What is a gynecological bimanual examination?

I believe everyone knows the importance of gynecological examinations. Gynecological examinations can help identify some diseases in advance and avoid the deterioration of the disease. Therefore, we recommend that female friends should undergo some gynecological examinations regularly. Bimanual examination is one of the gynecological examinations. Many female friends are not very familiar with the bimanual examination. Below we will introduce to you what the bimanual examination is.

1. The patient takes the lithotomy position.

2. Speculum examination: Put the two blades of the speculum together, slowly insert it into the vagina laterally along the posterior wall of the vagina, and then push it upward and backward. At the same time, turn the speculum flat and open the two blades to expose the cervix and vaginal wall. Observe the size, color, shape of the external opening of the cervix, and whether there is erosion, glandular cysts, polyps, tumors, or contact bleeding. Pay attention to the color of the vaginal mucosa, the number of wrinkles, inflammation, deformity, tumors, and the amount, nature, color, and odor of the secretions.

3. Bimanual examination (combined vaginal and abdominal examination)

⑴ Vaginal examination: The examiner wears a sterile glove on one hand, dips the index and middle fingers in a little sterile soap solution and inserts them into the vagina. Feel the elasticity and patency of the vagina, and feel for tenderness, deformity, swelling, posterior fornix nodules, and fullness.

⑵ The size, hardness, mobility, itching, pain, swelling or contact bleeding of the cervix, etc.

⑶ Check the uterus and its appendages. Use the fingers in the vagina to push the cervix upward and backward to move the uterine body forward. At the same time, place the four fingers of the other hand on the upper side of the pubic symphysis and press into the pelvic cavity. Hold the uterus between the two hands and move it back and forth to determine the position, size, shape, hardness, mobility and presence of tenderness of the uterus.

Then move two fingers in the vagina to the lateral fornix, and move the hand in the lower abdomen to one side of the pelvic cavity. Check the parauterine tissue, ovaries, and fallopian tubes between the inner and outer hands. Normal fallopian tubes are difficult to palpate, but the ovaries can sometimes be touched, and there is a sore and swollen feeling when pressed. Pay attention to whether there is thickening, tenderness or lumps in the appendages. If there are lumps, further investigation should be conducted to determine the size, shape, softness, mobility, tenderness and relationship to the uterus.

In the above article, we introduced the importance of gynecological examination for female friends. We recommend that female friends should have a gynecological examination regularly. The above article gives us a detailed introduction to what a bimanual examination is. I believe everyone has already mastered it.