Speculum hymen. It is created by Barbara Bates, M.
Speculum hymen. A speculum could then, yes, break or stretch this membrane. Your Doctor will have to use his judgement on this. Some people feel pain or bleed when their hymen breaks. Be sure the medical assistant is aware your daughter is a virgin with an intact hymen so the set-up will be be prepared with a smaller speculum for the clinician to use. Sep 27, 2024 · The hymen is a piece of tissue that lines the vaginal opening. Cleanliness is important in performing an examination of the cervix and the vagina. This video covers the introduction to the pelvic exam and the external genitalia exam. will the speculum hurt or tear my hymen? Pelvic exam is a important part of the exam for female patients and important towards making various diagnoses such as yeast vulvovaginitis, bacterial vaginosis, lichen sclerosis, cancers such as cervical cancer, anal/rectal cancer, sexually-transmitted infections (gonorrhea, chlamydia, trichomonas, syphilis, herpes and human papillomavirus) and many other diagnoses. The hymen is like a scrunchie that can stretch, but if there’s never been anything in it larger than a tampon then it could be uncomfortable. The tissue can naturally stretch or tear due to various physical activities unrelated to intercourse. There is an option to use a smaller speculum for the exam. I’m not an expert, but I do vaginal exams and typically use a smaller speculum on someone who’s never had sex because of comfort relating to the hymen (at the opening), not the vagina itself. The speculum should not break your hymen, either. Some women barely have any hymen at all and what they do have isn't closed, and some have so much it makes penetration and sex the first time super painful and uncomfortable. Mar 26, 2024 · A guide to performing a speculum examination in an OSCE setting, including step-by-step images and a video demonstration. If you have one, follow the steps below and then continue with the exam on the next page. Lalita Kaplish explores the history of the implement and how societies shaped its use. Drost M Nov 11, 2024 · The doctor or nurse will gently insert a speculum to hold the vaginal walls open and use a soft brush to collect the cell sample. The bright speculum light is positioned to permit viewing of the cervix and the vagina, as well as possible secretions. The hymen usually encircles the opening. It is important to remember that some parents and adolescents fear that the speculum will alter virginity. The hymen and its variants The hymen (Latin, veil), the anatomical doorway to the vagina, is located at the interface of the introitus and This annotation is about gently examining the hymen as part of your systematic exam when assessing a patient for pain, dyspareunia, or any other vulvovaginal complaint, and then examining the pelvic floor, both prior to speculum exam. If you do not have a speculum, you can get much of the same information by following the steps in How to feel the reproductive parts inside the abdomen. Oct 15, 2024 · At some point, most adult women will come into contact with a vaginal speculum during a pelvic examination for health check purposes. The instrument, formally known as the vaginal speculum, is as technologically primitive as the era that spawned it — a maladroit, Procrustean apparatus guaranteed to unsettle even the strongest of constitutions. When Nikkei ejaculated his semen inside me that first time, I knew immediately that we had conceived. The speculum (length 24 cm, diameter 4 cm) should be washed and disinfected between each examination. In such cases, an examination Feb 8, 2010 · Is it possible for a woman to be too small for the speculum? What's going to happen to my hymen? *Kudos for caring about your sexual health before sex begins. This is more pronounced in maiden mares which have experienced estrus. This is the segment Female Genitalia, Anus, and Rectum from a series of twelve videos demonstrating the procedures, pacing, positons, and examiner/patient interaction necessary to perform the physical examination. If you have used a tampon, it should feel no more painful than that. There are different sized speculum’s used to do the exam. The doctor told me I was ovulating when she did her exam, and warned me not to have intercourse unless I wanted to become pregnant right away. AI generated Apr 13, 2022 · The hymen is a piece of tissue that surrounds or covers the vagina. Many are asymptomatic and are detected by careful speculum examination; others present with pain, dyspareunia, or vaginal bleeding. In postpubertal females, the hymen is thickened and redundant; a cotton-tipped applicator can be used in the postpubertal female to unfold and examine the edges of the hymen. Types of hymen and how to deal with themThere is a lot of misinformation about women and their bodies, especially regarding the types of hymen. 1 Anatomical Considerations Jan 11, 2023 · In the past, when virginity was still firmly linked to the idea of a membrane called the hymen, the speculum was feared because it was thought to break the hymen and end virginity. After it’s inserted, it will be gently opened so that your health care provider can see your vaginal canal and your cervix (the opening to your uterus). A pelvic exam does not affect your virginity. Here is everything you need to know about these tools. This video shows how to do a speculum exam. Nurses A speculum is never used in the examination of a prepubertal girl, except in rare examinations under anesthesia. If complete, it might lead to a condition resembling white heifer disease in cattle. Indications include (but are not restricted to) the examination of newborn female babies, skin rashes in the genital area, urinary tract infection, enuresis, herniae and symptoms affecting the genital area. Another less common variation in normal hymenal morphology is the redundant or sleeve-like hymenal opening (Figure 5). The vaginal speculum is an instrument in a contested technology. The video provides a step-by-step demonstration of how to perform a speculum examination in an OSCE station. You will already have done pain and symptom mapping with the Q-tip test and may use the Q-tip to also assess the vestibule up to the hymen and the hymen itself Oct 7, 2025 · Yes, a speculum can be inserted into the vagina when the hymen is intact, as the hymen normally has an opening that allows for menstrual flow and can accommo The hymen may be described as annular with hymenal tissue present 360° around the opening from 12 o'clock to 12 o'clock (Figure 3) or crescentic with areas of missing hymen above 3 o'clock and 9 o'clock (Figure 4). : specula or speculums) is a medical tool for investigating body orifices, with a form dependent on the orifice for which it is designed. Any speculum only needs to be opened 2-3 cm to visualize the cervix, and the hymen will usually stretch to accomodate a medium speculum without undue discomfort. Mar 17, 2016 · Starkey explains that all you need is a speculum, like the one your gynecologist uses to open the vagina for exams (but inserted upside down, so you can reach the handle through your legs), a Part 2 of this Video : • Gynecology Examination Part 2 - Speculum E Pelvic exam Preparation After explaining the details of the procedure and obtaining the patient's verbal consent, ask the 3. Jun 27, 2018 · A speculum is a duck-bill-shaped device that doctors use to see inside a hollow part of your body and diagnose or treat disease. Apr 13, 2022 · The hymen is a piece of tissue that surrounds or covers the vagina. You will already have done pain and symptom mapping with the Q-tip test and may use the Q-tip to also assess the vestibule up to the hymen and the hymen itself We would like to show you a description here but the site won’t allow us. Dec 4, 2021 · Introduction Architectural abnormalities of the vagina are diverse; time of presentation varies from birth to postmenopause. Your HCP will gently place the speculum into your vagina. Next time try to relax first. Normal variants that will be discussed include. Generally the hymen actually has very few nerve endings. Oct 3, 2018 · Depression between posterior attachment of the hymen to the vaginal wall and posterior fourchette Moist tissue, like inside of mouth See previous slide also To those who haven't experienced a speculum: You can still have your hymen intact even after penetrative sex! It does not go away at any point, though it can be slightly torn from any physically intensive including bike riding and gymnastics. i'm 21, a virgin, & concerned about pain. The hymen is defined as a thin, usually perforated membrane located at the entrance of the vagina, exhibiting various anatomical variations and histologically covered by stratified squamous epithelium. Mar 11, 2019 · Yes: To insert an IUD such as Mirena, a speculum is inserted in the vagina so the cervix can be visualized, and this stretches the hymen. This would damage a woman's "purity" and make her unmarriable. The vagina and cervix may be examined using Killian nasal speculum, a fiberoptic vaginoscope, cystoscope, or flexible hysteroscope with saline lavage. Oct 11, 2025 · During your first Pap test, you might feel pressure when the speculum (a medical tool used to open the vaginal walls slightly) is inserted. The speculum CAN cause your hymen to tear, or you might have a little bit of bleeding from your cervix, but if your doctor is gentle and you don't tense up, you should be fine. Avoiding posterior pressure on the hymen with insertion can reduce pain. Rarely, it completely covers the opening (called an imperforate hymen), making it impossible for menstrual blood to pass. Therefore, we will review together in my Dalili Medical the types of hymen and whether it is considered evidence of virginity in all Jul 23, 2020 · This section reviews normal genital and anal anatomy of prepubertal children. In such cases, a procedure is done to open the hymen. However, medical professionals emphasize that the presence or absence of an intact hymen does not reliably indicate sexual history. Adult specula come in small, medium, and large. D. Foam should be rinsed from the speculum to keep glistening from "obscuring" the field of vision. Persistent hymen Easily diagnosed during the process of insertion of the speculum. The Speculum Exam (Part 2): The speculum is an instrument made of metal or plastic. It is widely known that first time intercourse can lead to light bleeding that signifies the membrane is torn in the act. Pelvic ExamPelvic Exam The hymen is often misunderstood as a definitive marker of virginity or sexual activity. However, during this Everyone is made differently & the hymen can also be different in different women. Sep 13, 2018 · Not usually: The first pelvic exam is usually more scary than painful. Hymens come in all shapes and sizes. Fact: Cervical cancer often doesn't cause any noticeable symptoms in its early stages. Still have questions? Get the best care from a doctor who knows you. Gynecologists Conclusions about women’s and girls’ sexual history are made in some settings based on assumptions about the hymen, a small membranous tissue with no known biological function, which typically occupies a portion of the external vaginal opening in Can u use speculum on virgin? Vaginal Exam and the Hymen It's not a comfortable exam, but if it's done gently, with a small speculum (which is inserted into the vagina to open it for the pap smear), then it won't tear your hymen. You can access our step-by-step OSCE guide to acc The vaginal Examination or female pelvic examination is an important clinical skill - as part of abdominal complaint work up in womenOften at Medical School, The hymen can stretch or tear as a result of various behaviors, by the use of tampons [8] or menstrual cups, pelvic examinations with a speculum, or sexual intercourse. It may be in different shapes in different people. When the introitus is narrow, due to atrophy, the patient is tense, or virginal, the thin virginal speculum usually allows for a satisfactory exam. In children, pelvic masses may be palpable in the abdomen. The pain many people feel from a speculum or first time sex is not the hymen breaking but stretching an unprepared vagina, which hurts WAY WAY more than a hymen breaking. Learn more here. The hymen may tear at the first attempt at sexual A 1995 VHS tape from a medical libary titled A Visual Guide to Physcical Examination: Third Edition. It has an opening that is typically the size of your finger. When the hymen is first separated, such as with intercourse or tampon use, very mild bleeding and sometimes slight pain may occur. Do you really want your bride's first introduction to sex with you be a nasty uncomfortable unenjoyable experience? The virginity myth In the past, when virginity was still firmly linked to the idea of a membrane called the hymen, the speculum was feared because it was thought to break the hymen and end virginity. The medium Pederson speculum is a good, multipurpose speculum, well-tolerated by most patients, and providing a very good view of the pelvic structures. Jun 28, 2007 · Patients with physical or mental disability, abnormal anatomy, or physical immaturity with an intact hymen may be difficult to examine in the ambulatory setting. Here, healthcare professionals can access pediatric and adolescent gynecology medical education videos about diagnosing endometriosis, imperforate hymen and more. Jul 1, 2022 · Here’s what you’ll need: a flashlight, a speculum (a metal or plastic tool used to hold apart the walls of the vagina), and a hand mirror. It is preferable to do vaginal examination with instrumentation under anesthesia Fig. Observing the color, size, and shape of your cervix and the changes in your vaginal discharge and cervical fluid during the different stages of your menstrual cycles allows you to learn what is normal The outrage I felt investigating the virginal speculum is in the power that medical language, and health care providers as purveyors of such language, have to shape how people FAMILY MEDICINE with vaginas and society at large understand the body. Here the speculum is rinsed with a Nolvasan solution. Apr 4, 2023 · Giving proper and thorough gynecological care requires a provider to use a vaginal speculum. Jun 28, 2023 · Why does the speculum hurt so much? Discover the reasons behind discomfort and learn tips for a more comfortable gynecological examination. This might include a nasal speculum (for use in the vagina), hysteroscope (for use in the vagina), narrow speculum (rather than the usual adult size) and adequate lighting. A speculum exam can sometimes stretch or tear the hymen, but it depends on the hymen’s shape, thickness, and prior status. Jan 30, 2018 · The hymen is a thin membrane surrounding the vagina. Feb 20, 2020 · Misinformation and circulated myths about women’s health can be incredibly harmful for women. Oct 27, 2024 · Pelvic exams are done to find out if you have a gynecological problem. Editor —We agree with Paterson-Brown that education about the hymen is urgently needed. In children, internal pelvic examination is typically performed as an examination under anesthesia. The virginity myth In the past, when virginity was still firmly linked to the idea of a membrane called the hymen, the speculum was feared because it was thought to break the hymen and end virginity. This shows the use of a speculum. This information may cause harm and damage to some women due to ignorance of complex concepts and widespread myths. I can not imagine doing it with out breaking your hymen. [11] A glass or plastic rod of 6 mm diameter having a globe on one end with varying diameter from 10 to 25 mm, called a Glaister Keen rod, is used for close Any speculum only needs to be opened 2-3 cm to visualize the cervix, and the hymen will usually stretch to accomodate a medium speculum without undue discomfort. Speculums are designed for insertion into the birth canal, which may be uncomfortable but does not usually cause pain. I do not believe there is strong evidence for you to have pap smear if you are not sexually active. Watch this video to learn more about Pelvic Exam With Speculum. Abstract While there is a large body of evidence on the effectiveness of Pap smears for cervical cancer screening and on screening for cervical gonorrhea and Chlamydia, there is sparse evidence to support other portions of the pelvic examination and little guidance on examination logistics. The periurethral glands (Skene’s glands) have tiny ducts that open onto the surface. Vaginoscopy with an irrigating endoscope can be performed in the office or as an examination under anesthesia. Even as his penis stretched and broke my hymen, it was pure pleasure. The entire process is usually quick and over within minutes. How to do a speculum exam A speculum is useful for looking at the cervix and vagina. A speculum (Latin for 'mirror'; pl. It is created by Barbara Bates, M. One common use of the speculum is for vaginal exams. Maximizing comfort should be the goal; lubrication use and careful speculum selection and insertion can A speculum could then, yes, break or stretch this membrane. However, there are instances that can lead to losing your virginity even without engaging in penetrative intercourse. Women who have used tampons have usually stretched the hymen and do not find the speculum to be painful when inserted. A speculum is a tool for looking inside a woman’s vagina. 6: Vaginal speculum is used to visualize the vagina and cervix in a nonvirgin adolescent. As the oldest instrument in the technology of obstetric surveillance and diagnosis, the vaginal speculum provoked serious debates about the propriety and power of looking at women’s bodies. Speculum is lubricated, patient is asked to relax their pelvic diaphragm and the speculum inserted slowly with blades closed and pointed posterior toward the coccyx The hymen is a ring of tissue located just inside the opening of the vagina (see figure External Female Genital Organs). Clear visualization of the hymenal opening should occur before any speculum insertion. Learn more from an Ohio State expert. In old texts, the speculum may also be referred to as a diopter or dioptra. I ndications for a genital examination Inspection of the genital area of girls and young women is commonly required as part of good medical practice. Septum may be partial, and might be brushed aside during introduction of the speculum. One commonly misunderstood part of female anatomy is the hymen. You may need to have a pelvic exam if you have vaginal discharge, pain, irregular periods, or other symptoms. You aren't aroused during the pap smear, so it makes sense to experience some Sep 1, 2010 · The American Academy of Pediatrics promotes the inclusion of the gynecologic examination in the primary care setting within the medical home. Sep 26, 2023 · The vaginal speculum carries the weight of generations of preconceptions about morality, blame and attitudes to pain. May 4, 2015 · The pelvic exam consists of three parts: the visual and manual exam of the external genitalia, a speculum exam, and a bimanual exam. Gynecologic issues are commonly seen by clinicians who provide primary care to adolescents. It doesn’t break the hymen the way penetration might, and it’s not a sexual experience. Medical professionals undertaking the EUA should have adequate knowledge to allow recognition and interpretation of the findings/pathology in girls and young women. Contemporary devices, such as the ultrasound machine and the electronic fetal monitor, continue to engender debates about looking. Inserting a speculum is an essential skill for examining the vagina and cervix and performing procedures such as IUD insertion. Some of the most common concerns include questions related to pubertal development; menstrual disorders such as dysmenorrhea, amenorrhea, oligomenorrhea, and 19yo Ayza Hitachi Gyno Speculum Gaping Open Swollen Tee Sexy Nurse Riki Gyno Speculum Play Gaping Ginger Pussy 19yo Amanda Virgin Gyno Speculum Hymen Search Pussy Pum Littlesubgirl - public gyno - GynoExam Gyno Gaping Lucia Pussy Two Convulsive Female Orgasms C Becky Berry Gyno Speculum And Six Real Gaping Orgasms W I'm considering going for my first pelvic exam & pap smear. With this juncture, there is usually complete canalization of the vaginal canal, and this membrane retracts with only a small remnant of circumferential, redundant tissue around the vaginal introitus. clevelandclinic. The periurethral glands (Skene's glands) have tiny ducts that open onto the surface. This would See full list on my. Look for the hymen or remnants of the hymen and identify any redness just exterior to the hymen that can indicate vulvar vestibulitis. But how do you know if your hymen is broken or torn Nov 6, 2018 · The source of confusion here is the hymen, which is a small thin layer of tissue that sits inside the vaginal opening. The PNP should reassure parents and patients that a properly performed speculum examination will not alter the hymen. A pap test is not sexual. If your hymen opening is very small, there is an outpatient operation than can open it up some. 1. May 1, 2017 · Not sure if you have a torn hymen? You shouldn't worry either way, but if your curious we explain how to know if your hymen is broken. Jun 2, 2023 · A pediatric vaginal speculum should not be used in routine examination of the prepubertal child's vagina because there is a risk of traumatizing the hymen and vaginal walls, even if the child is under general anesthesia. 1 However, there is no evidence from the study by Emans et al 2 that the “appearances [of hymens] relate to tampon use,” only that speculum examinations were rated as easy in 56% of the examinations of non-sexually active tampon users compared with 26% Look for the hymen or remnants of the hymen and identify any redness just exterior to the hymen that can indicate vulvar vestibulitis. This is standard practice during routine cervical cancer screening, for example. [1] Remnants of the hymen are called carunculae myrtiformes. Maximizing comfort should be the goal; lubrication use and careful speculum selection and insertion can Also, not all women have closed hymen to begin with. The hymen may be described as annular with hymenal tissue present 360° around the opening from 12 o'clock to 12 o'clock (Figure 3) or crescentic with areas of missing hymen above 3 o'clock and 9 o'clock (Figure 4). Can a speculum break your hymen during a pelvic exam? A speculum can potentially stretch or tear the hymen, but it depends on the hymen’s type and elasticity. (not May 23, 2019 · Background The hymen is a squamous tissue structure that invaginates from the perineum (urogenital sinus) to meet the longitudinal vaginal canal (a müllerian structure). Even after experiencing penetrative sex, a speculum can still hurt. Look for them next to the urethra. [1] Like an endoscope, a speculum allows a view inside the body; endoscopes, however, tend to have optics while a speculum is intended for direct Sep 24, 2023 · For females with hymens, it may hurt when the hymen breaks or tears, which can happen during many activities, including penetrative sex. Find a doctor and schedule an appointment today. It will describe the physical changes of genitalia that occur as a child moves toward puberty, with particular attention to hymen morphology. org Oct 30, 2020 · Definitely: For pap smear to be done , speculum has to be inserted . If the speculum hurts during examinations, there may be May 16, 2019 · No: Virginity means no sex. Myth 3: You don’t need a Pap smear if you feel healthy. Oct 7, 2025 · Speculum Insertion with an Intact Hymen Yes, a speculum can be inserted into the vagina when the hymen is intact, as the hymen normally has an opening that allows for menstrual flow and can accommodate a properly sized speculum when inserted carefully. For years people have associated the presence of a hymen with the idea virginity. The Caslick speculum is fully inserted and the blades have been expanded. It undergoes structural changes influenced by hormonal factors throughout different life stages, including being annular in newborns and becoming thinner and paler postmenopausally. A pelvic exam is needed for a Pap test or an IUD insertion. Curious about what happens to the hymen during first-time sex? In this video, we break down common myths and provide factual, science-based information about the hymen. Bleeding after a pap smear is pretty normal, I always bleed/spot a bit after I have them. Apr 1, 2018 · Placing the speculum horizontally, as opposed to inserting it at a 45-degree angle and turning, may reduce pressure and friction on the hymen. What Is a Speculum and Why Is It Used? A speculum is a medical instrument Look for the hymen or remnants of the hymen and identify any redness just exterior to the hymen that can indicate vulvar vestibulitis. g7drih ocf 66o4 tj8b uub sed ihvtjf p8ukdh vqsmznrnj l9uq