Department of Obstetrics and Gynaecology, Regional Hospital Vrinnevi Norrköping, Sweden.
J Psychosom Obstet Gynaecol. 2011 Jun;32(2):59-64. doi: 10.3109/0167482X.2011.560692. Epub 2011 Mar 8.
The aim of this study was to identify and describe young women's experiences of pelvic examination (PE). Qualitative interviews were conducted with nine women aged 18-23 years, who had undergone at least one PE. Data were analysed using an interpretative phenomenological approach. Three general themes were identified: (1) relinquishing and regaining control, (2) facilitation of the situation by the examiner and (3) PE is an unpleasant necessity. These general themes had a common structure that represented the essence: an intimate situation. The women experienced PE as an intimate situation, which they associated with their sexuality. They felt exposed both bodily and mentally and were placed in a vulnerable situation. PE was considered as unpleasant but necessary to confirm their health. During the PE, the women felt that they lost control of the situation by exposing their intimate parts. To regain control, the women felt a need for continuous information from the examiner. The vulnerable situation could be made less vulnerable if the examiner built a trusting relationship and made the women feel secure and seen as individuals. A deeper understanding of the situation from the women's perspective could facilitate the examiner's performance of PE, leading to more positive experiences among young women.
本研究旨在识别和描述年轻女性的盆腔检查（PE）体验。对 9 名年龄在 18-23 岁之间、至少接受过一次 PE 的女性进行了定性访谈。使用解释性现象学方法对数据进行分析。确定了三个一般主题：（1）放弃和重新获得控制，（2）由检查者促进情况，以及（3）PE 是一种不愉快的必要。这些一般主题具有共同的结构，代表了本质：一种亲密的情况。这些女性将 PE 视为一种亲密的情况，与她们的性有关。她们感到身体和精神上都受到了暴露，处于脆弱的境地。PE 被认为是不愉快的，但为了确认她们的健康状况是必要的。在 PE 过程中，女性感到通过暴露自己的隐私部位而失去了对情况的控制。为了重新获得控制，女性觉得需要从检查者那里不断获得信息。如果检查者建立信任关系，让女性感到安全并被视为个体，那么脆弱的情况就可以减少。从女性的角度更深入地了解情况，可以促进检查者进行 PE，从而使年轻女性获得更积极的体验。
