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The dorsal lithotomy position is generally used for pelvic exams, because it provides for good access to pelvis while inspecting the vulva, inserting a vaginal speculum, and performing a bimanual exam. Because of illness or injury, some individuals cannot be examined in the conventional dorsal lithotomy position. Others may need to be examined in alternative positions due to special circumstances or location. Some patients are unable to lie flat on their back. With the patient lying on her side, raising the upper leg allows for good pelvic access.

When the introitus is narrow, due to atrophy, the patient is tense, or virginal, the thin virginal speculum usually allows for a satisfactory exam.

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With vaginal prolapse, the lateral vaginal walls may obstruct your view of the cervix. In these cases, placing a condom over the speculum, with a hole cut in the tip will help keep the lateral vaginal walls separated.

A latex glove with fingertip cut off can accomplish the same task. This technique can also be used during cryosurgery of the cervix to keep the vaginal walls away from the cryosurgical probe.

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Particularly when inspecting the introitus, using only a single blade may provide better visualization. Simply disarticulate the speculum and use the unhinged blade.

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Sometimes in isolated settings, vaginal specula are not available. In such cases, good use can be made of bent spoons to examine the vagina and cervix.

Pelvic exam is a important part of the exam for female patients and important towards making various diagnoses such as yeast vulvovaginitis, bacterial vaginosis, lin sclerosis, cancers such as cervical cancer, anal/rectal cancer, sexually-transmitted infections (gonorrhea, chlamydia, trichomonas, syphilis, herpes and human papillomavirus) and many other diagnoses. https://stanfordmedicine25 FakeHospital Cute blonde teen prescribed internal creampie. M 99 15min - p. Spy Hospital. Gorgeous redhead teen vagina speculum exam voyeur cam video. k 99 5min - p. xvideos. M 11min - p. Naive 18yo teen wants the gogreenbabyshop.com doctor needs to exam gogreenbabyshop.com fingers her pussy but her hymen needs to be gogreenbabyshop.com will do anything to get the gogreenbabyshop.com doctor takes out his Gyno exam and real orgasm of hot babe Valentina Sierra Gyno, gyno exam hd, gy didevi5 Gyno Some Orgy - Amateur Porn Video Big breasted whore gets toyed in doctors office Busty countrywoman gets huge squirting orgasm in gyno chair roxy raye strets her anus with a metal speculum and receives an anal reaming Energists - YoungViktoriya - Teen Gyno

If the bowl of the spoon is too large for the patient, the narrower handle of the spoon can be used instead. Ultrasound is a very useful tool. It can reveal the presence of endometrial polyps, or ovarian cysts, or other gynecologic abnormalities.

Ultrasound can also be used dynamically during a pelvic exam, providing more information than either alone. Using the vaginal ultrasound probe as though it were the examining fingers, the probe can mechanically lift structures toward the abdominal hand.

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