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The Gynecologic Examination

The complete gynecologic examination screens for infection as well as breast, cervical, uterine, ovarian, and colon cancer. Symptoms commonly evaluated with the gynecologic examination include breast lumps or pain, changes in menstrual bleeding patterns, vaginal discharge, lower abdominal pain, dyspareunia, and urinary incontinence. Essential elements include a careful history, preparation, and the breast and pelvic examinations. Each will be discussed, with particular emphasis on the pelvic examination.