Orgasm Disorder: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps:

• General physical examination – including blood pressure, pulse, body weight, height; furthermore:
  • Inspection (viewing).
    • Skin and mucous membranes
    • Abdominal wall and inguinal region (groin area).
• Gynecological examination
  • Inspection
    • Vulva (external, primary female sexual organs).
    • Vagina (vagina)
    • Cervix uteri (cervix) or portio (cervix; transition from the cervix (cervix uteri) to the vagina (vagina)), if necessary, taking 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].
• Health check

Square brackets [ ] indicate possible pathological (pathological) physical findings.