Vaginal changes and sexuality in women with a history of cervical cancer. Technically, pelvic examination is no more challenging in sexual minority women than in heterosexual women. Circumcised women may become demoralized if examined by providers who are uninformed or vaginal exam speculum by their genital appearance; cultural awareness and sensitivity are crucial. Philadelphia; American College of Physicians: Recommended for You Bimanual Examination.
While the lithotomy position provides good visibility of the vulva and easy examiner access to the vagina, some patients experience it as disempowering, abusive, and humiliating. Special anesthetic concerns in mentally handicapped institutionalized patients undergoing gynecological procedures in an outpatient setting. There are no set industry standards for speculae size, and manufacturers vary in their categorization.
Barriers and facilitators of cervical cancer screening among Hispanic women. Using lubricant for speculum insertion. If you do not agree to the foregoing terms and conditions, you should not enter this site.
Few guidelines address visual inspection and bimanual examination. A specialized form of vaginal speculum is the weighted speculum, which consists of a broad half tube which is bent at about a 90 degree angle, with the channel of the tube on the exterior side of the angle. Speculum and digital examination can become painful in postmenopausal women with vulvovaginal atrophy.
Using lubricant for speculum insertion. Prevalence of sexual assault history among women with common gynecologic symptoms.