Palpate vagina and Cervix. Technique. Introduce the middle and index fingers of your gloved and lubricated hand into the vagina. The thumb should be Little is known about clinicians' bimanual pelvic examination practices, their beliefs . Ninety percent of respondents were members of the American College of21 Abr 2013 A pelvic examination is the physical examination of the external and internal female pelvic The American College of Physicians published guidelines against routine pelvic examination in adult women who are not . The next part of the pelvic exam is the Bimanual palpation and begins after the speculum is removed. 24 Sep 2018 The American College of Obstetricians and Gynecologists reviews its . of the vagina and cervix; bimanual palpation of the adnexa, uterus, and