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Essential Gynecology Questions You've Been Afraid to Ask

A visit to the gynecologist's office is an inevitable part of a woman's life, but it often comes with its fair share of challenges and uncomfortable moments when it comes to discussing intimate matters. Perhaps you find yourself grappling with questions like, "Is the color of this discharge normal?" or "Why does it smell different down there?"

Fear not, for such inquiries are perfectly reasonable. Your gynecologist is well-versed in addressing these concerns. They are trained professionals dedicated to addressing all aspects of women's health, no matter how sensitive or awkward they may seem.

As you gear up for your next visit to the gynecologist, equip yourself with a repertoire of questions, including these frequently asked ones that won't catch your doctor off guard!

Preparing for Your Gynecologist Visit

Jot down your queries.

When we're anxious, our nerves can betray us, causing us to forget the very questions we yearned to ask. There's a simple solution: put pen to paper. Scribble down all that plagues your mind, fearlessly embracing even the most awkward or uncomfortable topics. Remember, your doctor is no stranger to such matters and will remain unfazed by your candor.

Tackle the awkwardness head-on.

Prior to your examination, your doctor will typically inquire about your health. Seize this golden opportunity for an intimate tête-à-tête. Armed with your list, utilize this personal moment to address all the concerns that have been brewing in your mind.

Respond honestly to your doctor's queries.

When it concerns your intimate life, sexual history, or any health worries, honesty reigns supreme. Reveal your thoughts transparently to your gynecologist, knowing they are there to provide support, not judgment. However, should you sense a hint of bias or feel your doctor is hindered by personal beliefs, remember that you hold the power to seek a more accommodating healthcare professional.

See Also: DOCTOR'S ORDERS: The Tests You Should Take After 50

Questions to Ask Your Gynecologist

1. I'm anxious about the prospect of baring it all during my gynecologist appointment. How can I ease my discomfort?

Questions You Must Ask Your Gynecologist

It's completely normal to feel uneasy when exposing yourself to others, even in a medical setting. However, keep in mind that gynecologists have encountered countless bodies of various shapes and sizes throughout their careers. For them, this is just another day at the office. Moreover, they understand that this particular aspect of the visit may not be the most comfortable for you. To alleviate your concerns, consider requesting a conversation with the doctor prior to undressing. Taking the time to establish a rapport can help you feel more at ease, particularly if you're meeting the doctor for the first time.

2. Why is there an odor from my vagina?

Each woman has a unique odor in her intimate area, which can vary based on factors like diet, beverages consumed, and medications taken. Strong-smelling foods, spices, and alcohol can find their way into vaginal secretions and result in distinct odors. It's also not uncommon to experience changes in vaginal odor during menstruation or after intense physical activity. The key takeaway is not to overly worry about natural vaginal odors. However, if the scent continues to bother you or takes on a "fishy" smell, it's advisable to consult your doctor sooner rather than later, as it could indicate an infection.

3. I sometimes experience itching in my genital area. Should I be concerned?

vaginal itching

Experiencing itchiness in your vaginal area can undoubtedly be distressing. Itching can potentially indicate sexually transmitted diseases (STDs), yeast infections, or even the result of wearing overly tight clothing. Since it can be challenging to determine when it's necessary to be concerned on your own, it's essential to inform your doctor about your symptoms, particularly if the itchiness persists even after you've showered.

4. Is it common to have a lot of vaginal discharge on a daily basis?

It is perfectly normal to experience discharge regularly. The volume, color, and texture of your discharge can vary depending on where you are in your menstrual cycle. Also, during pregnancy, hormonal changes can lead to increased discharge. Nevertheless, if you notice any significant changes in the quantity or odor, or if you experience discomfort such as pain, burning, or itching, it could be indicative of an underlying issue, such as an infection. In such cases, it is advisable to seek medical evaluation if you have concerns.

5. Should I get tested for BRCA mutations?

Inherited breast cancer 1 (BRCA1) and breast cancer 2 (BRCA2) gene mutations can significantly increase a woman's lifetime risk of developing breast or ovarian cancer. The Centers for Disease Control and Prevention reveals that these mutations account for around 3% of breast cancer cases, affecting approximately 7,500 women annually. Moreover, these mutations are linked to roughly 10% of ovarian cancer cases, impacting about 2,000 women each year. In spite of this, it is important to note that not all individuals with a BRCA mutation will be at risk of cancer.

The decision to undergo BRCA mutation testing ultimately rests with you. Nevertheless, taking into account your genetic background and medical history, your OB/GYN or healthcare provider might recommend this test. Engaging in an open and honest conversation about your specific risk factors and concerns with your healthcare provider can potentially enhance the chances of early detection, which often leads to more effective cancer treatments.

See Also: LIFE-SAVING: All Women Should be Aware of these Symptoms

6. What is my vulva “supposed” to look like?

Just as individuals vary in appearance and characteristics, vulvas also come in a diverse range of shapes and sizes. Unfortunately, societal expectations often impose unrealistic beauty standards, leading many women to feel insecure or abnormal about their bodies. If you observe any unusual growths or alterations in your vulva, make sure to communicate this to your gynecologist. 

A resource worth exploring is "The Great Wall of Vulva" website, which presents a collection of images showcasing diverse vaginas. Its aim is to emphasize that natural variations are entirely normal for women to embrace and understand.

7. Does menopause take away libido?

menopause

Doctors emphasize that when menopausal women experience a decline in estrogen levels, it can impact their sexual desire. Unlike Viagra for men, there isn't a singular solution to address low libido in women. Hence, maintaining an open and honest conversation with a healthcare professional, such as a doctor or sex therapist, becomes crucial if having sex becomes a tedious task rather than the enjoyable activity it should be.

8. Should I do a breast self-exam?

Even if you have not been in the habit of paying attention to your breasts, it is important that you do so. Although breast cancer cases in women under 40 are less than 5%, it is imperative for all women to regularly examine their breasts for any alterations, including lumps, irregularities, or changes, as detecting breast cancer early leads to better outcomes. Your gynecologist can demonstrate the correct technique for conducting a self-exam and educate you on what signs to watch out for. Incorporating self-exams into your self-care routine, such as during your daily shower, is simple to do.

9. Is it normal to pee when I sneeze or laugh?

Experiencing urinary leakage when sneezing or laughing is a common concern for many women. However, there is no need to let this fear disrupt your daily life. Although bladder leaks, also known as "fallen bladder" or "urinary incontinence", are prevalent among women who have given birth, they can also affect women without children. So, if you find yourself urinating during moments of laughter, sneezing, or exercising, rest assured that it is a frequent occurrence and not something you must endure indefinitely. Seeking assistance from your doctor can provide effective solutions to address this issue.

10. Does it matter if I clean my vagina?

clean

The issue of whether or not to maintain vaginal cleanliness has sparked considerable controversy within the field of women's health. A wide range of feminine hygiene products has saturated the market, tempting women to adopt self-cleansing routines. However, health experts emphasize that introducing cleansers into the vagina is not advisable. Instead, the focus should be on a gentle cleansing routine for the vulva and labia using water and fragrance-free soap daily. If you harbor any lingering concerns regarding hygiene maintenance, it would be helpful to raise them during your scheduled appointment with your healthcare professional.

11. I have been experiencing premenstrual syndrome (PMS). How can I distinguish between what is considered normal and what may be a more serious issue?

PMS

If your PMS symptoms are significantly impacting your personal relationships or hindering your performance at work or school, you should seek an evaluation. There is a condition called premenstrual dysphoric disorder (PMDD) that can lead to considerable mood changes, and this can be assessed during a visit to your doctor's office.

12. How often should I get a pelvic exam and a Pap test?

From the age of 21 onwards, it is generally advised for women to undergo an annual pelvic exam as part of their routine healthcare. However, if any issues or concerns arise, a pelvic exam may be necessary at an earlier age. A Pap smear, which involves collecting cervical cells for testing for pre-cancerous abnormalities known as "dysplasia," is not included in every pelvic exam. Typically, Pap smears are conducted every three years if the previous result was normal. For women aged 30 and above, a Pap smear combined with HPV testing can be performed every five years.

Do note that while the Pap smear itself is conducted every three to five years, during the annual visit, your gynecologist still visually inspects your cervix.

See Also: Women Over the Age of 40 Should Get These Health Tests!

13. Why does sex feel differently than it used to later in life?

Senior woman

Rest assured, you needn't feel embarrassed about asking this question, as your doctor is here to help. Changes in sensation are not uncommon, particularly during menopause. During menopause, a lack of estrogen can lead to vaginal dryness, particularly during sexual intercourse. Thankfully, there are numerous treatment options available to address this issue. These include using lubricants to alleviate discomfort, and local estrogen treatments administered in the form of creams, vaginal pills, or a vaginal estrogen ring. In addition, they include oral estrogen pills that specifically target the vaginal lining without affecting other tissues like the breasts. By exploring these various approaches, you can find a suitable solution to enhance your comfort and intimacy.

14. My breasts are different in size and/or shape. Is this normal?

It is actually quite uncommon for breasts to be perfectly symmetrical. In most cases, differences in size and shape are subtle, but occasionally, breasts can differ by a whole cup size or more. While breast shape and balance are primarily influenced by factors like overall breast tissue and body fat distribution, breast size can fluctuate, even on a daily basis, depending on estrogen levels and factors such as pregnancy or breastfeeding.

During pregnancy and particularly while nursing, a significant number of women report noticeable changes in breast size and shape. This occurs because breast fat is absorbed into the milk produced and consumed by the baby.

However, if you ever notice redness, swelling, or the presence of a lump along with any changes in breast size, it could indicate an infection or a breast tumor. In cases of swelling or redness while breastfeeding, it might be caused by a blocked milk duct. Whatever the case may be, it is crucial that you seek medical attention immediately if you observe any of these symptoms.

15. Occasionally, I observe the presence of acne or small bumps in my vaginal area. Does this mean I have an STI?

STI

The skin surrounding the vaginal region is typically covered by clothing and can become moist, creating an environment conducive to bacterial growth. This can lead to a condition called "folliculitis", where bacteria infiltrate the skin, resulting in redness, inflammation, tenderness, and the formation of bumps, blisters, or pimples. If you wax or shave the bikini area, you may encounter harmless red bumps or pimples caused by irritated hair follicles.

If you have persistent bumps or pimples in your vaginal area, it is advisable to consult your doctor to rule out the possibility of a sexually transmitted infection, such as genital warts (human papillomavirus) or herpes. In the case of vaginal acne or folliculitis, your doctor may recommend antibiotics to alleviate the infection.

Sources: The Healthy, WebMDMoreland OB-GYNOchsner HealthJohns Hopkins Medicine HomeOB-GYN Women’s Centre of Lakewood Ranch

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