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He or she uses a tool called a colposcope. It shines a light on the cervix and magnifies the view. A colposcopy often is done if you have an abnormal Pap smear. The purpose of the exam is to get a close look the cervix.
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In a pelvic exam, your physician inserts two gloved fingers inside your vagina. While simultaneously pressing down on your abdomen, he or she can examine your uterus, ovaries and other organs. Before diagnosing vulvodynia, your doctor will ask you questions about your medical, sexual and surgical history and to understand the location, nature and extent of your symptoms. Vulvodynia treatments focus on relieving symptoms. No one treatment works in every case. For many, a combination of treatments works best. It can take time to find the right treatments, and it can take time after starting a treatment before you notice relief.
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The recent cases of Dr. Lawrence G. Nassar, the physician for the U. George Tyndall, the gynecologist at the University of Southern California student health center , involve allegations that they inappropriately touched young female patients, often while doing a pelvic exam.
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An annual pelvic exam is recommended for all women and can consist of some or all of the following procedures: the external genital exam, the speculum exam, the bimanual exam, and the rectovaginal exam. Gynecologists will sometimes perform a rectovaginal exam in addition to a normal pelvic exam. To do this, your doctor will insert a gloved, lubricated finger into the vagina and another from the same hand into the rectum.
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