Many patients, because of this fear and shame, would rather not see a doctor than have a gynecological examination, thus delaying their condition. As a doctor, every time I explain to a patient lying on the examination bed who is too nervous to cooperate with the examination, “relax, it doesn’t hurt, I have to do this examination”, I really feel helpless. Today we will introduce the content and purpose of gynecological examination to help you eliminate your fears, better cooperate with the doctor and get the most accurate examination results. Compared with other auxiliary examinations, gynecological examination is the simplest and the least expensive, but it is also the most essential one. Compared to Chinese medicine’s looking, touching, tapping and listening, our gynecological examination can also be divided into several parts: looking, peering, smelling and touching. The “look” is to observe whether there are abnormalities in a woman’s vulva: whether the development is normal, whether there are vulvar deformities, adhesions, defects, pigment loss, ruptures, redundancies, etc. Vulvodynia usually has signs such as congestion and redness of the labia; vulvar leukoplakia usually has varying degrees of pigment loss and dysplasia, and some patients will leave scratches on the vulvar skin due to itching, so observation is necessary. As for the superfluous growths, they are also the reason why many patients visit the hospital. We have also encountered many patients in the clinic who cannot distinguish between warts and normal hymenal remnants. In some elderly patients, the degree of pelvic floor organ prolapse can also be observed and measured to help the doctor determine treatment options. ”Peeping” means that we need to use a “speculum” or “vaginal dilator” to peek inside the vagina. This is an area that many patients fear. Under the speculum, we look at three main areas: the vagina, the discharge and the cervix. 1. Vagina: The main lesions are some congenital malformations such as anovagina, bivagina, vaginal septum, and cysts in the vaginal wall, and some gynecological malignant diseases that develop in the vaginal part can also be observed under the speculum. For example, trophoblastic diseases form special purple orchid nodules in the vagina. So it is a very necessary thing to try to relax and cooperate with a good doctor for full observation. 2. Discharge: how much, whether the color and shape are normal, and whether there is a bad smell. (That’s what I call smell. Speaking of which, I have to sigh that gynecologist is really a slightly heavy profession). The discharge will be different for infections caused by different pathogens. For example, in pseudomicrobial vaginitis, the leucorrhea can be bean-like, while in anaerobic vaginitis, the odor is usually very heavy, etc. 3. Cervical: Observe the size, color, and texture of the cervix and note whether there is columnar epithelial hyperplasia, polyps, ulcers, or other superfluous organisms. If the doctor suspects an abnormality, he or she will usually perform TCT and HPV examination of the cervix directly under the speculum. ”Palpation”, mainly divided into double and triple palpation as well as anal and abdominal palpation. Double palpation: The most common test is to place one hand on the small of the patient’s abdomen and two fingers of the other hand into the vagina so that the two hands can work together to palpate the uterus and the fallopian tubes and ovaries on both sides. The main examination is whether the size, shape, texture, mobility and position of the uterus as well as the fallopian tubes and ovaries are normal. For example, before all uterine operations, the doctor must do a double palpation to clarify the position and size of the uterus. Tumors of the pelvic cavity such as ovarian tumors, uterine fibroids, and myometriosis are also represented on the internal gynecological examination. In addition, for inflammatory diseases in all parts of the pelvis, the doctor’s two hands are relied on to do the localization. Triadic examination: It is mainly a complement to the double examination, which is a combined abdominal, vaginal and rectal examination. It is usually performed in cases of malignant cervical lesions to check for involvement of the parametrial tissues. For patients who are not sexually active, the ano-abdominal examination is an alternative to the above two examination methods. Therefore, although the gynecological examination is a few simple actions of the doctor, it contains rich and important content, to find out exactly what disease, do not refuse the gynecologist to do a specialist examination. Remember, opening your legs in a gynecological examination is just like opening your mouth in a dental examination, there is nothing to be ashamed of, as long as you overcome the psychological barriers, gynecological examination is not so scary.