As an important part of the gynecological physical examination, gynecological examination plays a pivotal role in the diagnosis of obstetrical and gynecological diseases and gynecological screening. In summary, abnormalities that often occur in obstetrics and gynecology include: vaginal bleeding (vaginal bleeding other than normal menstruation), abnormal leucorrhea, lower abdominal pain, lower abdominal masses, amenorrhea, etc. Women should visit the obstetrics and gynecology department in time for gynecological examination to find the cause and timely treatment in any of these cases. In addition, since the 1970s, the regular screening and treatment of gynecological diseases has been included as one of the routine tasks in women’s health care; even if no obvious abnormalities are found, women should undergo regular gynecological examinations in order to detect various common and multiple diseases in women at an early stage, implement preventive measures, carry out timely treatment and reduce their incidence, thus improving women’s health. During outpatient or census examinations, doctors can usually detect many gynecological diseases, such as various types of vaginitis, chronic cervicitis, uterine fibroids, ovarian tumors, endometriosis, cervical cancer, uterine prolapse, congenital malformations of the genitals, etc. Many of these diseases are not detected in the early stages. Many of these diseases have no obvious abnormal manifestations in the early stage and are often not felt by patients. If regular gynecological examinations are performed, they can be detected and treated as early as possible, and the benefits to women’s health are obvious. Therefore, women should seek medical attention when abnormalities occur and must go to the hospital for regular gynecological checkups even if they do not feel abnormal. Before the gynecological examination, the following points should be noted: 1, the subject should first empty the urine, constipated people should also solve the stool, so as to avoid misdiagnosis due to the distended bladder or fecal masses and pelvic masses confusion. 2. Vaginal examination is not usually done during menstruation; if there is irregular vaginal bleeding, the examination should be done promptly. 3.Unmarried women usually do not do gynecological examination, but if they have to do it, the doctor will use rectal-abdominal examination. However, unmarried women with a history of sexual intercourse should also undergo routine gynecological examination. 4, the subject generally take the bladder stone position (supine, legs flexed to the sides apart), buttocks on the edge of the examination table, hands flat on the side of the body, in order to make the abdominal muscle relaxation. The examiner faces the examinee and stands between the legs of the examinee. 5, each examinee should be replaced after the examination placed under the hip pad to prevent cross infection. 6, the examinee should try to cooperate with the doctor for the examination, relax the mind, and keep the abdominal muscle relaxed to obtain the most satisfactory examination results. The specific content of gynecological examination includes the following steps: 1. Vulvar examination: observation of vulvar development and the amount and distribution of pubic hair, which can indirectly understand the development of gonads; the presence of congenital anomalies such as hymenal atresia or congenital absence of vagina; the presence of dermatitis, ulcers or lumps; the presence of vulvar hypopigmentation diseases such as vulvar leukoplakia, vitiligo, etc.; the examinee holds his breath downward to observe the presence of bladder or rectal bulge, uterine These conditions tend to occur in women who are older, have more children and shortly after giving birth. 2. Vaginal speculum: The vaginal speculum is commonly known as the “duck’s mouth”, with the help of which the doctor can check the cervix and vagina for abnormalities such as cervical erosion, polyps and lumps, vaginal inflammation, cysts and congenital abnormalities such as vaginal diaphragm and double vagina. At this time, the doctor will perform a very important test, cervical smear, which is an important method to screen for early cervical cancer. If there is abnormal leukorrhea, it can also be examined at this time. The discharge is taken at the posterior vault for smear or culture to check for trichomonas, candida, gonorrhea and clue cells. White or grayish yellow foamy thin leucorrhea is characteristic of trichomoniasis and may be accompanied by vulvar itching; clotted leucorrhea is characteristic of Candida vaginitis and is often accompanied by severe vulvar itching or burning pain; gray homogeneous fishy leucorrhea is common in bacterial vaginosis; pus-like leucorrhea with foul odor is often caused by acute vaginitis and cervicitis due to trichomonas or gonorrhea, etc. 3.Double diagnosis: vaginal-abdominal examination is the most important item in pelvic examination. Through this step, the doctor can understand the patency and depth of the vagina, the presence of congenital malformations or masses, the presence of cervical contact bleeding, and if the pain is felt when lifting the cervix, it is called cervical lifting pain, which is a manifestation of lesions in the pelvic organs. In addition, by coordinating with each other, we can understand the position of the uterus, whether there is an enlarged uterus caused by fibroids or myometriosis, whether there is uterine pressure pain caused by inflammation, etc.; and whether there is a mass, thickening or pressure pain caused by ovarian tumor, adnexal inflammation or endometriosis, etc. 4.Triple diagnosis: the combined abdominal-vaginal-rectal examination aims to make up for the shortage of double diagnosis. The triple examination can reveal the size of the posterior uterus, the posterior wall of the uterus, the rectal uterine sink, the uterosacral ligament, and the vaginal rectal diaphragm or rectal lesions. In the vast majority of cases, the physician takes the above approach, but in patients who are unmarried, have vaginal atresia, or are otherwise unfit for duplex examination, a combined recto-abdominal approach may be used. Pregnant women, especially those in early pregnancy, sometimes have abnormalities such as vaginal inflammation, especially Candida vaginitis, vaginal bleeding, abdominal pain, etc. Pregnant women often have great concerns about having gynecological examinations at this time, fearing that the examination will lead to miscarriage and other consequences. In fact, there is no need to have such concerns, as gynecological examinations generally do not lead to miscarriage; on the contrary, if the cause is not identified and treated as soon as possible, the condition will often develop and eventually lead to infection, miscarriage and other undesirable outcomes. Finally, we should also note that don’t forget to have regular breast examinations; usually you should often pay attention to observe whether there is any change in breast skin color, local indentation, orange peel-like changes or ulcers, etc., and whether there is any nipple overflow or overflow; rub the breast with the palm of your hand flatly to check for lumps, etc. If there are abnormal findings, you should promptly go to the breast department for further examination. In conclusion, we women should not only know how to care for our families, but also how to care for ourselves, and we must seek medical attention in time if we have any problems, and we should also do gynecological examination regularly without abnormal feelings, usually once a year.