem.
Regarding heavy or irregular periods first of all make sure you are not missing pills. Assuming there is no anatomic cause such as fibroids, adenomyosis, polyps, etc. You may benefit from a adjustment in pill. Ortho makes multiple types of pills. So I would probably recommend you see your MD for an exam, some routine tests, a transvaginal ultrasound and then consider an adjustment. Many patients don't menstruate at all on the pill and that is not a problem.
For those who want to read more here's a link
https://www.mayoclinic.org/diseases-conditions/menorrhagia/symptoms-causes/syc-20352829
https://www.mayoclinic.org/diseases-conditions/menorrhagia/symptoms-causes/syc-20352829
Chris_Michael
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As a pharmacist, I want to know your opinion... do you think there is a real drug-drug interaction between ABX and OBC?
I think you are asking me if I recommend condoms when patients are on ocs and abx.. If I was talking to a patient I would say probably not but whats the downside to using condoms for the duration. Its not the interaction of the two but rather the metabolism being altered. If I remember correctly rifampin was the one that changed levels of estrogen. Some of the newer pills are very low dose and theoretically could be worse on abx. I think the standard recommendation has to be to use a back up but deep down I don't think it matters unless you are on a specific antibiotic or a particular low dose pill. Any pill over thirty mics probably doesn't matter.
Chris_Michael
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I'm not asking you if you recommend backup method. I'm just asking about the drug-drug interaction. Some people have challenged it and think maybe it's bullshit.
Truth is, there isn't enough evidence on it to know for certain.
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