Gynecological consultation after a positive result of the home pregnancy test is mandatory if you want to keep the pregnancy and give birth to a healthy baby. It is part of the first medical consultation to confirm pregnancy and is essential to detect any infections or genital abnormalities.
The home pregnancy test is the first step you should take when you suspect you are pregnant. Immediately after that, whether or not you want to keep the pregnancy, it is important to go to the doctor and have a blood test or ultrasound to confirm the pregnancy. Sometimes, the pregnancy can be confirmed during the gynecological examination. The first consultation during the pregnancy includes several stages: anamnesis; blood and urine analysis; gynecological examination; ultrasound.
Gynecological examination or consultation during pregnancy
One of the stages of the first medical consultation during pregnancy is the pelvic or gynecological examination. This involves genital or pelvic examination. You will be subjected to examination with valves, vaginal cough and / or rectal cough. Pelvic examination during pregnancy differs very little from one performed outside it. During the examination, the doctor will examine the condition and functionality: the cervix; uterus; vulva; uterine tubes; ovaries; bladder. By examining your pelvis, your doctor can confirm your pregnancy because sometimes the cervix of the pregnancy is colored blue. But the safest can confirm it with the help of an intravaginal ultrasound.
At a vaginal exam the doctor can approximate how advanced the pregnancy is. Also, the doctor will notice local, external, possible signs of redness, irritation, secretions or unusual leaks, genital warts or other problems. The vaginal walls and the cervix will also be examined for possible lesions, inflammation or abnormal formation.
How is the pelvic exam done?
Before going to the gynecological examination, you should consider the following: not to have sexual contact before 24 hours of examination; Do not take a vaginal shower one day. During the procedure you will undress from arm to bottom and sit on the gynecological table. The examination will begin by externally pressing the abdomen while inserting the finger to palpate the internal organs and to detect any abnormalities.
Such an examination does not take more than 10 minutes, even less. During this time, both internal organs and possible problems are investigated and samples and samples are collected for analysis. If you feel uncomfortable and have questions or concerns before the procedure you are free to do so. The doctor is there to help you feel better during the exam. In addition, it might even allow you to take a dear person with you to the room, if that is easier for you.
You will probably have a cytobacteriological examination of the vaginal secretion and an ultrasound (ultrasound with the endovaginal probe can determine the existence of a pregnancy at the earliest 4-5 weeks of its evolution). If you have not recently had a Babes-Pap smear test, your doctor will advise you to do it then. This is done by inserting a spatula into the vagina and collecting a sample.
Questions your doctor will ask you during the gynecological examination
When the doctor examines you will ask a few questions, so it is good to be prepared to answer them accurately: Did you have bleeding? When did you last menstruate? Did you feel any pain in the pelvic area or a sensation of itching or burning in the urine? Have you had abnormal vaginal secretions? How many tasks do you have at work? Have you ever had an abortion? How many children do you have?
After finding out the pregnancy and confirming its presence in the uterus, you will be asked to carry out the following investigations: the blood group and your Rh and your spouse (if any group or Rh incompatibility is found during the entire pregnancy the appearance of anti-group or anti-Rh antibodies will be monitored, and if they occur, it will be dosed quantitatively, because at certain concentrations they may interfere with the normal development of the fetus); the hemolithogram; summary of urine or uroculture; blood glucose, liver transaminases, urea, creatinine, uric acid; VDRL or RBW test (for syphilis) and HIV.
These tests are included in the mandatory set of tests that the pregnant woman has to perform in the first trimester of pregnancy and, with reference from the family doctor, they are free. From doctor to doctor, you may also be indicated for: antibodies to hepatitis B and C; tests for toxoplasmosis, chlamydia, cytomegalvirus, herpesvirus and rubella (diseases that can have adverse effects on the fetus). These are not settled by the health insurance company in Romania, so you will have to pay them. Once noted by a gynecologist, he or she will recommend a monthly visit (in case there are no problems) to the gynecology office, or more often, depending on the problems that arise.
During these visits you will be able to recommend other types of tests if considered necessary (testing of three markers in the maternal blood, improperly known as "triple test"; the markers being: - alpha-fetal protein, chorionic gonadotrophin The value of this test is indicative, the results are correlated with a multitude of other parameters to calculate an eventual risk of development of various genetic disorders; an increased risk does not imply certainty, but requires further investigation in this regard.