Pelvic Exam Procedure

What to Expect During Your Annual Pelvic Exam

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The Bimanual Exam


The bimanual exam is performed when your gynecologist inserts two fingers into your vagina and places the other hand on top of your lower abdomen, while feeling for any abnormalities that might have occurred since your last pelvic exam. During this part of your examination, your doctor checks the size, shape, and mobility of your uterus. Changes in your ovaries, such as ovarian cysts may be detected during the bimanual exam, as well as other uterine changes including endometriosis, fibroid tumors, or other common uterine conditions.

In some patients, particularly those with difficult to feel pelvic masses, a combined rectovaginal exam is useful. After changing gloves the doctor will lubricate your rectim and then insert one finger into your rectum and your index finger into your vagina. The rectovaginal exam is helpful in feeling the uterosacral ligaments, a common site of endometriosis involvement.

On completion of the rectal exam, stool can be checked for the presence of occult blood

Your doctor will do a bimanual and rectovaginal exam to evaluate for any abnormal masses.

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