Pelvic examination

Pelvic examination is a physical examination of the female pelvic organs. Broadly, it can be divided into the external examination and internal examination. It is also called a pelvic exam or bimanual exam.

Pelvic exam nci-vol

External examination

The external examination includes an examination of the mons pubis, the labia majora and labia minora, the clitoris, the urethral opening and the vaginal opening. To begin the exam, the woman is asked to slide down to the end of the examination table, and the physician spreads the woman's knees apart, while the woman's feet are in stirrups.

Internal examination

The internal examination allows the health care provider to feel the size and shape of the uterus and ovaries, to identify any cysts on the ovaries, and to feel for any uterine fibroids. The internal exam can be performed with a speculum and with the health care provider's gloved hand.

Purpose

The pelvic examination can be used to find certain cancers in their early stages, infections, sexually transmitted infections, or other reproductive system problems. The exam is also used to help determine the cause of menstrual cycle irregularities, pelvic pain, unusual vaginal bleeding, or problems becoming pregnant.

Procedure

The procedure for a pelvic examination includes the following steps:

1. The woman is asked to undress from the waist down and is given a sheet to drape around her waist.
2. The health care provider explains what will happen during the exam.
3. The woman is asked to lie down on her back on an examination table and to slide her body down to the end of the table.
4. The health care provider looks at the vulva.
5. The health care provider inserts a speculum into the vagina.
6. The health care provider looks at the vagina and cervix.
7. The health care provider inserts one or two gloved and lubricated fingers into the vagina and up to the cervix. The other hand is placed on the woman's abdomen to feel the size and shape of the uterus and ovaries.
8. The health care provider removes his or her fingers, then the speculum.
9. The health care provider discusses his or her findings with the woman.

See also

• Gynecological history
• Pap test
• Sexual health clinic

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