How to integrate gynecological examination and screening test

Article written by Doctor Tran Thi Thanh Huong - Medical Department, Vinmec Times City International Hospital

Below is the process of integrating gynecological examination and screening test at Vinmec system. Customers can consult information before visiting the doctor.

Greet the client and introduce the name of the doctor who will examine the client. Counseling customers will have gynecological examination and testing. Performed for the customer after the customer agrees and is eligible for examination and testing. Prepare the client: The client is allowed to urinate, change the dress, and remove the underwear before the examination. Prepare instruments: Speculum, examination gloves, gel (physiological saline), swab or swab, slide (full name, PID, date of birth), cotton swabs, collection vial specimen, 96-degree alcohol or sell-fixx spray. Instruct the client to lie on the examination table in the obstetric position to relax the body. The doctor disinfects his hands, wears gloves, and tells the client to prepare for examination. Observe the external genitalia and insert the speculum into the vagina to expose the entire cervix, fix the speculum. Observe vaginal fluid, detect lesions: inflammation, lumps, polyps, Nabothian cysts ... and then take samples (make sure to get them in the boundary and transition areas). Take a vaginal cytology specimen with a flat stick: insert the short end into the cervix, rotate it 360 degrees to take it in the outer neck area, then insert the long end into the cervical canal and also rotate 360 ​​degrees and then spread the specimen on the slide. : spread half of the short end, half of the long end in one direction (requires a thin spread) then fixed with alcohol or spray sell-fixx with a ratio of 1/1. If there is a combined HPV test sample: The doctor inserts the swab into the cervix, gently presses and rotates it clockwise about 5 times, then pulls out the brush and dips it in the preservative solution, presses into the bottom of the jar 10 times, then rotate the broom to make the most of the disease, put the broom in the trash. Remove the speculum gently. Gynecological examination combined with abdominal manipulation (or rectal if necessary): gently insert two fingers into the vagina, palpate to detect lesions in the uterus (locate size, density, move motion and pain nature of the lumps), abnormalities were detected on post-anatomical examination (whether full, painful, or abnormal mass). Finish instructing customers to get up and change clothes. Record complete and accurate information of examination results for customers. Communicate with customers about examination results, answer questions if any. Consult regular gynecological examination, preventive hygiene and re-examination if abnormality is found. Schedule a time to get results, advise and prescribe for customers when there are abnormal results.

In order to help customers detect and treat gynecological diseases early, Vinmec International General Hospital has a package of basic gynecological examination and screening, helping customers detect early infectious diseases and help treat Easy, inexpensive treatment. Screening detects gynecological cancer (cervical cancer) early even when there are no symptoms.
Basic gynecological examination and screening package for female customers, has no age limit and may have the following symptoms:
Abnormal vaginal bleeding Having menstrual problems: irregular menstrual cycle, irregular menstrual cycle Irregular vaginal discharge (smell, different color) Vaginal pain and itching Female clients have several risk factors such as poor personal hygiene, Unsafe sex, abortion,... Female customers have other symptoms such as: abnormal vaginal discharge, itching, pain in the intimate area, abnormal vaginal bleeding