Vaginal examination is an integral part of a gynecological examination . After the doctor completes the examination in the mirrors and takes a swab for a microscopic examination, he proceeds to a vaginal examination, which can be one-handed or two-handed (bimanual).
The purpose of this study is to establish the condition, position, size of the vagina, urethra, uterus and its appendages. Such an examination helps diagnose the presence of such diseases as uterine myoma, endometriosis, ovarian cysts, inflammation of the appendages , ectopic pregnancy.
Technique of carrying out vaginal research
One-handed examination of the vagina is performed by the index and middle fingers of one hand, which are inserted into the vagina. First, the large and index fingers of the left hand bred large labia, and then the fingers of the right hand (index and middle) are inserted into the vagina. The thumb is directed towards the symphysis, and the little finger and the nameless are pressed to the palm.
In a bimanual examination, two fingers of one hand are inserted into the anterior vault of the vagina, pushing back the cervix, and with the palm of the other hand the physician performs the palpation of the uterus body through the abdominal wall.
Vaginal examination in pregnancy
During pregnancy, the vaginal examination is carried out by:
- when a woman is registered, at 28 and 36 weeks of pregnancy;
- if you suspect a sexual infection;
- when there is bloody discharge from the genital tract.
Conducted immediately before childbirth such a study allows you to assess the degree of maturity of the cervix, and, hence, the readiness of the female body for the process of the birth of the baby.
Vaginal examination in childbirth
During childbirth this kind of gynecological examination is carried out:
- upon admission to the maternity hospital, and then every four hours from the commencement of labor;
- after the outflow of water occurs;
- at the beginning of attempts;
- at occurrence of complications of sorts.
In these cases, the presenting part of the fetus, the dynamics of the cervix opening, the condition of the birth canals and how the fetus progresses are evaluated.