Palpating the vaginal wall

The examination can be uncomfortable. Fig 2 — The bimanual examination. The adnexal region surrounds the uterus and contains the fallopian tubes, ovaries, rectosigmoid, small intestine, bladder, ureters, vessels, nerves.

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Palpating the vaginal wall
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Pelvic examination

A thin, narrow speculum may be used for young girls and older women. Patients should be advised not to douche or have palpating the vaginal wall for at least 2 days before the cytology smear is made. With the patient straining, the anal sphincter will be more dilated, and insertion of the finger will cause less discomfort.

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American College of Obstetricians and Gynecologists. It is frequently used in gynecology. An excellent light should be shining over the examiner's shoulder for adequate illumination of the external genitalia.

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Palpating the vaginal wall
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