Why do gynecologists ask before the examination when sex began and how many partners were there?

Why do gynecologists ask before the examination when sex began and how many partners were there?

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answers (12)

Answer 1
August, 2021

And they are doing the right thing that they ask such questions, identify risk factors. The number of sexual partners, more than one is already a risk, and if 7-8 passed through it, there is a bouquet in any case, latent infections, HPV, etc. ... but about the position in sex and when was the act, how often, how often do you change partners, whether you use a lubricant, or condoms, it would also be good to ask everyone, many indirect leading questions help to determine the condition of the genitals, the presence of hidden diseases, inflammatory processes, the state of reproductive function. Moreover, now the girl has, on average, by the age of 27, up to 7-8 partners have gone through her, and if she has not yet treated the STD, then they are there for everyone.

Answer 2
August, 2021

The doctor is a multifaceted profession, when collecting anamnesis, this question can make the doctor understand information about the moral and ethical perception of the patient, which can help in setting the differential. diagnosis of the disease.

Answer 3
August, 2021

Before prescribing treatment, the doctor must ask such questions, it is imperative how what time did menstruation begin at what age did they begin and take appropriate tests

Answer 4
August, 2021

Doctors do not ask anything superfluous, but if they ask, it is to clarify the diagnosis or treatment or additional examination.
This is some kind of discovery for you.
And for them it is everyday life to which they are accustomed. .

Answer 5
August, 2021

In order to analyze the answers, mentally assign a woman to a risk group (for example, the development of cervical cancer, inflammatory diseases of the pelvic organs, etc.)

"

Answer 6
August, 2021

What's this!

Before each examination, my gynecologist asked me "When was the last sexual contact?" And to my standard answer "For a long time, I have been divorced", there was always a splash of hands "You can't do that! A woman definitely needs it !!!!"

After a couple of visits, I stopped going to her.

Answer 7
August, 2021

As we were taught, the presence of sexual activity determines the examination - vaginal or rectal, it's true. But about the age and the number of partners is a moot point. Again, in the books on obstetrics and gynecology, the phrase "the provoking factor for the appearance of urogenital infections is early sexual activity and a large number of partners" flashes. But in fact - who determines this "largest number"? What period of time can be considered "long"? All the same, objective data and test results will be decisive factors in treatment.

Answer 8
August, 2021

Usually they ask about sex to find out if it is possible to conduct an examination through the vagina (otherwise it is done through the anus).

Answer 9
August, 2021

The question surprised me: I have not asked anyone about this even once in seven years of work. Not because he was a fool: he graduated with honors, “excellent with honors” for obstetrics, they suggested leaving the department.

Simple

1) this was not included in the anamnesis collection. taught, exactly the same as the questions about preferred positions in sex

2) for me as an obstetrician-gynecologist, this information was redundant. Despite the fact that, in general, the anamnesis at the first visit I collected extremely meticulously. These are questions that are informative for a sexologist, sex therapist; but for a pulmonologist, orthopedist and gynecologist - I do not understand. Infections are detected by analyzes, not estimates: a, this one had 3 partners, and this one 8. And if the age of the first menstruation and when it was established (and whether it was established) is very important, then the age of onset of sexual activity - ?? Lived sexually in general or not - yes, but from 15 or 20, - what will change from this in terms of examination, diagnosis, treatment?

That is, I fully admit that over the past 20 years, standards collection of anamnesis, as they are given in the university, have changed. Well, in this case, the doctor may ask "how they taught"; but, again, if this is not a sexologist's appointment, the practical meaning of these questions at a medical appointment is not clear to me.

Answer 10
August, 2021

Not really about a question, but a funny story on a topic or a special section "how to understand that you shouldn't return for a second appointment".

I was 17 years old. In the anamnesis - amenorrhea, anorexia, and, in principle, not diagnosed atrophy of the brain. To deal with my many health problems, I decided to start in alphabetical order. It should be noted that I am a long-term patient of gynecologists-endocrinologists, taught by bitter experience (2 cysts and about 5 cases of hospitalization with apoplexy / 3 times lost card in a state consultation / many years of absolutely senseless intake of vitamin E). So I immediately went to a paid clinic. By the way, to a doctor with many years of experience and excellent reviews.

After 5 years, I remember these events and understand what I did wrong. Icon. The icon in front of the gynecological chair - that was what should have stopped me, a sinner who indulged in fornication at the shameful 17 years, also known as the average client of paid gynecology.

In short, a doctor in her 70s was a clear fan of detailed medical history. This is very cool, but only after the news about "yes, sexual partners were" all other information received "the partner was 1", "yes, protected" was put under GREAT doubt. I was asked several times about the abortion (no, it was not, but a highly qualified doctor clearly put me in the category where it cannot be absent). And at the end I tried to give an author's brochure (the price of knowledge is 35 rubles) about how important it is not to sleep with "just anyone" from a physiological and religious point of view. Unfortunately, I was hastily pulling on tights and mentally ran out the door. Not a single question was asked either about obvious anorexia, or about the nature of menstruation before amenorrhea. I went out and cried.

A useless trick, well spent 1500 rubles (or maybe 1535), but a memorable story.

Conclusion: choose the right doctor. Sex life is very important information for a doctor, really. But a gynecologist is such an important doctor for a woman that you better find someone who can easily and calmly tell the whole truth about such an awkward (or stigmatized by patriarchal society) topic.

Answer 11
August, 2021

Not a single gynecologist asked me these questions. Of the similar ones, only "are you sexually active?" and "there was at least one boy ?!" from a disgusting aunt from the student clinic. And the first question is quite justified, since a positive answer can entail various consequences, but the second is simply a desire to moralize. I see no objective reason to ask about the number of partners or the age of sexual debut.

Answer 12
August, 2021

Depending on when sexual activity began, you can determine the risk of contracting various infections, for example, chlamydia, human papillomavirus infections, etc. Any of them can lead to serious consequences in the body.

Based on the examination, as well as your answers about the onset of sexual activity, menstruation and complaints, the doctor draws conclusions about the presence of infections and prescribes the correct examination.

The very fact of having sex determines the way of examination and etc., since for women who have never had a sex life, the examination is slightly different.

The beginning of sexual activity is also important in identifying hormonal disorders.

It is advisable to answer honestly during the examination by a gynecologist to all questions, since when making a diagnosis, the first place is to take anamnesis and patient complaints, and not an examination. The doctor treats the patient, not the tests. If you hide any facts, the doctor may order an incorrect examination and, accordingly, have difficulties in making a diagnosis, and this is not in your interests.

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