Method Of Exam
|Author: A. Chandrasekhar, MD
||Consultant: P. Tomich, MD
- Have patient empty bladder
- Always do pelvic exam chaperoned.
- Wear a pair of clean gloves and warm them with running warm water
- Inquire for latex allergy
- Drape patient with sheet to form a "tent" over her knees
- Have PAP and culture material ready
- Describe and explain each step to patient prior to performing them
Inspect followed by palpation of the external genitalia
- Mons pubis
- Pubic hair character and distribution
- Labia majora
- Labia minora
- Clitoris: less than 2 cms
- Urethral orifice: Gently palpate intravaginal portion and milk looking for discharge.
- If possible, identify the opening of the periurethral (Skene's)and Bartholin's gland.
- Check for the Bartholin's gland by palpating with the index finger in the vagina near the posterior part of the labia majora. Normal pea size.
Exam of pelvic relaxation
- Ask the patient to strain down to evaluate the support of vaginal outlet. Observe for
- Stress incontinence
- Anterior walll of vagina
- Posterior wall of vagina