To the editor: The review by Rapp 1 on the adolescent patient fails to emphasize properly the concern and care needed in dealing with the genito-rectal examination, especially with adolescent males. An overly zealous physician neglecting to properly explain the nature and purpose of this standard procedure may induce strong patient resistance, fear, and misunderstanding. For a teenage boy struggling with sexual identity, a genito-rectal examination by a male physician can bring on fears of a homosexual assault and precipitate homosexual panic. Just as most physicians are aware of the trauma associated with the first pelvic examination in the female. Rectal Examination in Adolescent Males.
Digital Rectal Exams: Worth the Trouble?
Volume 1, Chapter Gynecologic Problems of Adolescence and Puberty
I was ish. On command, I dropped my drawers and bent over the examining table. I heard the snap of the gloves and I felt some resistance as an index finger was inserted in my taut rectum for the dreaded digital rectal exam DRE. I squirmed a little. Next thing I knew, my family doctor was exploring my until-then-ignored, invisible-to-me prostate gland, looking for unusual bumps and textures.
Why a Recto-Vaginal Exam Is Performed
Recently, I was called to our community hospital to consult on a teenager with severe lower abdominal pain. After reviewing his chart and getting his history, I proceeded to examine his heart, lungs, and belly. Is that OK?
Sandra A. Gynecologic care of the adolescent presents specific problems to the physician not used to dealing with this age group. These patients require a kind, gentle, knowledgeable approach. They must be assured of a confidential doctor-patient relationship without risking the alienation of their parents.