External Examination: The gynecologist visually inspects the external genitalia for any signs of abnormalities, such as infections, cysts, or lesions. Speculum Examination: A speculum is gently inserted into the vagina to hold it open. This allows the doctor to examine the vagina and cervix. During this step, a Pap smear test may be conducted to screen for cervical cancer. Bimanual Examination: The gynecologist inserts two fingers into the vagina while pressing on the abdomen with the other hand to feel the size, shape, and position of the uterus and ovaries.