Examination of external genital organs - Causes, symptoms and treatment. MF.

Examination of the external genitalia begins with examination of the pubis. Mark its shape, the state of the subcutaneous fat layer, the character of the hairiness( female, male or mixed type).

Then examine the inner surfaces of the thighs( hyperemia, pigmentation, eczema, condylomata, varicose veins), large and small labia( size, the presence of edema, ulcers, tumors, condylomatous growths, the degree of closure of the genital gaps, perineum) and, finally, the areaanus( hemorrhoids, cracks, condylomas, ulcers, prolapse of the mucous membrane).

To inspect the vestibule of the vagina, the labia is bred with the thumb and forefinger of the left hand. Pay attention to the color, condition of the mucosa, pigmentation, ulceration. It is necessary to examine the clitoris( shape, size, anomaly of development), the external opening of the urethra( the condition of the mucous membrane, the presence of polyps, the nature of the discharge), paraurethral passages( the presence of inflammation, purulent plugs), the inner surface of large and small labia( mucosal,pigmentation, presence of ulcers), hymen( intact, form of ruptures, condition of scars), posterior adhesion( tears, scars).At the same time, there are signs of infantilism( narrow sexual gap, large labia do not cover small, high perineum).

On the threshold of the vagina anteriorly and outwardly from the hymen, the excretory ducts of the Bartholin glands open on both sides. Examining the area of ​​the opening of the excretory duct, it is necessary to pay attention to the nature of the secretions, the presence of spots, swelling, and hyperemia.

Cyanosis of the mucous membrane of the vaginal vestibule may indicate pregnancy or stagnant phenomena in the pelvis due to a tumor, abnormal position of the uterus, etc. To determine the presence of pustules or prolapses of the vaginal and uterine walls, it is necessary to suggest the patient to stiffen or cough.

After examination of the entrance to the vagina, the skin of the external genitalia is examined: its coloration( pallor, depigmentation, hyperemia, cyanosis), the presence of signs of inflammation( edema, hyperemia, ulceration), genital warts, varicose veins.

In detecting a pathology of the external genital organs, the doctor takes a material for bacteriological, bacterioscopic, cytological, histological studies( after preliminary colposcopic, cervicoscopic studies).

After external examination of the genitalia, proceed to internal investigation.