gynecology advice (oh yeah this is staying anonymous)
May 23, 2012 5:23 PM Subscribe
Going to the gynecologist tomorrow: What to ask/test for and should I use my insurance?
posted by anonymous to Health & Fitness (4 answers total) 1 user marked this as a favorite
If you are a patient person, can you read over my history and suggest other questions/things to test or talk to my doctor about at my gynecology appointment tomorrow?
I am a 28 YO lady and I'm headed to the gyno for a pap smear and to check up on all my lady business. I've had 4 oral sex partners w/o protection, but I've never had penetrative intercourse. I've had 2 pap smears before, both normal, and I've had STD testing before that came up negative, but I have had 2 oral-sex partners since my last round of testing.
Since my last visit to the gyno ~2 years ago, for the last 3-4 months, I've had my first yeast infection, and general vaginal swelling/redness/soreness/more discharge than is typical for me, which started after antibiotics. I self-treated the yeast infection with OTC drugs and finally an antifungal prescription, but I still feel like there is some swelling and extra discharge. I'm going to explain these concerns and request testing for bacterial vaginosis, based on my symptoms. I am also going to request an STD panel of testing, and specifically am concerned about chlamydia due to extra discharge. After a recent askme question, I am also going to ask about what I think may be minor hemmorhoids. Is this appropriate to ask a gyno? I know they probably deal with them with post-preggers women, but I've never been pregnant.
I've also had very light bleeding in combo with a discharge between periods about 1 week-10 days after my period has ended. I think this is ovulation bleeding, and it's only happened during my last 2 periods. My periods have always been like clockwork, but in the last few months my cycle has been a big longer, with more days between periods, and an extra day or two of having my period. I'm going to share these concerns as well.
Oh! Occasionally (maybe twice a week) I'll have a sudden urge to use the restroom, but it is definitely not a problem in my life or something I would want to take medicine for. I'm open to monitoring it and doing kegels, that type of thing.
Other than being open and honest with my history and answering all my doctor's questions, are there any other things that I should use this appointment for specifically? (If you've made it this far, thank you, I just don't want to overlook something given my many but mild/moderate symptoms.)
Finally, I am covered by my work insurance, but I don't particularly like my job and may want to switch/be self-covered within a couple of years. Should I request that my insurance NOT be billed for the STD testing? Is it typically possible for doctor offices to be able to bill insurance for the checkup/pap smear, but NOT for the STD labwork? (I know I will learn from my particular doctor, but I am interested in others' experiences.)
Sincere thanks for tips/thoughts/advice.