In-Office Exams

In-office exam

The in-office exams help predict the extent of disease and the likely benefits of surgery as well as other treatments.
-Dr. Cook

As part of the diagnostic process in assessing your pelvic pain, Dr. Cook will perform a pelvic exam and an ultrasound. While he utilizes common techniques, he has specially adapted them to investigate the signs and symptoms of endometriosis and other sources of pelvic pain:

  • The ultrasound is not only used to image the pelvic structures but also to map out any painful areas in the lower pelvis
  • The pelvic exam consists of both a bimanual and a digital exam to help determine which components of your pain are uterine and which are non-uterine
  • The speculum exam has been adapted in order to check for invasive disease of the vagina, a severe presentation of endometriosis that is often overlooked

These special techniques help predict the extent of disease and the likely benefits of surgery as well as other treatments.

What happens during the pelvic exam?

The pelvic exam that Dr. Cook will perform typically consists of several components:

Abdominal exam
Q-tip test
Bimanual exam
Digital exam
Speculum exam

What happens during the ultrasound exam?

Ultrasound ExamDuring the transvaginal ultrasound, the ultrasound probe is inserted vaginally allowing the pelvic structures to be visualized on a computer screen. Much like the pelvic exam, Dr. Cook uses the probe to map out areas of pain by carefully palpating different parts of the pelvis and noting the patient’s facial expressions and feedback. As far as visualizing areas of disease, the ultrasound will detect the presence and consistency of ovarian cysts and possibly deep areas of endometriosis.

Areas of endometriosis deep within the ovary may not be detectable during surgery but can often be visualized by ultrasound, informing the surgeon in advance of its presence so that it can be removed. Superficial endometriosis, however, is too flat to be detected by imaging and is only visualized during surgery itself. Other gynecological conditions such as fibroids, pelvic varicosities and structural uterine abnormalities may also be detected during the ultrasound exam.

From the front end, through the initial visit, the exam, and closing out by the reception, you feel validated and empowered.
-Lizzy

Summary
Article Name
In-Office Exams
Description
The in-office exams help predict the extent of disease and the likely benefits of surgery as well as other treatments.

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Summary
Article Name
In-Office Exams
Description
The in-office exams help predict the extent of disease and the likely benefits of surgery as well as other treatments.