Bimanual vaginal examination is performed for a number of different clinical indications, including unexplained pelvic pain, irregular vaginal bleeding, vaginal discharge and assessment of a pelvic mass. It frequently appears in OSCEs, most often with a mannequin, however you will still be required to demonstrate appropriate communication skills. This guide demonstrates how to perform a bimanual vaginal examination in your OSCE.Warn patient you are now going to examine the vagina, ask if they are comfortable
Carefully separate the labia using your thumb and index finger of left hand Gently insert gloved index and middle finger of your right hand into the vagina Enter the vagina with palm facing laterally & then rotate 90 degrees so that it faces upwards.
Feel the walls of the vagina for any irregularity, or masses
Gently palpate fornices either side of cervix for any adnexal masses.
Palpate the uterus between your hands: