Perception of intimate pelvic examination by gynaecological clinic attendees in rural Southeast Nigeria
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- Ouj, U., Igberase, G.O., Eze, J.N. et al. Arch Gynecol Obstet (2011) 284: 637. doi:10.1007/s00404-010-1698-4
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Intimate gynaecological examinations are part of the necessary retinue in gynaecological consultation and management.
To evaluate women’s perception of digital and speculum vaginal examinations in rural Southeast Nigeria.
This was a prospective descriptive study. Gynaecologic clinic attendees in a Mission hospital in rural Nigeria were interviewed using a pre-tested questionnaire over a 3-year period.
Four hundred and eighty-six women with a mean age of 35.2 ± 8.1 years were interviewed. They presented mainly for infertility (36.8%), menstrual abnormalities (31.1%) and early pregnancy complications (10.7%). Over a quarter of the women felt embarrassed at vaginal examination and 37.2% found it a bit painful or felt discomfort. In spite of the discomfort, 73.7% believed vaginal examination was necessary and over 95% indicated readiness to undergo such examination in future if necessary.
Performing intimate gynaecological examination should be a carefully planned procedure with patient’s consent, and performed conscientiously taking patient’s feelings and emotions into consideration, to engender confidence.