Gynecological Bimanual Examination Procedure Video

Generally, the bimanual gynecological examination is a fundamental gynecological procedure used for women who are sexually active. The specific steps are as follows:

1. After emptying the bladder, the patient assumes the lithotomy position. The examiner stands between the patient's legs, facing her.

2. Wearing gloves, the examiner gently inserts the right index and middle fingers along the posterior vaginal wall to assess vaginal patency and depth. Then, the size, shape, consistency, and condition of the external cervical os are examined, checking for any contact bleeding.

3. With the two fingers placed behind the cervix inside the vagina, the examiner places the other hand on the patient’s abdomen. The fingers in the vagina lift the cervix upward to evaluate the position, size, shape, consistency, mobility, and presence of tenderness of the uterus.

4. Next, the fingers within the vagina are moved from behind the cervix to one of the vaginal fornices, probing deeply to check for masses, thickening, or tenderness.

Bimanual examination should be avoided during menstruation. If examination is necessary due to abnormal vaginal bleeding, the perineum must be disinfected prior to the exam, sterile gloves must be worn, and sterile instruments used. Bimanual examination is contraindicated in unmarried individuals. This examination is recommended to be performed at a正规 medical facility by a qualified physician.