The gynecological examination includes a gynecological examination of the vulva to see if there are any ulcers, lumps or abnormalities. In addition, the vaginal dilator is used to open the vaginal wall to see if it is flushed and to see if there are any abnormalities in the vaginal discharge, such as foamy discharge or yellowish-green discharge. During the vaginal examination, vaginal secretions are taken and tested for trichomonas or mycobacteria. During the gynecological examination, cervical lesions can be seen, such as epithelial ectoplasia, cysts and polyps. An ultrasound examination is also done, which can directly see whether there are fibroids in the uterus, endometrial polyps, fallopian tubes and ovaries, which are all necessary for gynecological examination.