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A pelvic examination is the physical examination of the external and internal female pelvic organs. [1] It is frequently used in gynecology for the evaluation of symptoms affecting the female reproductive and urinary tract, such as pain, bleeding, discharge, urinary incontinence, or trauma (e.g. sexual assault).
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A Cochrane Review found that the lithotomy position may not be the ideal position for childbirth, noting that while it makes care easier for physicians by placing the patient in an easily accessible position, it is often harder on the patient as use of the lithotomy position can narrow the birth canal by up to a third.
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With the feet in these stirrups, the legs are placed in a position such that the medical professional can access the pelvic area. The external genitalia is examined first, looking for abnormalities like lesions, ulcers, warts and color changes.
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In the lithotomy position, the birthing person is lying on their back with their legs up in stirrups and their buttocks close to the edge of the table. [5] This position is convenient for the caregiver because it permits them more access to the perineum .