Knee Chest position in gynecology

I read somewhere that the knee-chest position (doggy style) is good for visualizing the vaginal walls, as gravity prevents the abdomen/intestines from compressing the vagina.

I also read that during UROGYN exams, doctors will do a bimanual exam in different positions to better assess pelvic muscle tone.

Lastly, it also seems like a better position for a more extensive digital rectal exam (if a problem was noted during the RV or external exam), in addition to allowing a better view of the rectum using a proctoscope.

Has anyone been examined in this position during a GYN or UROGYN exam? I understand it would be rare for a routine exam of a younger woman, but it seems plausible for an older woman with issues such as a rectocele/cystocele, incontinence, etc.

Any stories about real experiences are appreciated.

I guess it's considered plausible, so I'm going to give it a go for a play appointment later this week of a patient who is expecting a 100% realistic exam. Her reaction should be interesting.....

I'm assuming you'll let us all know how the exam went. Especially her reaction to this position. 😃 I personally love to get my prostate examined in that position.

The patient complied and got into the knee-chest position after I explained that a bimanual exam in different positions allowed for a better assessment of the vaginal walls. I was surprised when I couldn't get my Briesky single bladed speculum inserted in that position. A Sims would have worked, but I didn't have one handy. The bimanual was interesting, as you could really feel the vagina open up with gravity pulling the abdomen downwards. Of course, the patient was embarrassed by the sound of air passing in and out of her vagina as it expanded and contracted. I finished with a digital rectal as well as a Hirshman proctoscope, which took lots of lube and gentle pressure to get it inserted....

I had two exams in the knee-chest position when I was much younger. My mom suspected that a male "friend of the family" had been doing things to me and had me examined by a pediatric specialist. It was a head-to-toe external exam followed by a very thorough examination of my intimate areas.

Was examined in the knee chest Position and several others when a crowd of doctors were trying to figure out what they were seeing. Turns out I had a uterine fibroid protruding through the cervix into the vaginal canal. Had a similar exam at the gynecological surgeons office two months later. Didn't mind it. Kind of turned me on. I enjoy being viewed and handled. Found the whole experience to be interesting.

The Knee chest position is used in gynecological exams because the vagina is naturally distended with air in this position and the vaginal walls can then be inspected better.

I would imagine that it is fairly awkward when the gynecologist, after first examining you in the standard position, then explains the position that he/she needs you to assume for the knee/chest examination. For those that have had this experience, how did your gynecologist describe it? What were the logistics like in terms of getting out of the stirrups and into the knee/chest position?

I have been examined in the knee-chest position by my GYN. She has performed the rectal exam while in this position. I've had a rectal exam while in the stirrups, lying on my side and on all fours but I find the knee-chest position the most comfortable for the rectal exam.

Did I miss the sign up sheet for this? Was there even a sign up sheet? Uggghh how come nothing this exciting has ever happened to me in dr. Dreamy's office?

I do most of the rectal exams with her on a hands and knees position. I do the first part with gloved hands, and the rest with scopes. Being in the hands and knee position allows for deeper inspection without the guts presenting pressure within the anal canal.

Never experienced the knee chest position at my gyn or any other doctor. While I think it would be additionally embarrassing having to mount the table and be positioned like that, with my bottom in the air and knowing I was completely exposed to the doctor both vaginally and rectally. It would also be extremely exciting (assuming no real issues) and an examination that I certainly would enjoy and love to experience someday!

I seldom use this kind of position for evaluating a doubt of prolapse/cystocele, after a bimanual vaginal and rectal exam on stirrups and/or frogleg position and again on Sim's position and on all fours

I have never received a pelvic or vaginal exam in this position. Though, hmmm... maybe one of these times I will, per symptons and diagnostic need presents itself and the exam table is not able to jack knife or is not specifically a procto table.

I've never been examined like that but I'd love for my gynecologist to examine me in the knee chest position with my legs spread open wide and and my gynecologist behind me doing his thing and opening me with a speculum

I have never had it done that way.

Yes, indeed. It is a very good position, especially to perform proctoscopy or even a rigid sigmoidoscopy. Of course, perfect for a deep examination of the pelvic floor. Humiliating as hell....for the patient....but it's all for their own good!

I never had a REAL exam performed that way.

I do like the position for a good hard fucking of either orifice.

Reading this thread I fantasise about being the patient of my GF gynecologist, gently relaxed to prepare me to a fist for checking my prostate size, reactions and hability to make me exploding until the last drop is coming out.

First of all I am in total agreement with Susie on this one. This is my absolute favorite position to have sex in, for either hole or both, lol.

Now, I will say that I have actually been examined in knee chest position during a real exam once. That was when I had my first bout of colitis about 4 years ago now. Doc had to get a good look back there to figure out what the heck might be my problem. At the time of that exam neither of us had any ideas what the problem was, all we both knew was that I was really sick and hadn't felt good for a long time, like weeks and weeks. We had met in the middle basically so we each drove about 300 miles. This exam was done in our hotel room on our bed because we didn't have any other choice really. He had to be able to get me into a position that would allow him to place the scope so he could see what he needed to, at the same time keeping me as pain free as possible. This was my real exam experience in this position.

Now as everyone knows Doc and I play med fet games. I know, most of you are somewhat surprised, maybe even shocked........lol. We have played in basically two different types of settings in the past, a hotel room, and his office. I know beyond a shadow of a doubt that he will put me in that position at some point during our time together other than when we are having sex. When we are in a hotel playing and I am on the bed, getting me in that position is not always the easiest for him to get me to do, but I will because he is the doctor and my superior. When I'm on the bed that position is very embarrassing to me but it's sort of okay, I can accept it. When we used to play in his office, in a real doctors office and on a real exam table it brings a whole different dynamic to the picture. When we were there and he asked me, no told me to get into knee chest position I gotta be honest with you, I would always balk and balk. Being in a real medical setting like that in that position was very very hard for me to do willingly, almost impossible actually. Then when I finally got there, well, wow, I can't explain how it makes me feel. It's uncomfortable for me, it's the most embarrassing thing I have ever done in my entire life. I almost hate it in the moment. But, a day or days later, once I have had time to process everything, that usually ends up being one of the things that I love the most. And every single time when I come to that conclusion I tell myself that I know I love it, so the next time I end up in that position I won't feel the way I normally do, as I mentioned above. But, no matter how much I know I love it, and have told myself the next time I am going to relax and love it in the moment, I never do, lol.

Mashie

What would the benefit be to having the patient on the table on hands and knees versus standing on the floor and leaning over the table? I can imagine that being ON the table on all fours would be much more embarrassing than just bending over the table. Does "knee chest" imply than the person is not flat-backed, but rather has the torso/head resting on the bed, creating an inclined spine with ass high in the air? I could see this being beneficial for someone with a posterior cervix- one of my midwives has super tiny hands and prefers to examine a cervix in a hands/knees position to feel the posterior lip of the cervix.

(As a side note, I do find that women tend to gravitate toward this position in unmedicated labors. It is often more comfortable than resting on the tailbone and compressing the pelvis, but it makes for an interesting cervical check for ob/gyns that are not familiar with this position. Like they don't know which way to hold their hands.)

Knee chest means on all fours, not leaning over..

Knee chest means on all fours, not leaning over..

Correct me if I'm wrong, but doesn't knee-chest mean knees with head and shoulders down to the table? In other words, your buttocks are elevated.

^^^^ Yes

You are on your hands and knees with your shoulders on the table and butt in the air.

The Genu-pectoral position is an ideal position to give full access to the anus and vagina.

It also facilitates the easy use of two speculums at once.....a collins in vagina and a kelly proctoscope in rectum.(an an example)

The other aspect is that if the patient is full breasted...the breasts are hanging down and resting on the table...which always looks arousing...and are easily examined.

I tend to like the knees to be as far apart as possible...head resting on a small pillow....back arced down...bottum as high as possible...... and being able to see the patient gripping the pillow to assess any discomfort.

I use this position for my wife in about 1 in 8 exams.

I examine her formally about twice a month...........but use a speculum every week.

I like getting into this position when my husband gives me a play exam about twice every month. I like it because like in that real exam I am down and the front with my bum high up, both my holes are totally exposed to him and I can not hide anything. Hahaha. A lot of the time I like pretending I am still my 13 or 14 year old self, it always makes me feel excited and it is just a bit of added spice to it. I get hot as well when my husband takes my rectal temperature in that position, I just love it and it feels like my anus is getting a bit more stimulated. It is really good for him to push his finger in for a play rectal exam and it is an embarrassing position for me to give him a urine sample into a bowl too. 😜 😈

He just gave me a play exam like this today so it was a really good time for the topic to come up. My husband has not put the speculum in me in the knee chest position but maybe it would be fun to try it for once.

The knee chest position works exceptionally well when viewing the cervix.

Gravity is a wonderful thing. Works well.

It's certainly never something I've experienced. It's always something that I thought only took place on those fake exam sites!

Yes I have had to assume that position. After birth of my second child, my vagina became much looser and an 80 mm size did not want to stay in place and an 85 mm still had issues of staying in place as well. She had me assume that position to check fit. She recommended not having rear entry sex without a condom. I also had to do a home check with my husband when aroused. I still have the instructions some place. I will post them if I find them.