Index + Middle Finger

As slowly as possible

Indication

*Not contra-indicated in pregnancy

Non-Pregnant Patient

Signs Diseases Hand movement
CMT !PID Touch = PAIN
Size of Uterus Push the cervix gently, feel for the fundus using the other hand on the abdomen
Tip of uterus (Fundus) If you can feel: Anteverted, if not: Retroverted → Tells me the angle to look at for scope Same as above
Adnexa Endometriosis, / Turn hand around
Cervix Dilation Measure size and effacement

Contra-indication

Procedure

Right hand : vaginal

Left hand: abdonimal

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Examine