The procedure generally involves several steps: 1. External Inspection: The healthcare provider examines the external genitalia for any visible abnormalities. 2. Speculum Examination: A speculum is inserted into the vagina to allow visual inspection of the cervix and vaginal walls. Swabs may be taken for Pap smears or cultures. 3. Bimanual Examination: The practitioner inserts two fingers into the vagina while pressing down on the abdomen with the other hand to feel the size, shape, and position of the uterus and ovaries. 4. Rectovaginal Examination: In some cases, a finger is inserted into the rectum to check for abnormalities behind the uterus.
