ABSTRACT
Gynecological experiences are closely linked with a woman’s mood1. Disturbances of her reproductive function can upset her sense of well-being, her feelings about her sexuality, her femininity, and her self-esteem. Symptoms may affect her intimate relationships and bring greater distress than symptoms in other systems. Women presenting with gynecological problems often appear tense and anxious just because of the nature of the intimate questions and examination which they anticipate with some apprehension. Some come distressed and tearful. They may feel shame and disgust about their symptoms or because of the reaction of others. Many find the whole consultation an ordeal. The examination can remind a woman of previous threatening situations such as rape or childhood sexual abuse, or past experience of painful or demeaning examinations by previous clinicians.
