Method Of Exam
Author: A. Chandrasekhar, MD
Consultant: P. Tomich, MD
Palpate vagina and Cervix
Introduce the middle and index fingers of your gloved and lubricated hand into the vagina.
The thumb should be abducted and the ring and little fingers flexed into the palm.
Feel: Identify the cervix, noting its position, shape, consistency, regularity, mobility and tenderness.
Palpate uterus via bimanual exam
Place your other hand midway between the umbilicus and the symphysis pubis and press downward toward the pelvic hand.
Using the palmar surface of your fingers, palpate for the uterine fundus while gently pushing the cervix anteriorly with the pelvic hand.
Feel the uterus and note
Palpate adnexa via bimanual exam.
Gently slide the vaginal fingers into the lateral vaginal fornix while pushing inferiorly with the abdominal hand.
An attempt should be made to entrap the adnexa between the abdominal and vaginal hand.
Is the size of a small orange. When enlarged often described in size corresponding to weeks of Pregnancy
Upside down Pear shaped
Anteverted (80%) and anteflexed.
Ovary 2x2 cms
Slightly tender to palpation