A comprehensive clinical examination is the basis for selecting further diagnostic steps:
- General physical examination – including blood pressure, pulse, body weight, height; further:
- Inspection (viewing) of the skin, mucous membranes, abdominal wall, and inguinal region (groin area).
- Gynecological examination
- Inspection
- Vulva (external, primary female sexual organs).
- Speculum setting:
- Vagina (vaginal) [often grayish-white and thin fluor vaginalis/discharge with fishy odor], phase contrast examination (examination of vital cells and flora in vaginal secretions/vaginal secretions).
- Cervix uteri (cervix) or portio (cervix; transition from cervix uteri to vagina (vagina)) [cervical fluor?], if necessary also taking a smear for microbiological examination (to exclude a gonorrhea / gonorrhea) and if necessary also a Pap smear (for early detection of cervical cancer).
- Palpation (bimanual; palpation with both hands) of the internal genital organs:
- Cervix uteri (cervix).
- Uterus (uterus) [Normal: anteflexed/angled anteriorly, normal size, no tenderness].
- Adnexa (appendages of the uterus, i.e., the ovary (ovary) and uterine tubule (fallopian tube)) [Normal: free]
- Parametria (pelvic connective tissue in front of the cervix to the urinary bladder and on both sides to the lateral pelvic wall) [Normal: free].
- Pelvic walls [Normal: free]
- Douglas space (pocket-like bulge of the peritoneum (abdominal wall) between the rectum (rectum) at the back and the uterus (uterus) at the front) [Normal: clear].
- Inspection
- Health check
Square brackets [ ] indicate possible pathological (pathological) physical findings.
