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finding cervix



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May 22, 2009 07:01 PM

finding cervix


Hi! I am a FNP student and no matter what technique I use, I can hardly ever visualize the cervix during speculum exam. I have tried angling the speculum downward on insertion, going back as far as possible and opening the speculum and gradually aiming upward, having patient put their fists under their buttocks, taking the speculum out and inserting at another angle, and I've tried feeling for the cervix first. Nothing works for me!! And for big women who have lots of fat in the vaginal canal...is a condom on the speculum the best approach? Are there any techniques any of you can share?

Thanks so much!


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3 Comments
No. 1
Old May 23, 2009, 10:02 AM

Default Re: finding cervix
Have you also tried finding your own cervix with a speculum? Are you in clinicals right now?
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No. 2
from Apgar10
Old May 23, 2009, 04:59 PM

Default Re: finding cervix
Originally Posted by BlaineCM View Post
And for big women who have lots of fat in the vaginal canal...is a condom on the speculum the best approach?
Do you cut the end off the end of a condom? How is it stretchy enough to open with the speculum? I used the wide blade speculum (forget which one this is) to scoop up as much flesh out of the way.

Once when I had no luck finding a cervix I did a VE first and then went in with the spec. Lubricant has no bearing on the result of the pap so I didn't worry about it.
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No. 3
Old May 25, 2009, 10:40 AM

Default Re: finding cervix
I've had to have my own cervix manually palpated to locate it by the midwife doing my last pap, before she tried again with the speculum. I'm also a former "big girl" so I suppose I still have a lot of fatty skin folds in my vagina, so I always need to have the large graves for my own exams.
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