What is included in the physical exam of female patients with suspected urethritis?

Updated: Dec 18, 2020
  • Author: Dustin L Whitaker, MD; Chief Editor: Edward David Kim, MD, FACS  more...
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Answer

As with male patients, it is best to avoid examination immediately following micturition. Advise the patient to urinate approximately 2 hours before the examination so that culture and examination results are optimal and the patient can comfortably provide a urine specimen after the examination.

The patient should be in the lithotomy or frog leg position.

Inspect the skin for any lesions that may indicate the presence of other STDs.

Strip the urethra by inserting a finger into the anterior vagina and gently palpating forward along the urethra. Any discharge should be sampled and sent for analysis and culture.

Follow the urethral examination with a complete pelvic examination, including cervical cultures.


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