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Bimanual pelvic examination

Size, position and tenderness of uterus and adnexa.

Source: TeachMeObGyn

Steps

  1. Two fingers along posterior wall to cervix: consistency, os, mobility.
  2. Move cervix side to side — cervical motion tenderness?
  3. Lift uterus from posterior fornix against abdominal hand: size, version, mobility, tenderness.
  4. Feel each lateral fornix for adnexal mass or tenderness.
  5. Check glove for blood or discharge.
A summary for trained clinicians. Always check the full guideline, the patient in front of you and your hospital's protocol. Spotted an error? Tell us.