The Gynecologist Lucas Minig will carry out the preventive control examination in consultation according to age, symptoms, and medical history. He will also evaluate, if necessary, perform other complementary tests such as ultrasound, and cytology and prescribe treatment in order to prevent or treat any symptoms.
What is the purpose of the gynecological examination?
Every woman should have a gynecological check-up every 2-3 years. The main objective is to assess her general health, carrying out the pertinent controls according to the different ages. Each woman symbolizes a different reality and, therefore, they require special attention for each particular situation. The basis of the gynecological examination are:
- The prevention and early detection of pre-malignant lesions of uterine cervix cancer
- Pregnancy planning and control
- Instruct on responsible sexual and reproductive health
- Detect and treat menstrual disorders, and disorders related to menopause
- Prevention and treatment of osteoporosis
What does the gynecological examination consist of?
When a woman attends her first gynecological visit, a detailed clinical history will be taken, ascertaining personal and family history, as well as the gynecological and obstetric history, proceeding to a detailed gynecological examination.
Doctor Lucas Minig, a specialist in gynecology and oncology at a national (Spain) and international level, will take care of the entire process with the patient for a complete gynecological check-up.
Then, if necessary, the following tests are performed:
Gynecological Review Tests:
- Physical Examination: A visual examination of the vulva will be performed. Subsequently, a bimanual vaginal examination is performed to assess the elasticity of the vulva, the surface and consistency of the cervix, and palpation of the uterus and ovaries in search of alterations relevant to these organs.
- Cervical cytology: this is the screening test that is performed by obtaining cells from the cervix and vagina with a spatula, after placing a vaginal speculum.
It is a test that should be performed periodically as it helps to detect pre-malignant and, malignant lesions of the vagina and cérvix. The sample obtained is sent to the pathologist for reading, who will, in turn, send the results to the gynecologist.
- Typing of the Human Papilloma Virus (HPV): This test detects the presence in the blood of the Human Papilloma Virus, known as HPV, which causes pre-malignant lesions of the cervix or cervical cancer.
- Gynecological ultrasound: it is an ultrasound test that is performed through a vaginal probe. In some cases, the ultrasound will be done through the abdomen. It is a test that allows assessing the internal genital organs (uterus, ovaries, and tubes).
- Mammography/breast ultrasound: Mammography is the only approved screening method for early detection. Generally, it is ordered together with a breast ultrasound that complements it, but in no way replaces it. The first mammogram is recommended at age 40. This recommendation may change in those women who have a direct history of breast cancer in relatives under 40 years of age or in a man in the family.
- Bone mineral densitometry: Densitometry is a study that assesses the level of bone ossification, which can be variable between osteopenia and osteoporosis. Generally, it is requested 10 years after the onset of menopause, but different risk factors must be assessed and, if verified, it will have to be done earlier.
- Colposcopy: Colposcopy is part of the gynecological tests. It consists of performing a detailed visual examination of the cervix, vagina, and vulva.
For the examination, the colposcope is used, a system of optical lenses with a light focus that allows the cervix to be examined with precision.
Colposcopy is usually performed when abnormalities have been detected from cytology of the cervix.
How often should a gynecological examination be performed?
The gynecological review should be performed every 2-3 years to assess different parameters that can change over time. In any case, the individual situation of each woman may require a shorter interval according to each case in order to properly assess her particular state of health.
Some women prefer to make the visit in periods of an annual Gynecological review.
The age to carry out preventive check-ups is between 25 and 65 years.
When should I start visiting?
There is no specific age to start gynecological visits. Each stage of a woman’s life can present different and specific problems that require specialized attention, from adolescence to menopause.
Ideally, unless there is a particular situation that requires a diagnosis or specific treatment at an early age, the first contact with the gynecologist is around 20-25 years of age.
Conclusions about performing a gynecological check-up in Valencia
- The gynecological examination helps detect and prevent cancer and other important disorders.
- This procedure does not hurt, it is only slightly annoying at some brief moment during the revision.
- It is recommended to do it at the indicated time, for women of all ages, regardless of whether or not they are pregnant or have any discomfort.
- Many patients who seek a complete gynecological check-up from Madrid, consult us and travel to our center to be attended personally, we also have the option of an online medical consultation prior to the check-up.
The ideal would be to carry out an annual visit to assess different parameters that can change over time. Every woman needs a unique approach to assessing her health.
There is no age to start visits with the gynecologist since we can receive pediatric patients, adolescents, women of childbearing age, and women in menopause. Each age presents different problems that often cannot be resolved by other specialists such as pediatricians or clinical/family doctors. Ideally, unless there is a particular situation that requires diagnosis or treatment at an early age, the first contact with the gynecologist is in adolescence. This period is usually crucial to give the correct information about changes in a woman’s body, the menstrual cycle, and alterations in bleeding patterns, as well as educating adolescent women about responsible sexual and reproductive health.. (LINK)
Always remember that prevention is the best weapon we have to take care of our health.
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