Bimanual Vaginal (PV) Examination

Bimanual or PV examinations are performed for a number of clinical reasons e.g. problems relating to menstruation, irregular bleeding, dyspareunia, abnormal vaginal discharge or pelvic pain.

For the purpose of examinations you will be provided with a mannequin, however you should pretend it is a real patient and talk to it as such, which will also form part of the marking scheme.

Subject steps

  1. Introduce yourself to the patient and clarify her identity.  Explain what you would like to do and obtain consent.

    Explain she should feel little, if any, discomfort and that the examination should be over fairly quickly.

    A chaperone is required for this examination

  2. Palpate all of the vaginal walls as you advance your fingers feeling for any obvious abnormalities.

  3. Using your fingertips, palpate the cervix, feel for its size, shape and mobility – check with the patient if it is tender.

  4. Offer the patient a tissue, cover them up and thank them. You should now report your findings back to the examiner