Index + Middle Finger
As slowly as possible
*Not contra-indicated in pregnancy
| 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 |
Right hand : vaginal
Left hand: abdonimal

