pelvic exam
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Author(s):  
Dr. Surendra Pandey ◽  
Dr. Harvinder Singh

Electropathy/Electrohomoeopathy is a comparatively modern medical technique that falls under the genre of complementary and alternative medicine. This medical technique was discovered in Italy in 1865 by Count Ceaser Mattei. Its drugs are composed entirely of herbal/medicinal plants and are manufactured with purified water and a sophisticated process of extracting spagiric essence from medicinal plants at room temperature. Uterine fibroids are noncancerous uterine growths that commonly arise during childbearing year. Uterine fibroids, also known as leiomyomas (lie-o-my-O-muhs) or myomas, aren't linked to an increased risk of uterine cancer and almost never turn cancerous. Fibroids range in size from microscopic seedlings that are undetectable to large masses that deform and expand the uterus. A single fibroid or a group of them can be present. Multiple fibroids can cause the uterus to enlarge to the point where it reaches the rib cage, causing weight gain. Uterine fibroids affect many women at some point in their life. However, because uterine fibroids rarely cause symptoms, people may be unaware that they have them. During a pelvic exam or a pregnancy ultrasound, fibroids may be encounter by chance. By the time they reach at the age 50, 20% to 80% of women experience fibroids. Women in their age forties and early fifties are the most susceptible to develop get fibroids. In this article we are going to discussed effectiveness of Electrohomoeopathy medicine on Uterine fibroids. How a new medical science which is totally plants-based source cost effective and accelerating its mechanism of action due to specialization of its unique fundamental principal and philosophy and satisfaction of patient due to the extraordinary result of Electrohomoeopathy medicine.


Author(s):  
Jenny Gleisner ◽  
Ericka Johnson

This article is about the feelings – affect – induced by the digital rectal exam of the prostate and the gynaecological bimanual pelvic exam, and the care doctors are or are not instructed to give. The exams are both invasive, intimate exams located at a part of the body often charged with norms and emotions related to gender and sexuality. By using the concept affective subject, we analyse how these examinations are taught to medical students, bringing attention to how bodies and affect are cared for as patients are observed and touched. Our findings show both the role care practices play in generating and handling affect in the students’ learning and the importance of the affect that the exam is (or is not) imagined to produce in the patient. Ours is a material-discursive analysis that includes the material affordances of the patient and doctor bodies in the affective work spaces observed.


2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Kelly Wong ◽  
Victoria Lawton

We reviewed scientific literature relating to the vaginal speculum considering the widespread use of this tool within women’s health. Through a literature review, it is clear that the speculum is not specialized enough to be used for all populations who require the procedure. Despite the fact that the current standard of care is not sufficient for all patients, evaluations of industry solutions are not evident in the current literature, explaining physician hesitancy to adopt these new devices. Additionally, while scholarly literature exists regarding overviews of the topic, novel designs, and general improvements for speculum usage in pelvic examinations, there are noticeable gaps in the scholarship regarding frequency of scholarly output and a blatant disregard for obese populations in vaginal speculum research. More scholarly literature must be published in order to improve awareness of the vaginal speculum and pelvic examinations so that women receive the best care possible. More specifically, novel designs must be evaluated for efficacy and comfort, and more research should be conducted on the pelvic examination procedure and its use on obese patients.


2021 ◽  
Vol 12 (1) ◽  
pp. 339-343
Author(s):  
Isha Talwar

Polycystic ovarian syndrome is at the present a well-known disease disturbing 6% to 25% of women of reproductive age, based on their interpretation. Over the past three decades, research has led to it becoming a disease more common to internal medicine procedures, from relative medical obscurity. It impacts many processes and allows for an advanced health care approach for successful diagnosis. Metabolic disorders and related complications include insulin and diabetic resistance, hyperlipidemia, elevated blood pressure, fatty liver syndrome and sleep apnea. Oligo-/amenorrhea, endometrial hyperplasia and cancer are all reproductive complications. Depression and disordered behavior are both linked to psychosocial problems. Cosmetic problems may include hirsutism, androgenic alopecia and acne. The diagnosis of PCOS takes place only if the patients have at least 2 of the 3 symptoms, namely high (High Androgen level, Presence of ovarian cysts and Irregular Periods). Diagnosis is confirmed following a pelvic exam, blood tests along with an ultrasound to determine the structure of the ovaries. This analysis addresses the mnemonic "MY PCOS" in a multiple system approach and explores the diagnosis and therapeutic strategies for developmental, cosmetic and metabolic complications. This paper gives an analysis of polycystic ovary syndrome treatment for females. The debate must emphasize the various particular issue to be dealt with in the management of this situation mnemoic "MY PCOS".


2020 ◽  
Author(s):  
Daniel M. Breitkopf

Abstract Background: Patients with elevated BMI pose a number of challenges for the gynecologist. Pelvic examination may be more difficult due to adiposity in the perineum and labia, increasing the distance between the vulva and cervix. The objective of the current work was to describe use of the lateral decubitus position to improve visualization of the cervix in women with severe obesity. Methods: From 7/1/2010 until 1/31/2020, all records of patients with obesity and unsuccessful cervical visualization during pelvic exam in the dorsal lithotomy position in the author’s clinical practice were reviewed after obtaining Mayo Clinic Institutional Review Board approval. For the lateral decubitus position, the patient was asked to lie on her side on the exam table, facing away from the examiner with knees bent. An assistant elevated the upper bent leg 45 degrees from horizontal, exposing the perineum. A vaginal speculum was then placed in the vagina with the posterior blade toward the anus. The speculum was opened gently as would be done with examination in dorsal lithotomy position until the cervix was visualized.Results: Eleven patients with severe obesity in the gynecologic practice of the author with prior unsuccessful cervical visualization in dorsal lithotomy position were examined in the lateral decubitus position. In all but one case the cervix was successfully visualized in the lateral decubitus position and all intended intrauterine procedures were successfully performed. Conclusions: The use of the lateral decubitus position appears to improve visualization of the cervix in the outpatient setting among women with severe obesity. Consideration should be given to use of the lateral decubitus position when the cervix cannot be visualized in the dorsal lithotomy position.Trial registration: not applicable


2020 ◽  
pp. 141-167
Author(s):  
Kelly Underman

Insofar as GTAs train medical students to become attuned to the sensations in their own bodies in order to examine the body of another, this process is particularly interesting in the context of teaching and learning the pelvic exam. There, objects of the medical students’ attention—cervix, ovaries, and uterus—are enclosed on the inside of the whole, fleshy body of another person, and learning to discern organs, healthy or diseased, relies on learning to “read” one’s own bodily sensations appropriately. This creates novel tensions and troubles thinking of the body in terms of subjects and objects, insides and outsides, parts and wholes.


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