A PV test in pregnancy refers to a pelvic exam, which is a routine part of prenatal care.
Purpose of a Pelvic Exam During Pregnancy
A pelvic exam during pregnancy serves several important purposes:
- Assessment of the Reproductive Organs: The doctor examines the vulva, vagina, cervix, uterus, fallopian tubes, and ovaries.
- Detection of Abnormalities: It helps in detecting abnormalities such as ovarian cysts, growths in the uterus, or early signs of cancer.
- Screening for Infections: The exam can identify sexually transmitted infections (STIs).
- Confirmation of Pregnancy: The exam can contribute to confirming the pregnancy early on.
- Monitoring Cervical Changes: Later in pregnancy, the exam may be used to check the cervix for effacement (thinning) and dilation (opening) in preparation for labor.
What to Expect During a Pelvic Exam
During the exam, the patient lies on their back on an examination table with their feet in stirrups. The doctor will:
- Visually Inspect the External Genitals: The doctor checks for any signs of irritation, discharge, or abnormalities.
- Insert a Speculum: A speculum, a metal or plastic instrument, is gently inserted into the vagina to widen it, allowing the doctor to see the vaginal walls and cervix.
- Collect Samples (if necessary): If needed, samples of cells may be collected from the cervix for a Pap smear or STI testing.
- Bimanual Examination: The doctor inserts two gloved fingers into the vagina while placing the other hand on the lower abdomen. This allows them to feel the uterus and ovaries to check for size, shape, and any tenderness or abnormalities.
Is a Pelvic Exam Safe During Pregnancy?
Generally, a pelvic exam is considered safe during pregnancy. However, it's essential to discuss any concerns with your doctor.
