Physical examination maneuver
Physical Exam
Pelvic Bimanual Exam
🎬
Video coming September 2026
How to Perform
With consent, a chaperone, the patient in lithotomy, and the bladder empty, insert two lubricated gloved fingers into the vagina while the other hand presses on the lower abdomen. Palpate the cervix (consistency, mobility, and tenderness on motion), then trap the uterus between the two hands to assess its size, position, contour, mobility, and tenderness, and finally palpate each adnexa for masses or tenderness.
How to Interpret
Showing all 1 finding
Ovarian Cancer
An adnexal abnormality on bimanual pelvic examination used to screen for ovarian cancer in an asymptomatic woman
Rule in
Very helpful
Rule out
Minimally helpful
Evidence:Limited