External Examination: The healthcare provider will examine the external genitalia for signs of irritation, infection, or other abnormalities. Speculum Examination: A speculum is inserted into the vagina to visualize the cervix and vaginal walls. This part of the exam might be slightly uncomfortable but should not be painful. Bimanual Examination: The provider will insert two gloved fingers into the vagina while pressing on the abdomen with the other hand to feel the uterus, ovaries, and other pelvic organs. Rectovaginal Examination: In some cases, a rectovaginal exam may be performed to check the space between the vagina and rectum.