Being a woman in my mid-30, it was time for my annual pelvic exam but my former doctor, a distinguished looking and fatherly type Canadian, had retired so I was going to a new gynecologist for the first time. Leaving my office where I am the nurse manager of a private medical practice in mid-day, I drove the few miles to the new doctor's office complex and walked into the waiting room.
Introducing myself to the receptionist, I was handed a sheaf of papers to be fillled out before the examination. Taking a seat in the waiting area, I completed the necessary paperwork and waited patiently while discretely surveying the other three women waiting for the same reason.
As I attempted to occupy myself with an old magazine, I heard my name being called. I looked in that direction and saw a nurse, dressed completely in a blue scrub top and trousers, standing by the open doorway to the office suite.
ome with me,?she said as I followed her down the short hallway and into a small but well-appointed examination room.
"Okay, Colleen, I see here that you're a nurse so you know the routine - everything comes off, put on this drape, and hop up on the table."
As the nurse was washing her hands at the sink, I removed my blouse and then my skirt. Standing in my bra and pantyhose, I was hoping she would leave to afford me some privacy before removing my bra and my pantyhose. But she just stood there, patiently waiting as I unhooked my bra letting my breasts spill out and slipping my pantyhose past my hips and onto the floor.
As I reached for the flimsy paper drape I could feel the coolness of the room on my bare skin and my nipples beginning to react. Putting my arms through the holes in the drape, I realized that it barely reached my hips leaving the bottom of my buttocks and part of my genitals exposed. As I was holding the back together as best as possible and moving toward the exam table, the nurse said to come over to the scale where she checked my height and weight, 5-foot 2-inches, 115 pounds, same as it was the year before. She then asked my to turn around to view the opposing wall and read the eye chart.
When that was finished, she pulled the extension out of the end of the exam table and said to get up on the examination table and lay down with my legs fully extended.
I hopped up on the vinyl-covered table as the table paper crinkled with my weight as swung my legs into the requested position. After covering me with a paper sheet, the nurse left saying to make myself comfortable and that the doctor would be in shortly.
After staring at the ceiling for a few minutes and contemplating what was upcoming, I heard a knock on the door. The door swung open and the doctor entered, followed by the same nurse in her blue scrubs. He was sharply dressed with matching shirt & tie, khaki slacks and a starched white lab coat. He looked young enough to have just completed his residency. As he introduced himself, he asked me to sit up on the edge of the table.
He began the examination by putting a digital thermometer in my mouth and taking my blood pressure. Taking a penlight from his jacket pocket, he looked into my eyes, ears and throat; and then felt the glands in my neck and listened to my carotid arteries with his stethoscope. Reaching around to my exposed back and asking me to take repeated deep breaths, he listened to my lungs. Removing the cold stethoscope from my back, he gently slid the stethoscope down inside the front of the drape to listen to my lungs and heart.
As the digital thermometer beeped, he took it out and handed it to his nurse who was busy placing instruments and the like on a Mayo stand next to the end of the exam table. He then asked my to swing my legs around and lay flat on the exam table. Lowering the sheet to my waist, he slowly lowered the paper drape from my shoulders exposing my breasts as he placed my arms over my head, first the right and then the left as he very methodically and systematically examined my breasts. After asking me to lower my arms to my side, he repeated his examination, carefully probing each quadrant of my breasts and examining the nipples for any discharge. Finding nothing abnormal, he raised the drape to cover my breasts and expose my abdomen.
He prodded and palpated each quadrant of my abdomen for a couple of minutes or so pressing deeply with his fingers and lowering the sheet further and further as he worked his way downward to just above my pubic hair where he gently pressed on both sides of my bladder noting its size and firmness.
ou haven't voided yet, have you??he asked. Answering that I hadn't, he directed me to the adjacent bathroom and asked for a urine specimen and said to completely empty my bladder.
t will make the rest of the examination more comfortable,?he added as the nurse removed the paper sheet and helped me off the table and onto the linoleum floor.
Swinging my legs off the examination table, I tried to cover my backside with the flimsy paper drape but it was a useless effort, the sides didn't meet in the middle. I felt a cool breeze on my butt and genitals as I plodded toward the bathroom, specimen cup and towelettes in one hand and the other hand trying to hold the drape together to avoid mooning my new doctor and his nurse.
Sitting on the cold toilet seat and carefully spreading my vaginal lips to wipe the area with antiseptic towelettes, I started to pee and quickly move the specimen cup under the flow to collect the requested specimen. After filling the plastic container more than halfway, I moved it out of the stream and continued to pee, fully emptying my bladder. After finishing and carefully sealing the urine container, I went back into the exam room and headed toward the table.
As I climbed back onto the table, the doctor was telling his nurse that he wanted to begin with the pelvic and then end with the rectal exam. The nurse helped me scoot my butt down to the end of the table as she extended the metal stirrups. She carefully lifted each of my feet and placed them in the padded metal stirrups causing my legs to open wide, which in turn pulled my labia open, the outer and inner lips and exposed my vulva, urethra, and clitoris for his inspection.
The nurse then pulled the paper sheet over my knees blocking my view but at least providing some modesty, as I lay there fully exposed.
I then heard the familiar sound of the doctor putting on a pair of gloves and the squeak of the exam stool and Mayo stand moving toward the base of the table. The doctor lowered the paper drape from my knees and began the exam by visually inspecting my genitals. After completing that phase, he began with his manual examination.
He prodded all the area alongside the edge of the labia, then moved to the other side and repeated the procedure. His fingers were firm and definitely very clinical. I felt him pull on the flesh alongside my right labia and then felt the fingers from his other hand slip beneath the lip and gently squeeze. He slipped down to the bottom where the opening was and slowly squeezed his way up the length of the lip, rubbing his fingers back and forth in the process to move the flesh and see if my glands produced any discharge, which they didn't. When he reached the top, he changed hands and repeated the process on the other lip.
His fingers spread my shaven lips even further and a thumb and forefinger grasped the thinner inner lip. When he finished with that manipulation, he hooked a finger under the fold at the top of my lips near my clitoris and pulled upwards, causing the tissue to stretch and close what must have been a gaping vagina while at the same time fully exposing the shaft and head of my clitoris for his inspection. Holding the lips stretched with one hand, he gently ran his gloved finger along my clitoris starting at the very top of the shaft and working his way down to the head, which was beginning to swell from the cool air. Reaching the head of my clitoris, he gently hooked his finger under it and lifted slightly looking for any abnormalities. After repeating the procedure on the other side and again hooking my clitoral head, he let go of my vaginal lips and allowed the flesh return to its previous position that again exposed my urethra, vulva and open vagina.
He continued by running his index and second finger down my labia spreading them open even further and stopping to view my urethra. Not particularly enjoying being on full display in front of a young doctor and his nurse, I just closed my eyes as he continued the examination. As he examined my urethra, I felt his index finger slip inside my vagina as he milked my urethra. Removing his finger, he announced that he was going to begin with the speculum and then the bimanual exam.
After his nurse rinsed the speculum under warm water, he inserted the cool metal bills into my open vagina. I could feel him pushing it to its full depth and then turning it as he began to slowly expand it to its full dilation, causing me little discomfort but no real pain. Positioning a bright light to shine on my fully dilated vagina and exposed cervix, he looked into my vagina visualizing my cervix as he swabbed the area and then took the Pap smear. He withdrew the swab, and then closed the handles, turned the speculum, and removed it from my vagina. After handing the speculum to his nurse, he squeezed some KY onto his fingers and started inserting his index finger in my vagina. He then pushed in a second finger and felt around feeling my cervix and entire vaginal wall with his probing fingers. With two fingers in deep inside my vagina and touching my cervix, he then pushed down above my pubic bone, and explained that he was feeling my uterus. Leaving his fingers deep in my vagina but moving to the side of my cervix, his other hand moved just above and to the side of my sparse pubic hair as he probed for my ovaries.
After a few moments of manipulating my ovaries, he stopped pressing and withdrew his fingers running them sharply along the top of my vaginal vault. My eyes still closed, I heard him squeeze more KY from the tube. Without warning, he had his index finger in my vagina and one poking at my anus. Telling me to bear down, he continued pressing forward as my anal sphincter relaxed allowing his finger to penetrate my rectum. He pushed both fingers in as far as he could, compressing the tissue between my vagina and rectum before sliding his fingers out of both holes.
With my feet still firmly planted in the stirrups, he pushed the stirrups open wider giving him a better view of my anus and spreading labia. He put on a new pair of gloves, dabbed on some KY and began to re-insert his finger into my anus. He pushed in, slowly at first and soon I felt him penetrate beyond his second knuckle. He twisted and turned his finger, seeming not to want to miss any of the internal area. He removed his finger and I breathed a sigh of relief. Until I saw him pick up a rectal speculum and coat it with a healthy gob of KY. Slowing inserting the plastic speculum into my anus, he pushed it to its maximum depth and began expanding it. I kept staring at the ceiling as I heard the sharp clicks of the speculum locking in its open position. Taking a long cotton tipped swab from the Mayo stand, he swabbed the interior of my rectum and smeared the collection onto a Hemocult plate. Unlocking the speculum, he gently slid it from my anus and, while my anus was still dilated from the speculum, he re-inserted his finger and pressed down on my abdomen with his other hand.
As he finished his examination, he left the room saying his nurse would help me get cleaned up and when I was ready he would discuss the examination in the adjacent office.
As I lay on the table, still fully exposed and with my feet still in the stirrups, the nurse came over and began to gently wipe the excess KY from my bottom and swollen genitals. Even though the speculum had been removed, my vagina still felt very dilated from the speculum and his manual examination. I couldn't wait to get my legs out of the stirrups and retreat to the bathroom to finished cleaning my genitals with water to remove the last traces of lubricant or at least remove enough of it to make it comfortable to drive home and climb into a warm shower.
The nurse then helped me lower my legs from the stirrups and said I could take my time getting dressed and to go into the doctor's office when I was ready. As she left the exam room, I swung my legs over to the table's edge and got up, heading toward the bathroom. Closing the door behind me, I gingerly raised one leg onto the toilet seat so I could wash my genitals and anus with warm water and soap.
Leaving the flimsy paper drape on the exam table, I got dressed and went into his office where he reviewed his findings telling me everything appeared perfectly normal and that his nurse would call with the Pap smear results if it showed any abnormality.
Thanking his for his time, I left the office stopping at the desk to thank his nurse for her help and professionalism.
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- Anonymous -
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