How to do internal inspection

Internal examination is a general term for a number of examination items. It is the most effective means for female friends to check gynecological diseases. By examining the vagina, cervix, uterus and other parts, you can know whether your organ tissues have lesions, or tumors. Once a problem is found, it can be corrected in time to prevent the problems in your body from developing more serious development trends and eventually leading to an uncontrollable situation.

What is the internal inspection process?

Situations where internal inspection is required:

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 the appendages are thickened, tender or lumpy. If there is a lump, further investigation should be conducted to determine the size, shape, hardness, mobility, tenderness, and relationship to the uterus.

In addition, it also refers to the regular health inspection of dormitories by the student union on university campuses.

Normal vulva, pubic hair with downward-pointing tips and triangular distribution, labia majora pigmentation, labia minora slightly red, no ulcers, dermatitis, growths or hypopigmentation in the perineum, clitoral length <2.5cm, light pink mucosa around the urethral opening, no growths. Married women have old cracks in their hymen, and pregnant women have old cracks in their hymen and perineum, or there may be incision scars in the perineum. If necessary, the doctor will ask the patient to hold his breath and look for bulging of the anterior and posterior vaginal walls, uterine prolapse, or urinary incontinence. If there are any lesions, doctors will often describe them as "married type" or "given birth type", and any abnormalities will be recorded in detail.

Vaginal examination

The vaginal wall mucosa is light pink in color and has wrinkles, without ulcers, growths, cysts, vaginal septum, double vagina or other congenital malformations. Normal vaginal discharge is egg white-like or white paste, has no fishy smell, and is in small amounts, but increases during ovulation and pregnancy. If there are any abnormalities, the patient will have corresponding clinical symptoms, namely local itching, burning sensation, etc. The doctor will record them in detail and conduct tests.