Gyno exam routine
Upon arrival you will be taken to an exam room by a nurse for an initial physical exam. In the exam room you will be instructed to disrobe and put on a hospital gown. You will then be placed on an exam table and your legs placed in the stirrups. Your legs will be strapped in the stirrups and a strap will be placed around your chest and arms to insure your safety should you be startled by a cold or unfamiliar instrument. You will then be asked to urinate in a specimen container which the nurse will hold for you. If you cannot urinate at this time a specimen will be collected later. It is important to get this specimen to verify that you are not pregnant even though your period has started. Next the nurse will administer a 4 ounce mineral oil enema to prepare you for a rectal exam. After the enema is administered the nurse will insert a device similar to a tampon in your rectum to help retain the enema.
After you have been prepped, the Doctor will arrive to examine you. Your exam will begin with a routine pelvic exam, a PAP smear, and a visual exam of you vagina and cervix by the use of a speculum. While your vagina is dilated with the speculum it will be irrigated and suctioned out. Next the Doctor will insert a small cup-like device made of rubber called a “Keeper” into your vagina. The cup fits around your cervix and will catch your menstrual flow. This device will eliminate the need for tampons or pads during 
your visit and provide laboratory samples. Your nurse will remove the keeper for samples and cleaning on a regular basis. Next the Doctor will remove the retention device from your rectum and you will be instructed to empty your bowels into a bedpan. The Doctor will then insert a gloved finger in your rectum to examine it. After your initial exam is completed your nurse will take you to your room.
