A standard premarital exam includes the gathering of medical history, a complete physical exam, exploring birth control options and discussing vaginal health.
A pelvic exam is performed to insure pelvic health and to determine if there is a need for vaginal dilators or a hymenectomy. In some cases, the vaginal tissues are inelastic (not flexible or expandable). In the case of vaginal inelasticity, vaginal dilators may be used to improve the elasticity of the vagina to aid in the comfort of sexual intercourse.
The hymen is the skin tissue that is located around the opening of the vagina. In the case of an imperforate hymen, the opening of the vagina is either very small or completely blocked due to the hymen tissue overgrowing the vaginal opening. In the case of an imperforate hymen, a hymenectomy is performed to unblock or increase the size of the vaginal opening by removing or trimming away hymenal tissue. A hymenectomy is a minor out-patient procedure that makes sexual intercourse more comfortable.
As part of a premarital exam, the gynecologist and patient will discuss birth control options and different types of conditions related to a woman, such as yeast infection, bacterial vaginosis, urinary tract infections and Pap smear testing. A momentary overview of foreplay and intercourse will be reviewed.
We encourage patients to schedule their pre-marital exam two to three months before the wedding day. Call and schedule your appointment as soon as you’re engaged!