Help! Post-Op Follow-Up Exam With GO & Also Exam by RO

So sorry you are feeling this way.  As a nurse, I would recommend you send a message before. your exam, explain your anxiety and difficulty, and they can prescribe medication to help, and will use the small speculum.   I would take two Ibuprofen and ask for some anxiety medication.   I think the GO has to do an exam, and it is in your best interests to have her do so.  Same with the Radiologist.  They NEED to be sure what they are doing is correct.   You are not the first patient who is worried about the exam. They have had this probelm before and should be able to help you.

Reach out to both doctors and let them know.

Woodstock,

Please ask them to give you some lidocaine. You can get it by prescription. I always use this prior to my exams and it makes a world of difference. It will numb the area inside and out.

Best of luck. 

Love and Hugs,

Cindi

woodstock99 said:

Lidocaine?

Thanks all.  Can you tell me more about the lidicaine?  Do I use this before the exam and internally or externally? 

Before the exam. I generally put it on after they take me to the exam room. They usually have a bathroom close by. I put it internally about an inch in and externally.

I got my first prescription from my radiologist/onc. Can't say enough good things about him! He also used it prior to each of my brachy therapy sessions.

I don't know why more GYNs don't offer this to ladies that suffer from exam pain. No one should have to deal with pain. It is simple to use and is not expensive. It comes in either a tube or a syringe. I have used both and they work the same. The one in the syringe is also used by people that have to use a catheter.  It is lidocaine HCI jelly USP, 2%

Feel free to PM me if you have additional questions.

Love and Hugs,

Cindi

My GO asked if the RO had done an exam at first brachytherapy. When I said yes she toldme this was probably the only time she would forego an exam! So they will get this worked out and in your schedule.

Deb

I see my GO alternately with my RO every three months. So each sees me every six months.  Originally the schedule was see my GO every six months and oncologist (who does not do an exam) every six months.  I decided to follow the MSK recommendations of an internal exam every three months.  And my RO agreed so that's how I got that scheduled.  At first it seemed so unclear about what they were going to be doing so I just said what I wanted and it all worked out.  End of story is a pelvic exam every three months.  Since my RO is at a reseach/teaching hospital I get to have two exams when I see her: the RO and her current resident.  I am just very resigned to it now.  Since that's how they can find an early recurrence, I am all for it.

Harmanygroves said:

Lidocaine 2%

I have some from a previous prescription! Yay! I used some the other day when my vag hurt. I don't think it went in deep enough to deal with the pain, but just knowing I had some made me feel better.

Side point: I read some years back they used to prescribe this stuff for teething babies, but it got discontinued for them owing to some deaths (too much numbing and some infants choked? or an allergic reaction?). 

I'll be seeing my RO or my gyn onc every two months for two years. Anyone else get put on that schedule? Some probably see their doctors more often. This is kind of a lifestyle!

Just a bit of caution.... My GYN/ONC said not to overuse it internally. She said it can cause heart problems if used too much. Now, using it before check ups or sex isn't going to cause any issues. And, for occaisional pain won't cause issues either.

I just wanted to share that one caution that she gave me. 

So glad that you have some on hand. Make sure to check the expiration date. It will make your checkups so much less fearful.

Love and Hugs,

Cindi

Harmanygroves said:

Which one's Teddy? Which one's Bear?

Enquiring minds want to know!

And thanks for your advice regarding the gel stuff. I have become very puritan in regards to digital gel insertion since my surgeries.

There's dragons down there! Ha! All new territory. I keep telling myself, "This is your vagina. It's okay," but it's all so wrapped up with the trauma of everything, and is now healing, so I must let it heal.

 

 

You are a funny lady today Harmanygroves! Glad you are feeling better! I just read your solidly built post and I'm still laughing.....

One more tip that I learned on this board.... You may have some itching down the road. Amazon sells some vitamin E suppositories that are incredibly helpful for that.  

Teddy is the light one and Bear is the dark one.... They were named by the Vet that rescued them from a high kill shelter. They were very bonded and she wanted them adopted together so named them Teddy and Bear..... My boys are over 10 now and starting to slow down. They have been through it all with me.

Love and Hugs,

Cindi