We often encounter patients who come to our clinic and “order” tests. “Get an ultrasound to see if there is inflammation”; “Get an ultrasound to see if there is a tumor”. Among the commonly performed examinations, ultrasound is favored by patients because it is non-invasive, painless, easy, and acceptable in cost. And ultrasound is indeed a very powerful non-surgical diagnostic test. Gynecological exams are not popular because they are “uncomfortable”, although they are quite inexpensive. Patients are far less knowledgeable about gynecological examinations than ultrasound, and often ask the question: Why do we have to do a gynecological examination when an ultrasound is sufficient? In fact, among all the examination and testing items related to diseases, there is no one trick that can “take all”. History and physical examination are the main basis for diagnosing diseases, and physical examination is indispensable even today when auxiliary examinations are abundant. Gynecological diseases have certain characteristics that are different from other disciplines, and are unique to gynecological examinations. What is meant by gynecological examination? What are the precautions? A gynecological examination is also called a gynecological examination, which is precisely a double and triple examination of the vulva, vagina and pelvis. The gynecological examination requires emptying the bladder and adopting a bladder truncal position. It is performed on the gynecologic examination bed. Knee-chest position in special cases. Avoid examination during menstruation as much as possible. Unmarried patients should obtain consent from the patient or family if the examination must be performed. Gynecologic examinations, although less comfortable, generally do not require anesthesia. Except when pelvic pathology is suspected and must be examined and the patient is uncooperative or when the patient is overly obese. What are the gynecological examinations? 1.Vulvar examination: mainly to check the development of vulva, whether there is inflammation and whether there is injury. 2.Vaginal examination: a vaginal speculum is needed. Check vaginal and cervical lesions. Vaginal discharge examination and cervical smear are feasible through speculum. Cervical smear is also a screening method for cervical cancer. 3.Double diagnosis: It is a method of examining pelvic lesions through the vagina and abdomen with both hands. Through double diagnosis, the condition of vagina, cervix, uterine body, fallopian tubes, ovaries and surrounding tissues can be clarified. For example, the size, position and mobility of the uterus, and whether there are any masses, thickening or pressure pain in the adnexa (fallopian tubes and ovaries). General inflammation of the pelvis cannot be diagnosed by ultrasound. Normal fallopian tubes are usually not palpable. If there is a case of hydrocele, ultrasound can provide a diagnostic basis. Thickening and pressure pain in the uterus and surrounding tissues is often a sign of pelvic inflammatory disease. If there is a tumor of the uterus or ovaries, the degree of invasion of the lesion can be understood by examining the activity through duplex examination and staging the extent of the lesion. These cannot be done by B-ultrasound examination. 4.Triple diagnosis: that is, combined examination of abdomen, vagina and rectum. It can make up for the lack of double examination. Especially for posterior uterus is more important. The triple examination can reveal the size of the “posterior” uterus, the presence of inflammation in the adnexa, the discovery of lesions in the posterior wall of the uterus, between the uterine rectum and surrounding tissues, and the estimation of the extent of lesions in the pelvis. Clinically common endometriosis often requires triple diagnosis to detect positive signs. 5. Anal-abdominal examination: It is an examination through the rectum and abdomen in conjunction, and is generally used in patients who are not sexually active (unmarried), have vaginal atresia, or otherwise are unable to undergo a bimanual examination. As mentioned above, gynecological examination and ultrasound have their own advantages and are not substitutes for each other. Patients should not try to be “comfortable” and do whatever they want, and doctors should not try to save time and “do whatever they want” and send patients away with an ultrasound sheet. The gynecological examination, despite the “bed” is difficult, but it is necessary to “reluctantly”.