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These documents are for informational purposes only and are not intended to constitute medical advice, diagnosis, or treatment.

Ask Dr. Cullins: Body



Q:  I'm going to have my first pelvic exam. Can a doctor tell if you've had sexual intercourse?

A:  Not generally. Pelvic examination doesn't reveal if you've had vaginal intercourse or if you masturbate, unless there are specific signs:
  • symptoms of a sexually transmitted infection such as herpes or genital warts
  • the presence in the vagina of semen from a recent act of intercourse
  • torn tissue from violent or rough sex

If hymeneal tissue that a clinician has previously observed appears changed, she may think that sexual intercourse has occurred, but she cannot be sure unless she is told.

Usually, the only way the clinician will know if a woman's had sex is if the woman tells her. That's why it's important to tell your clinician if you are having sex. Don't let embarrassment become a health risk. Let your clinician know what is going on with your sex life so that she can make a more informed evaluation of your health status.




Send your sexual health questions to askdrcullins@ppfa.org. Note that due to the large number of e-mails received every day, we are unable to provide personal replies. Answers to Ask Dr. Cullins questions are periodically posted on the homepage.
This column is for informational purposes only and is not intended to constitute medical advice, diagnosis, or treatment. If you have a medical problem, please call toll-free 1-800-230-PLAN for an appointment with the Planned Parenthood health center nearest you.


Published: 09.03.04

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