Reception of the gynecologist: how to prepare for the questions of the doctor. 7 steps
Are you planning a pregnancy, have you already chosen your type of doctor and signed up for the first appointment? Congratulations - but the preparation of your visit to a gynecologist is just beginning. Dmitry Lubnin will tell you what to take with you and how to behave properly with a doctor who for some reason behaves incorrectly.
Consultation of a gynecologist in the process of pregnancy planning is an obvious and main point of the plan, therefore, it is also necessary to prepare for it carefully and responsibly.
Since we are now considering preparing for pregnancy for a couple who have not yet had serious medical problems, it is important to realize that you are planning a pregnancy, and not a flight into space. Therefore, here is a list of necessary recommendations that allow you to feel confidently at the reception at most types of gynecologists.
5 rules of survival at the reception at the gynecologist
- Doctor from the doorway in a hurry take you faster and asks very superficially about medical history and life history. Specify how long the appointment will last, and in extreme cases, suggest that you postpone the appointment for a while when the doctor is freer - often helping the doctor to stop rushing or actually postpone the visit to another day.
Remember, it is important that the initial consultation was calm and thoughtful.
- The doctor writes out right away. many analyzes and surveys (beyond those described here), without any justification for this or with a note "just in case, you don’t want to miss anything." Ask to limit the examination to the necessary minimum, specifically to substantiate the need for each additional analysis on the basis of the revealed deviation, or the fact of a life history or illness of relatives. Excessive examination is inappropriate and does not affect the diagnostic process.
- Doctor enough categorical in conclusions about possible difficulties with pregnancy if you accidentally identify gynecological diseases. It is important to treat this information only as "information", the first opinion on the problem and not to agree immediately to the proposed treatment and the more so surgery. We must carefully listen to the argument and after the visit plan two things - studying the problem in the English part of the Internet and after searching for a narrow specialist in this problem to get a second opinion.
- The doctor is too much - a rather contradictory point, but much depends on the identity of the patient herself. If the doctor presents you with pregnancy as a big thorny path, on which thorough examinations of the mother and the fetus, close observation of all processes and correction of deviations occur, are waiting for you, then you decide. To some, such an approach is what is needed, but be prepared to register at the clinic, donate a liter of blood for tests and live in the excitement between visits to the clinic to discuss the results of regular research. Well, and almost mandatory hospitalization for preservation.
If you are a busy woman who realizes that pregnancy is not a disease, and you have a lot of other things to do before you can give birth, then this approach may seem unacceptable. It will be difficult to negotiate with a doctor who is accustomed to hyperstarting, so it is best to choose another doctor.
- Doctor rude, does not answer the questions, it seems that he is not satisfied with the fact of your visit, he is frightened by various consequences - he is not the best doctor for managing pregnancy. Pregnancy should take place against the background of exclusively positive emotions of a woman, and visits to the doctor should not cause her stress and tears. Find an opportunity to change the doctor.
I have described in some detail to you one side of the barricades - doctors, but on the other hand there are patients who, for their own benefit, can help the doctor in administering the reception and significantly increase its effectiveness.
Reception of the gynecologist, preparation: 7 steps
I often come across a situation where the patient perceives a visit to the doctor as a trip to a massage or to a spa, limited only by the fact of arrival. That is, the main thing is that I came to the doctor, and he himself can figure out what's wrong with me, that's why he is a doctor.
Such an approach is completely unproductive. If your goal is to solve your problem, and not to put a tick in the column "gynecologist consultation", you need to prepare for the reception. Some doctors, seeing the patient's passivity, without going into details, immediately offer a lot of unnecessary examinations and even serious invasive research and treatment methods.
This is what you need to remember, and it is best to record before a visit to the doctor.
- At what age did your period start? Not "like everyone else," since everyone starts from 9 to 16 years old. We must remember or clarify with mom.
- How do your periods go - for how many days and what is the interval between them (from beginning to beginning), for example, 5 days after 28 days.
Obviously, you have a program in your phone or you keep a calendar, but, trying to find out this information directly at the reception, you spend time that could be used to discuss important issues with the doctor.
If your menstrual cycle has changed (was or has become irregular), try to remember exactly how and when this happened, and depict it as a diagram. Also note if you had a change in weight (weight gain or sudden weight loss), stress, illness or other serious external factors before the appearance of problems with the cycle.
- How do you protect yourself. Calling the method of "interrupted sexual intercourse" the word "no way" is not worth it, because it will cause the doctor’s logical question: "If you can’t protect yourself, why don't you get pregnant?" - and he will begin to suspect infertility. If you are taking contraceptives - remember their name and the period of time during which you use them.
- How many pregnancies you had and how they ended are the options:
- childbirth, cesarean delivery, child health, deviations, congenital malformations, genetic diseases;
- abortion - medical or surgical, were there any complications;
- miscarriage - at what time;
- missed abortion - at what time;
- Ectopic pregnancy - from which side, if the tube is removed.
- What were your gynecological diseases. This is a rather important question, despite the fact that you came to the gynecologist. It is important to remember or ask your parents for all your illnesses, operations and injuries. Such information will help the doctor to determine the need for additional examination before pregnancy or will provide an opportunity to correctly determine the cause of the disease or condition.
This is not idle questioning, but important clinical information. I make such an accent on this, as I regularly encounter a situation where the patient at the beginning of the consultation says that she “didn’t hurt anything except the cold”, and by the end she remembers that she had two operations, peritonitis and her heart disease.
- The presence of drug allergies - Another important question to which patients often do not take seriously. We must immediately make the reservation that nausea or upset stool are not allergic reactions. Speech, as a rule, is a rash on the skin, angioedema, or anaphylactic shock. Again, you should turn to the help of your parents if you don’t remember for which medication you have had an allergic reaction, or to look at the discharge from the hospital where it is marked.
There should be no frivolous attitude to this item, since a significant number of accidents in medicine, including death, occur due to the acutely developed allergic reaction.
- Accept all medical records, which you will find, print the results of the analyzes that the laboratory sent you by mail. All this information is necessary for the doctor to get the right idea about your health. In words and from memory, you can incorrectly indicate the name of the operations, the results of the analyzes, or, quite often, not even know what was removed from you and what it turned out as a result of the study.
What happens if you just come to the reception
Of course, you can not do any of the above and, as I said above, just confine yourself to an appointment with the doctor, come a little late, immediately inform the doctor that “I am very worried, I don’t like gynecologists and would not see these doctors at all” . Half of the reception to remember the first day of the last menstruation and what it hurt, look in the mail for a letter from the laboratory and show the doctor on the phone a form of analysis, cry, sincerely sparing herself, and assure the doctor that now she will calm down and continue communication.
In this scenario, the quality of consultation falls at times. There is very little time left for a constructive conversation, emotions do not allow us to ask all the questions of interest and to understand what the doctor explains.
It is in your interest to take everything from this reception, and not to spoil the mood for yourself and the doctor. The doctor is a professional and an individual, so do not try to test this personality for strength, so that the professional inside will not distract him from work.
And most importantly, the doctor, even in a private clinic, for the reception of which the money was paid, is not the attendants, who now have to endure all the emotions and vagaries of the patient. You pay a good professional only for the provision of medical services, no more.
Next time we will tell you what the gynecologist's ideal reception looks like regarding preparation for pregnancy and which tests and examinations are mandatory and which are not.