Routine gynecological examinations include the vulva, vagina, cervix, uterus, and bilateral adnexa.1. The vulva is examined for the distribution of pubic hair in a positive triangle or inverted triangle, and the thickness and sparseness of pubic hair. Observe the normal development and elasticity of the labia majora and minora, and then check for vulvar pigment loss, vulvodynia, and vulvar cancer.2. Check for painful nodules in the vagina, normal vaginal wrinkles with or without vaginal tumors, and normal color of the vaginal mucosa. Look at the cervix to see if it is smooth and if there are polyps, erosions, cervical glandular cysts, hypertrophy, etc. 3. Finally, check the size, shape and mobility of the uterus and if there is pressure pain or tenderness in the uterus. Whether there is thickening and pressure pain in the bilateral adnexal area, or palpation of lumps, etc.