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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
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