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A physical exam of the vagina, cervix, uterus, fallopian tubes, ovaries, and rectum. First, the area outside the vagina is checked for signs of disease. A speculum is then inserted into the vagina to widen it so the vagina and cervix can be checked for signs of disease. Cell samples may be taken for a Pap test, or to test for sexually transmitted diseases or other infections. The doctor or nurse then inserts one or two lubricated, gloved fingers of one hand into the vagina and presses on the lower abdomen with the other hand to feel for lumps and check the size, shape, and position of the uterus and ovaries. The rectum may also be checked for lumps or abnormal areas. Also called internal exam.