In this article, we shall look at how to perform a bimanual examination in an oscestyle setting. The bimanual examination also known as a pelvic examination is an examination of the female genital organs. The cervix is felt with two fingers of the left hand in the vagina. For example, the complete gynecologic examination includes the sites from which over 50% of all malignancies develop in the female. Bimanual pelvic exam technique sometimes, a pelvic examination cannot be performed in the normal way, due in such cases, it will be necessary to modify the basic techniques to obtain. The content may not be appropriate for sensitive viewers or children, as we use medical education grade images, videos, and text that some may find disturbing. For the purpose of examinations you will be provided with a mannequin, however you should pretend it is a real patient and talk to it as such. Pelvic examination does not harm the patient, and its omission can be responsible for failure to make potentially fatal diagnoses. Reassure that it should not be painful but you will stop immediately if it becomes too uncomfortable. While youre stuck at home, make the most of your time by learning a new language, skill, or even train for a remotework job. Although, bimanual assessment is considered to be the third part of the pelvic exam, you may choose to perform this before the speculum examination.
The bimanual and rectovaginal exams are performed to more thoroughly evaluate the patients cervix, uterus, ovaries, rectum and other pelvic structures. This video shows how a bimanual pelvic exam of a female is done. Exploracion ginecologica salud femenina manual msd. Bimanual or pv examinations are performed for a number of clinical reasons, for example with problems relating to menstruation, irregular bleeding, dyspareunia, abnormal vaginal discharge or pelvic pain. Exploracion ginecologica salud femenina manuale merck version. Bimanual pelvic exam of a female, using two fingers inside the vagina and one hand on the outside of the abdomen. Hospitals employ strict policies relating to the provision of consent by the patient, the availability of chaperones. To assess for lesions, use both index and middle fingers, make contact with the pads of your fingers, and palpate the labia majora from the top of the mons down to the anus. Learn vocabulary, terms, and more with flashcards, games, and other study tools. This is a good time to talk about how to stay healthy or ask any questions that you didnt ask before. Gynecology the use of both hands2 fingers from one hand in the vagina, the other on the abdomen, which allows evaluation of the position, size, firmness, mobility of the uterus see rectal examination. A fter the exam you will have a chance to talk to your provider about the exam.