There are many people who do not know what gynecological examination actually need to check? Gynecological examination is a special examination of female reproductive organs also called pelvic examination, so what is the whole process and content of gynecological examination? Contents of gynecological examination Routine gynecological examination includes three parts: vulvar examination, vaginal examination, and bimanual examination. Through these three parts of the examination can make a comprehensive assessment of the patient’s reproductive organs. The process of gynecological examination The patient lies on the gynecological examination bed, puts her feet on the footrest and spreads her legs apart, and the doctor has finished examining the vulva before the patient realizes it. The experienced reproductive or gynecological surgeon has already obtained enough information through simple observation: is the clitoris of normal size? Is it badly encased? Do the labia majora resemble a very plump little cushion, or are they deflated and flat due to lack of estrogen? Is the pubic hair sparse or thick? The color of the pubic hair? Is the color of the vulva as red as the tongue, or is it anemic? Is the color of the mucous membranes around the vagina as bright as a rose, or do they appear pale? Is there acute inflammation? Are the labia red and swollen with slight inflammation? Is the skin scratched, light or dark? As well as warts, bumps, wounds, and uncommon lumps, all can be examined. After carefully examining the vulva, the doctor begins to examine the vaginal opening. With his fingers, he touches the vestibular glands, which secrete fluid that lubricates the vagina and the area around the vaginal opening. Under normal circumstances, the vestibular glands are invisible. When the doctor gently touches this part of the mucous membrane with his finger, he is able to detect cysts or abscesses by their sensitivity or whether they are swollen. Vaginal speculum examination is the second step of gynecological examination. We have seen the duck-bill shaped vaginal speculum on the instrument table in front of the gynecological examination bed, which is used to prop open the vagina and observe the inside of the vagina and the cervix. You can use the naked eye to observe the amount, nature and color of vaginal secretions, the folds and color of the vaginal mucosa to determine whether there is a vaginal infection or estrogen abnormality. At this point, the doctor will extract vaginal secretions and cervical secretions according to the patient’s condition, for further laboratory tests such as leukorrhea pentameter test, mycoplasma, chlamydia, gonococcus and other tests. The doctor will see the patient’s cervix at this time, whether there is abnormal cervical secretion or raw egg white-like secretion in order to determine whether the cervical cervical inflammation and ovulation, whether the cervix is enlarged, whether the cervical adenocysts, cervical columnar epithelial ectasia, and so on. If necessary, the doctor may give the patient an acetic acid white test to determine whether there is human papillomavirus infection, and whether it is necessary to further extract the cervical specimen for human papillomavirus DNA testing. The doctor will also judge the need for cervical TCT according to the patient’s cervical condition. Gynecological double diagnosis is the most important step in gynecological examination Gynecological double diagnosis is an examination by hand, the accuracy of this examination is closely related to the experience of the examiner and whether it is careful and careful, if the examiner is inexperienced or perfunctory, the conclusions can be incorrect, and mislead the patient’s condition. The doctor puts on disposable gloves, applies petroleum jelly, and slowly inserts one or two fingers into the vagina, while the other hand is placed on the lower abdomen. When the vaginal finger touches the cervix, the doctor will touch the hardness of the cervix, pushing upward to lift the cervix whether there is pain. Then the hand on the abdomen is pressed down, and the uterus is in the hands of the doctor, so that the shape and size of the uterus is normal, the movement is normal, the surface is smooth, there are no bumps and nodules, and there is no pain when pressing on the uterus. Next, the doctor moves his hands from the uterus to the sides of the uterus, i.e. the adnexal area, and touches the adnexa to see if there is any thickening or coarsening of the adnexa, tenderness, lumps, or cysts. In the same way, an experienced doctor can also touch the ovaries, which are more difficult to find, to see if they are normal in size and if there are any cysts. When the doctor touches a fatter woman, it is as hard as touching a walnut through a mattress, so the patient has to relax. The doctor will record the results of the examination in the patient’s medical record, and at the end of the examination, the doctor will give the patient a prescription for treatment or further special tests according to the gynecological examination.