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I will list here what is included with my exam.First we will discuss your exam needs and go over your medical and sexual historyan exam form will be providedYou will then be asked to completely undress and change into and exam gownThe exam commences with general vitals such as temperature takingoral,vaginal and rectalblood pressure check and a head and neck assessment.Auscultation both back and front with a stethoscopeA very thorough breast exam that will take place in several components while seated and lying on your back including deep tissue palpation.An upper and lower abdominal exam that will also include deep palpation and ending with a visual inspection of the mons pubis after which you will be prepped and positioned for the pelvic examination.Your external genitalia is visually inspected first very closely using an otoscope and then you will be asked to hold yourself open for the doctor to inspect your vaginal introitus or opening.Your labialipsare examined next using a combination of palpation and squeezing motions and then the inners folds are separated and opened to inspect the urethra and vaginal opening again with more palpation.Your clitoris will also be examined and inspected and palpated for proper sexual response and functionA speculum exam will take place with a standard stainless steel speculum inspecting the inner walls of your vagina and taking a pap smearA bimanual exam will take place using 2 gloved and well lubricated fingers inside your vagina and palpation of your lower abdomen with the opposite hand.A stand alone rectal exam will take place to include first visually inspecting the anus and then insertion of a gloved and lubricated finger into the rectum and finishing with an internal inspection of the anal canal with use of a plastic anoscope.That is my basic exam scenario.

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