Many primary care teams, especially family medicine providers, are well-equipped to handle basic gynecology care. They can perform Pap smears and STI testing; prescribe medicine or advice for UTIs, vaginal infections, and urinary tract infections; and help you decide which birth control methods are a good choice for you. Like any doctor, a gynecologist will ask questions about your medical history. They’ll also ask about a sexual activity such as when you started having sex and whether you’re sexually active and whether you hope to have children. When I see a new patient for a GYN exam, I do a full exam including a breast exam, belly exam, and pelvic exam. A pelvic exam involves examining the vulva and labia (lips) that form the outer genitals, inner thigh, and buttocks. I then use a speculum to examine tissues inside the vagina. This exam can be slightly uncomfortable, with a pressure-like sensation, but should not be painful. You should always tell your provider if you are having pain during any part of the exam.
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