Do I need to empty the bladder for gynecological examination

gynecological examinations usually require emptying the bladder, but some special examination items may require holding urine appropriately. Routine gynecological examinations such as vaginal speculum examination, cervical scraping, vaginal discharge routine, etc. emptying the bladder helps doctors observe the vaginal and cervical conditions more clearly, avoiding interference from bladder filling during the examination. After emptying the bladder, the position of pelvic organs is relatively fixed, making it easier to detect abnormal masses or tenderness during palpation. Patients can urinate 30 minutes before the examination and remain relaxed and cooperate with the doctor's instructions during the examination.

Abdominal gynecological ultrasound examination requires moderate bladder filling, and urine as a sound window helps to display the structure of the uterus and adnexa. At this time, it is necessary to drink 500 milliliters of water one hour in advance and check when there is a slight swelling sensation in the bladder. Transvaginal ultrasound requires emptying the bladder and placing the probe directly into the vagina to obtain clearer images. Other specialized tests such as urodynamic examination and residual urine measurement have specific requirements for bladder status, and doctors will inform the preparation in advance.

Before the examination, avoid drinking diuretic drinks such as coffee and wear loose clothing for easy inspection. Individuals with symptoms of urinary tract infection or vaginal bleeding should proactively inform their doctor. Different medical institutions may have slight differences in bladder preparation, and specific details can be consulted with the examination department in advance. After completing the examination, it is recommended to replenish fluids and observe for any discomfort or abnormal bleeding during urination. If necessary, timely follow-up appointments should be made.