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  1. #1
    IC Friend Sharon's Avatar
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    Mar 2000

    Pelvic floor exam embarassment

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    I went to see a new IC uro/gyno doctor. He said he wanted to do an internal exam, and to check the pelvic floor muscle. He pushed on several areas and asked if I felt discomfort. Then he starting moving his finger in and out very quickly, like um, let say finger sex. There was a nurse, and another gyno in the room for the exam. He asked if that motioned hurt, or caused any discomfort. Well, it caused more embarrassment than discomfort. I had mentioned to him that I had pain and blood with with deep penetration.

    Am I over reacting, or have others had a similar "exam"? It just felt inappropriate.
    Last edited by Sharon; 04-10-2008 at 11:54 AM.
    Courage doesn't always roar. Sometimes courage is the quiet voice at the end of the day saying, "I will try again tomorrow."
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  2. #2
    Support Leader kadi's Avatar
    Join Date
    Dec 2003
    Nothing like that during either of my 2 pelvic floor exams....

    I am not a medical authority nor do I offer medical advice. In all cases, I strongly encourage you to discuss your medical treatment with your personal medical care provider. Only they can, and should, give medical recommendations to you.

    New favorite quote: "God gives us only what we can handle. Apparently God thinks I'm a bad-ass" ~Author Unknown
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    Current treatments:
    -IC diet
    -Elavil 50mg at night
    -Continuous use birth control pills (4-5 periods/year)
    -Heparin/Marcaine/Sodium Bicarb home instills at night 3-4x per week, more often if needed
    -Pyridium if needed,
    -Pain medicine at bedtime daily, as needed during the day several times per week
    -Antibiotic when doing an instillation to prevent UTI
    -Colace & SmartFiber to treat chronic constipation from meds, Fleet enema as needed
    -Dye Free Benadryl 50 mg at bedtime
    -"Your Pace Yoga: Relieving Pelvic Pain" dvd, walking, treadmill at gym
    -Managing stress= VERY important!
    -Fur therapy: Hugging the cat!

  3. #3
    ICN Member Claredale's Avatar
    Join Date
    Sep 2006
    Me neither and I have complained about painful sex at a few of my appts. I am not saying that is inappropriate, since it makes since in some ways. But my doctor hasn't done that type of exam. Please don't be embarrassed.


  4. #4
    Support Volunteer leelee88's Avatar
    Join Date
    Nov 2006
    My URO who Is a female did do an internal exam, but she only touched like a a few certain part inside me and when she did I about came off the table it hurt so bad. She said these were trigger points.And can help dectect PFD. I do not know what he was doing but she went right to the spots.. She did not mess around in there!

    ONE Second, ONE Bite, ONE Breath, ONE Pill, ONE Minute, ONE Teardrop, ONE Hour, ONE Sip.. ONE DAY! I will Prevail from this disease! IC Hoping for a Cure!

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    Lexapro< Bad reaction to this med!
    Intstills, could not continue them due to some kind of reaction after 3rd instill. Tasted the lidocaine in my mouth, tongue and lips went numb then went into what seemed like a panic attack. Shaking, racing heart, tingling face/head, blood pressure shot up..

    Dx With IC in Nov 2006 with Hydro/Cysto
    Hydro/Cysto Caused Bladder to Rupture.

    Other Dxs-Vulvodynia,Fibro, Endo, IBS, HPV, Migraines, Spastic Colon, Mild Dysplasia.

    ICN Volunteers are not medical authorities nor do we offer medical advice. In all cases, we strongly encourage you to discuss your medical treatment with your personal medical care provider. Only they can, and should, give medical recommendations to you.

  5. #5
    ICN Member bunnykinb's Avatar
    Join Date
    Aug 2004
    Southern Ca.
    Sorry, but I think it wasn't appropriate to do that. We already hurt and if you already mentioned that it had been hurting, then I would think that the uro/gyno would be more gentle. Both uro's told me exactly what they were going to do when doing an instill or exam. I tend to have discomfort with pelvic exams. The last gyno was a man. I had to totally undress even though I had mentioned that I wanted to be checked for VV. The nurse said the doctor always does the full exam on new patients. Hmm.

    I have yet to make an appointment with the urogynecologist, but it is a female doctor, to check for PFD.

    6/04 dx Mild IC; 3/06 2nd hydro/cysto w/2nd uro; Moderate IC now. IBS dx 11/03. 6/08 dx Vulva Vestibulitis/Pelvic Floor Spasms. 7/20/15 Feels like I have moderate IC now. Burning again.

    tried & failed treatments: Urocit K 2x/day, Prelief & Atarax 25 mg 3/05-6/06; elavil 10mg 11/30/06-2/28/07 (stopped due to hunger); elmiron orally but had throat tightness;heparin instills 1x/mo 9/04-2/05;elmiron instills every 2 wks 7/05-2/06;20 DMSO 7/28/06-9/07.nortriptyline 10mg 4/07-10/07current meds/treatments:Tofrinal 25mg;Yasmin bc. Heparin instills every 2 weeks 2/08-present. Mix: 8cc lidocaine, 8cc heparin (40,000 units), & 3cc sodium bicarb. main symptoms: frequency & labia/clitorial burning

  6. #6
    ICN Member
    Join Date
    Apr 2006
    Tacoma, Wa
    I've seen 4 Uro's and 2 PT's -- not a one of them has ever done anything like that and all of them did a pelvic exam. How incredibly uncomfortable!!!

  7. #7
    ICN Member
    Join Date
    Dec 2004
    6 DRs, 2 Physical Therapists for Pelvic Floor therapy, several exams from each, and not one EVER did the in/out thing with his/her finger that you described. I would not go back. (I also was examined for PFD, VV, Vulvadynia, painful sex, etc.) You did nothing wrong, and you have nothing to be embarrassed about. But, as for that Dr, I wouldnt go back. Bottom line is if you felt uncomfortable, there was probobly a reason why. Your sixth sense is usually right things. Trust it!

  8. #8
    ICN Member sickofmybladder's Avatar
    Join Date
    Aug 2007
    North Carolina
    I had multiple pelvic exams last year (while seeking a diagnosis) from about 5-6 different doctors and noone ever did an exam like you are describing - to be honest it would have made me VERY uncomfortable as well - I agree with some of the other comments not sure that I would be able to tolerate that enough to return to that doctor.

    DX IC Aug 2007 -DX PFD July 2007
    Severe Allergies since 18 months old
    Meds:Aterax 25 mg @ night (only during allergy season - now)
    Valium 2.5 to 5 mg 2x per day for PFD
    Elavil 50 mg @ night
    Bladder Instillations (at home) 3x per week -
    My recipe is: Lidocaine, Heparin and Sodium Bicarb
    Meds I could not tolerate: Elmiron and Lyrica

  9. #9
    ICN Member
    Join Date
    Jan 2002
    Memphis, TN
    I don't care if he was doing an exam, that behavior was totally uncalled for. You have nothing to be embarrassed about, but he should never have touched you like that. I am glad that he did not cause you pain. He very well could have.

    Shopping??? Did someone mention shopping? I'll get my hat... ;-)

    Where I can be found most days.

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    IC Volunteers are not medical authorities nor do we offer medical advice. In all cases, we strongly encourage you to discuss your medical treatment with your personal medical care provider. Only they can, and should, give medical recommendations to you.

  10. #10
    ICN Member
    Join Date
    Feb 2007
    I live in Chicago IL
    When my doctor examined me when I first went to him, he also did some kind of exam like that, though maybe not exactly like that, more like a stretching feeling with his fingers. It was odd, but my hubby was in the room as well a nurse so I was not to worried in that respect.
    Every doctor has their own way of checking I guess. If it did not hurt you at all, since there was a nurse in the room, I do not think it was anything more than him examining you likely. But since you say it was very uncomfortable, you could always tell him you would rather skip that exam in the future that is was very unconfortable for you,and maybe tell him it caused pain for you.

  11. #11
    ICN Member lisabar36's Avatar
    Join Date
    Nov 2007
    I have never had an exam like that. I am sorry you had to go through that. HUGS
    Current meds:Elavil, Lortab as needed, Vivelle dot hormone patch 0.1mg, estrace cream, lidocaine ointment, pepcid
    Diagnosis: IC in 1999 , IBS, Pelvic floor dysfunction, vulvodynia, vestibulitis, chronic low back pain, scoliosis, hunners ulcers on bladder, hysterectomy 2/08, fibro 3/08, sciataca

  12. #12
    ICN Member BrittanysDance's Avatar
    Join Date
    May 2007
    I agree - that was TOTALLY inappropriate behavior! Reminds me of when I went to a thyroid doctor once and he had me remove my shirt I said to the nurse.. "Why am I removing my Shirt (and bra) if he's checking my NECK?" She said "its procedure". My first clue should have been when they said my hubby couldnt be in the room with me (he ALWAYS comes in no matter what!) - I questioned it...(as I had seen Endocrinologists before..this was a 3rd opinion...and NEVER had any of the others made me remove clothing...hmmmmm...) but he was the current Presidents (at that time, but I wont mention which one because then you'd know the doctor and we cant do that on here) Endo, so I thought "okay..he IS a "big wig" maybe the others are wrong.."

    WRONG!!! After him saying to me " have several stretch marks on your breasts why is that?" And COPPING A FEEL ( wasnt an EXAM like I've ever had before at my gyno!) I sat up, slapped his hand away and told him I thought his behavior was EXTREMELY inappropriate as were his comments and wanted to know right then and there what my shirt off had to do with my thyroid, period! He just shrugged and walked out!

    I RAN out of that office crying, angry and humiliated and told them they could shove their copay right up their $%#! and if they even TRIED to submit anything or collect on it to insurance I would report them immediately for sexual assault.

    I never received the bill, insurance never received the claim and I reported them ANYWAY so hopefully it never happend to any other woman again!

  13. #13
    ICN Member bigred's Avatar
    Join Date
    Oct 2005
    I would not have been happy. I have many internal exams from alot of docs. an never any like that. I would do two things one not go back to him and two talk to someone about how you felt.
    esophagus spasams
    dyastalic disfuntion with stiffness of right heart valve
    lymphedema of left leg and ankle
    venous insufficensy
    Pelvic Floor Disorder-having pelvic Physical Therapy
    breast cancer 5 yrs remission
    swollowing difficulties have throat stretched
    Lots of medications more than 20 rx's
    Lots of doctors

  14. #14
    ICN Member GriffsMommy's Avatar
    Join Date
    Nov 2006
    Lancaster, PA
    OMG, this is so upsetting! This does not seem right to me at all. Since I have been diagnoised with IC any dr who has done a pelvic exam on me has been as gentle as possible. My specialist only used one finger for his internal exam to make sure he caused me the least amount of discomfort.

    I'm very surprised that he did this with another dr and a nurse in the room. This would seem to indicate that he does this often since they didn't have any reaction to what he was doing. I just can't understand what the point of that would be. I have had a finger moved around the the opening of my vagina to see if that caused me pain due to my VV but nothing like what you are talking about.

    You should not feel embarrased as you have done nothing wrong but if you feel that something inappropriate happened which it would seem most of us would agree with that then I would consider reporting this dr to the medical board in your state as well as reporting him to whatever hospital he might be linked too if they have a process for that as well.

    Please don't feel like you have done anything wrong. I can only imagine how much this has upset you.

    I have been diagnoised for 6 1/2 years now. I have taken a long break from the ICN but really miss helping out my fellow IC patients and want to get back into posting.
    1st hydro 4/07 showed no visible signs of IC but tons of mast cells in all my biopsy samples which did prove IC.
    2nd hydro 4/13/09 showed dark purple glomerulations and I had a capacity of 450 cc's. This hydro proved that my IC had progressed.
    I have tried every oral medication as well as rescue instills and DMSO.

    I have been lucky enough to see Dr Hanno, the top IC specialist in PA who has told me due to the fact that I have not responded to any "standard" treatments that I have a severe, end stage case of IC with a horrible quality of life (didn't have to tell me that last part!)

    Proud wifey of Shane, mommy to Griffin, and step-mom to Logan and Gage
    Also proud mom to the best Bullmastiff on earth, Claus

  15. #15
    ICN Member my3boysmcr's Avatar
    Join Date
    Jun 2007
    Northeastern PA
    I agree with the others. That exam was unnecessary and inappropriate. My doctor used one finger for my exam (which diagnosed my pfd) and he used a cotton swab to check for VV, which was basically an external exam. He always tells me what he is going to do before he does it. My PT does my internal work in the same manner. Just because another doctor and nurse were also present does not mean that what he did was ok. One nevers knows how he trained his staff in his office or what could make them keep quiet. My very first gyn when I was 19 was, in my opinion, inappropriate. He was very rough on my first exam ever (I was just becoming sexually active). Later, when I was on the pill, I would go months without a period. I would call to ask what I should do and he would make me come in for an internal to r/o ectopic pregnancy. He did that 3 times and I never went back. So, follow your instincts.
    [FONT="Comic Sans MS"
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    Matthew & Christopher-13 1/2 years old
    Ryan-9 1/2 years old
    Wife to John since May 4, 1996

    DX with IC after PST 10/18/07
    Lithotripsy for L Kidney stone-8/14/07
    Cystoscopy & Biopsy-6/18/07 Mass in non-cancerous
    CT Scan-6/5/07 F/U for bladder mass and kidney calc
    Cystoscopy-5/30/07 Doctor found bladder mass
    Pelvic and Renal U/S-5/15/07 Calcification of L kidney
    Hypothyroidism DX 10/95
    Possible SLE, currently diagnosed as Undifferentiated Connective Tissue Disease as of 4/10

    Currently taking: Synthroid 88mcg, 1000iu Vitamin D3


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