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What is the minimum gestational age determined by the gynecologist. Relentless control. Examinations and examinations during childbirth. In what cases is an examination necessary on critical days?

The basis for passing the study is which is issued by the employer.

Labor Code of the Russian Federation. Article 69. Medical examination at the conclusion of an employment contract Persons under the age of eighteen, as well as other persons in the cases provided for by this Code and other federal laws, are subject to mandatory preliminary medical examination when concluding an employment contract.

Labor Code of the Russian Federation. Article 213. Medical examinations of certain categories of employees Employees engaged in work with harmful and (or) dangerous working conditions (including underground work), as well as in work related to traffic, undergo mandatory preliminary (upon employment) and periodic (for persons under the age of 21 - annual) medical examinations to determine the suitability of these workers to perform assigned work and prevent occupational diseases. In accordance with medical recommendations, these employees undergo extraordinary medical examinations.

Employees of food industry organizations, public catering and trade, water supply facilities, medical organizations and children's institutions, as well as some other employers, undergo these medical examinations in order to protect public health, prevent the occurrence and spread of diseases.

This Code, other federal laws and other regulatory legal acts of the Russian Federation may establish mandatory medical examinations for certain categories of employees at the beginning of a working day (shift), as well as during and (or) at the end of a working day (shift). The time for passing these medical examinations is included in working hours.

Harmful and (or) dangerous production factors and work, during the performance of which mandatory preliminary and periodic medical examinations are carried out, the procedure for conducting such examinations is determined by the federal executive body authorized by the Government of the Russian Federation.

If necessary, by decision of local governments, individual employers may introduce additional conditions and indications for mandatory medical examinations.

Federal laws and other regulatory legal acts of the Russian Federation for certain categories of workers may provide for chemical and toxicological studies of the presence of narcotic drugs, psychotropic substances and their metabolites in the human body.

Employees engaged in certain types of activities, including those associated with sources of increased danger (with the influence of harmful substances and adverse production factors), as well as working in conditions of increased danger, undergo a mandatory psychiatric examination at least once every five years in the manner established by the authorized The Government of the Russian Federation is a federal executive body.

The medical examinations and psychiatric examinations provided for by this Article shall be carried out at the expense of the employer.

The document specifies details of the organization and the applicant, the division and position of the employee, the nature of the forthcoming activity and the risks associated with it, the name and address of the medical institution, the type of examination required (when hiring, it will be preliminary). We tell you more about how the referral form for a medical examination looks like.

The employee must come to the medical organization and show passport, referral.

The patient is issued outpatient card and health passport, the passage of certain specialists (endocrinologist, neuropathologist, psychiatrist, etc.) and examinations (testing, fluorogram, etc.) are prescribed. Where you can go for a medical examination, which doctors you need to visit and what tests you need to pass, we told in.

The outcome of the examination is conclusions in 2 copies, one of which is attached to the outpatient card, and the second remains with the patient and is transferred to them at the place of presentation.

The conclusion necessary for employment is a certificate of a unified form - 086 / y.

Time to pass

From the point of view of labor legislation, there is no clear deadline for passing when applying for a job. Usually, all examinations require no more than 3-5 business days.

When registering with an organization, a citizen writes an application, but he is considered officially employed only after signing a bilateral employment contract.

Preliminary examination must be passed before signing the contract.

For this reason, the absence of a conclusion on the medical examination passed within the time period specified by the employer is the basis to refuse appointment. As a rule, the established period is no more than one week.

How long is the medical board for work?

Separately, it should be noted that the question often arises, “How long does a medical examination work for a job?”

When applying for a job, it is presented medical certificate in the form 086 / y. For civil servants since 2009, a special form - 001-GS / y.

Ordinary certificate is valid for 6 months. By form help 001-GS/y for A medical board for work is valid for 12 months.

Appointment of a second medical examination

A repeated medical examination upon employment is appointed by the personnel department of the enterprise for the following reasons:

  1. During the period of validity of the medical examination when applying for a job, a person suffered a serious illness or surgery. In this case, it becomes necessary to undergo a new examination and obtaining a fresh opinion. Changes in the state of human health that have occurred after receiving the certificate, may lead to his professional unsuitability in the chosen direction. For this reason, past results become irrelevant.
  2. During the validity period of the certificate, a person changed jobs. For example, an employee was examined in the direction of the organization, but after receiving a certificate, he changed his mind about working in the chosen place. A person can bring a medical certificate with a valid expiration date in their hands to a new place, but, as a rule, personnel departments refuse to accept such a certificate. This is due to different working conditions, with different requirements for the list of examinations and examinations of specialists.

For objective reasons, the employer doubts in data reliability about the health status of the future employee.

A re-examination is scheduled to verification of the results. Often it includes examination of additional specialists, new tests, etc.

A person is being examined in a different medical institution to which he was referred.

In most cases, HR departments do not accept references obtained from third-party medical institutions.

Time for re-examination

Deadlines repeated inspections are set by the employer and usually do not exceed one week.

The unwillingness of the applicant for the position to re-receipt current medical board to work on time leads to the refusal of his employment.

Thus, the current medical examination when applying for a job is a prerequisite in cases prescribed by law.

The result of passing a medical examination when applying for a job is obtaining a certificate of a unified form, having an expiration date.

Reproductive female organs are very vulnerable. Their physiology is such that the initial stages of diseases proceed without pronounced symptoms and discomfort. This applies to sexually transmitted infections, erosions and inflammations, the consequences of which are very difficult to cope with. The precancerous condition can last for years before showing itself. The only way to detect them at an early stage is a timely gynecological examination and examination of smears for microflora and cytology.

Gynecologists consider 7-15 days of the female monthly cycle to be the most informative for examination. In this phase, the already formed dominant follicle with the egg grows and produces estradiol.

Practice has confirmed that it is enough to conduct such inspections once every six months, but not less than annually. A visit to the gynecologist should be planned in advance and prepared for it. Many enterprises oblige their employees to undergo these procedures in a general, working order. And here the natural questions arise:

  • Does it make sense to go for an examination during menstruation?
  • Should I wait until the end of my period to see a doctor if I feel unwell?

How is a gynecological examination performed?

If a woman has no complaints or special indications for examination, regular examinations by a gynecologist are still necessary. Besides the fact that they can reveal the concealment of the disease, they are useful for family planning, tracking age-related changes, and simply for a woman's confidence in her health. To determine the date of such a visit, a better understanding of what constitutes a gynecological examination will help, whether it is possible to plan it before menstruation, during menstruation, or it is better to wait for them to end.

A complete check-up, which experts recommend every 6 months, includes:

  1. A survey during which the doctor fills out a form and notes what to pay special attention to. Answer questions clearly, without embarrassment and frankly, even if they seem unethical. For a doctor, this is important information.
  2. During an external examination, the doctor measures height, weight, pressure, evaluates the nature of the hairline on the woman's body. Examines the condition of the glands, carefully examines the chest. Looks for warts, irritations, rashes or other pathological formations on the genitals from the outside.
  3. This is followed by a visual examination of the walls of the vagina and cervix. A gynecological mirror is inserted into the body and with its help the doctor clearly assesses the condition of the walls, mucous membrane and the presence of damage, inflammation, neoplasms and erosion.
  4. Next comes the bimanual study. It is also produced in the gynecological chair. Its purpose is to determine the size, shape, location, mobility and tone of the internal female organs. To do this, the doctor gently probes them with one hand from the inside of the vagina, with the other from the outside of the lower abdomen.
    If the girl has not yet had sexual intercourse, the examination is carried out through the rectum. Any pain during the procedure should be reported immediately.
  5. Study of internal secretions. First, the doctor looks at their appearance, color and smell. Then he takes a smear for analysis of microflora and cytological analysis. Analysis of the microflora determines the presence of infection, the development of fungal diseases and other disorders. An analysis for cytology determines the condition of the cervix and allows you to recognize pathological changes in its cells at an early stage.
  6. If required, the doctor prescribes a pelvic ultrasound.
  7. The last stage of the examination is conclusions and consultation after receiving laboratory results. Therefore, you need to visit the gynecologist during a routine examination twice.

Will an examination by a gynecologist during menstruation be effective

In the absence of specific, urgent complaints, or circumstances when it is necessary to go to a gynecologist, an examination during menstruation will not be informative for the following reasons:

  • Due to female physiology, during menstruation, the uterus and other organs swell and change position. Therefore, during palpation, the doctor will not be able to determine the presence of disorders or pathological formations. The use of tools injures the mucous membrane that is sensitive at this time, which can subsequently lead to infection.
  • For the same reason, the procedure will be painful for a woman, and it is difficult to assess the condition of the internal organs according to her feelings.
  • A visual examination will also not give a result due to menstrual flow and swelling of the walls of the vagina.
  • It is impossible to view the status of normal selections at this time.
  • The results of the smear tests will be distorted by particles of blood and endometrium, so if necessary, the smear will have to be taken again after the end of menstruation.
  • The same applies to blood tests and other studies, because during menstruation, many indicators of the functioning of the systems of the female body change significantly.
  • The probability of introducing an infection into the uterus, even if an examination by a gynecologist is carried out in compliance with all sanitary rules, during menstruation increases many times over.
  • It will not be too comfortable for a woman to be on a gynecological chair on the days of menstruation.

In what cases is an examination necessary on critical days?

There are circumstances in which an appointment with a gynecologist is prescribed during menstruation:

  1. It is most convenient to install an intrauterine device in the first days of menstruation, because the cervix opens slightly at this time.
    In addition, during the period of renewal of the internal integument, it is easier for the uterus to accept a foreign object.
  2. After eight weeks after childbirth, a scheduled visit to the gynecologist is prescribed. It cannot be postponed, even if the bleeding has not yet ended. During this period, any oddities or painful sensations in the genital area are a reason to see a doctor.
    Not only critical conditions with pain and fever, but simply too intense bleeding, or, conversely, its rapid attenuation.
  3. A short IVF protocol is started on day 3-5 of the cycle.
  4. You will also have to go for an examination to a gynecologist during menstruation if at this time a woman regularly has problems: a severe course of critical days; exacerbation of chronic diseases during them; itching and irritation in the genital area.

It is necessary to immediately seek help, without waiting for the end of menstruation in such cases:

  • with pain in the lower abdomen, in the lower back or in the mammary glands;
  • with a significant increase in temperature, and also if the temperature is not very high for a long time;
  • with weakness, dizziness and other ailments;
  • if menstrual flow has changed composition, color or smell;
  • with an outbreak of herpes or a fungal infection, with the appearance of a suspicious rash, irritation, burning and painful itching;
  • with severe bleeding;
  • if the discharge does not stop for more than 7 days.

Any of these symptoms indicate a pathological process in the body. In such a situation, you need to take action immediately.

When should I schedule a checkup after my period?

The entire hormonal system of a woman works with full dedication. This is the best time for a more reliable examination and identification of the causes of possible deviations from the norm. This period of time approximately falls on 4-8 days after menstruation, then you should go to see a gynecologist.

It is also important whether the woman was treated with antibiotics or antifungals. After them, it is not advisable to do tests for microflora. The body needs two weeks to restore the natural balance of bacteria, only then it makes sense to go for an examination with a smear for analysis.

In order for the examination to be as comfortable and effective as possible, it is necessary to prepare for it.:

  1. Follow the usual course and duration of the monthly cycle, the nature of the discharge in its different phases. Point out what seems odd. Think about the issues that need advice. Remember the start date of the last critical days.
  2. A day before the scheduled examination, avoid vaginal penetration during sex so that the injured walls of the vagina and the presence of male seminal fluid in the smear do not distort the results.
  3. Refuse intimate perfume and scented pads.
  4. It is impossible to douche before the examination, because this will disrupt the natural internal environment in the vagina.
  5. It is necessary to go for an examination with an empty bladder and intestines so that their fullness does not interfere with the internal examination.

There are no “indecent” days for visiting a doctor

There are special norms of decency and ethics between gynecologists and women who go to them for consultations. Menstruation is an obstacle to examination only when it affects the receipt of the necessary result during a planned, preventive examination. If disturbing symptoms appear during menstruation, you should seek help without any hesitation, because lost time can aggravate the situation and lead to dangerous consequences.

17.09.2016

The news of the birth of a new life is certainly a quivering moment. Someone is looking forward to it, for others, the news of the upcoming replenishment of the family can come as a shock. Regardless of what decision the beloved will make in the future, every girl should have an idea of ​​​​how many days you can find out about pregnancy.

This is especially important when the birth of a baby is not included in the plans of both. If the pregnancy is terminated, it is important to decide in a timely manner on such a cardinal step. Abortion after 12 weeks is not possible. No doctor would undertake such an operation. In order not to delay the period and not endanger your own health, you should be aware of how many days you can find out about pregnancy. After conception, long before the first signs of fertilization appear, there are several basic methods for determining the “interesting position” in women.

After how many days can you find out about pregnancy thanks to hCG

It will be possible to detect a fetal egg at an early stage with a high percentage of accuracy when taking a blood test for the level of hCG. It is known that the amount of this hormone in a woman's body is a direct evidence of the successful penetration of the sperm into the egg. When asked how long it takes to find out about pregnancy using this method after a perfect sexual intercourse, the gynecologist will answer: already on the 3rd day of the delay in the menstrual cycle.

Sometimes this date varies within five days. It is impossible to name the reason why one woman becomes aware of conception after 3 days, and the other a little later, because it all depends on the individual characteristics of physiology.

Based on the principle of detecting human chorionic gonadotropin, popular test strips for determining pregnancy also work. As soon as hCG in the urine reaches the appropriate level, the indicator is triggered, staining with two parallel lines. If there is no fertilized egg in the body, one line will appear on the test.

To understand how many days you can find out about pregnancy with the help of a pharmacy test or a laboratory blood test, you should pay attention to how a new life is born. It takes about 2 days for a sperm cell to reunite with a mature female cell. Hence, it is not at all surprising how long after unprotected sex you can find out about the onset of pregnancy. After 3-5 days, the results of the analysis will put all the dots on the “and”.

Indicator tests and ultrasound diagnostics in the first weeks

Unlike this diagnostic method, other methods do not allow to determine the fact that a woman is in an “interesting position” also early. Despite the fact that commonly used test strips work on a similar principle (detecting the presence of pregnancy hormone in the urine as soon as it reaches a certain level), they work for a period of 3-4 weeks. For the earliest possible confirmation of a successful conception, a blood test for hCG is a priority. You can go through a laboratory examination in the direction of a doctor, however, in comparison with a pharmacy pregnancy test, its cost is an order of magnitude higher.

Approximately the same amount of time as days after conception must pass in order to be able to find out with the help of a pregnancy test, It will also be possible to identify a developing fetal egg on ultrasound. At 3-4 weeks, upon examination, an experienced gynecologist is able to notice a slightly enlarged uterus and its softened neck. In most cases, this is precisely the reason for referring a woman to an ultrasound examination. When the doctor sees a fetal egg on the monitor screen, all questions and doubts about the onset of pregnancy will disappear by themselves.

The main signs of a fertilized egg in a woman

After unprotected intercourse, of course, a woman may have concerns about the high probability of conception occurring. How long does it take to find out about pregnancy? - this question arises in the head in the first place. The most common signs of pregnancy can make a woman worry even more. The probability that conception did occur, it is high in the presence of the following manifestations:

  • the mammary glands swelled in the same way as before menstruation;
  • possible morning sickness;
  • dizziness and general malaise;
  • an increase in the number of urination throughout the day.

As a rule, such symptoms occur 2-3 weeks after conception. However, in many women they do not appear at all. Since ovulation, on average, occurs in the middle of the cycle, the day of that very sexual intercourse falls approximately from the 11th to the 14th after the start of the last menstruation. If we add another 2-3 days to the received number in the calendar (the period when the sperm is trying to merge with the egg), this will be the exact number of the “start” of a new life, the onset of which can be determined even after ovulation. After how many days you can find out about pregnancy is now known to every expectant mother, but that's not all.

After how many days can you find out about pregnancy by basal temperature

Noteworthy is such a method as measuring basal temperature. In the middle of the menstrual cycle, closer to ovulation, it rises to 37.0°C. With a failed conception, after a few days the temperature drops to normal, but if this did not happen and after ovulation the indicators remain at the same levels, fertilization probably occurred. To get a reliable value, you should:

  • Perform the procedure only in the morning.
  • It is advisable to do this only after waking up, not having time to get out of bed yet.
  • It is necessary to use an ordinary thermometer, inserting its edge into the anus.
  • Hold the thermometer for at least 10 minutes.

How many days you can find out about pregnancy using this method is its indisputable advantage. However, in addition to a fertilized egg in the female womb, we can talk about the course of inflammatory processes in the genitals. This fact cannot be ignored. In any case, an increased basal temperature is a reason to see a doctor. The specialist, in turn, will dispel all doubts by congratulating you on your pregnancy or diagnosing a pathology.

The answer to the question, after how much time you can find out about the onset of pregnancy, depends on the chosen method of detecting new life. Each of the methods does not give a 100% guarantee of its reliability, therefore, with the slightest suspicion of an "interesting situation", it is advisable to go to the doctor.

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Home > Questions and Answers > How soon can a CT scan be done again?

During CT, the body is exposed to a rather large radiation load, so the appointment of each new such examination should be carried out taking into account all factors. If it is necessary to re-scan, then proceed from its expediency. If possible, it is better to postpone the procedure for at least a month. But in some cases it is vital to check the condition of soft tissues or bones after an injury, for example, or in other emergency situations. The need also arises to evaluate the results of treatment, healing after surgery, etc. There are many reasons for re-examination. Then they make a diagnosis after 2-3 weeks or even after a few days. You should also consider replacing computed tomography with MRI, which does not work on the basis of X-rays, but with the help of a powerful magnetic field. This will help save the body from excess radiation exposure.

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