A pelvic examination, also pelvic exam, 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 'Bimanual Exam' & 'Manual Uterine Palpation'. Use of speculum to locate external cervical os. Examination for foreign bodies and cervical swabs are taken at this point in the exam. These swabs of the epitelium layer of the cervix are known as a Pap smear. Other vaginal swabs can be taken at this time or STI testing. Two fingers are inserted into the vagina until they isolate the cervix. Then the health care professional tests for cervical motion tenderness, as classically seen in pelvic inflammatory disease. The examiner palpates the uterus, including location of the fundus of the uterus and the adnexal structures. The exam should not be excessively uncomfortable, but a woman with a vaginal infection may feel pain when the speculum is inserted.
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