Physicians who specialize in gynecology can typically diagnose it with a thorough medical history and physical exam. Senn retractor Rib spreader. A weighted speculum is placed in the vagina during vaginal surgery with the patient in the lithotomy position. During the pelvic examination, the sounds of cat sex tests the strength of the pelvic floor, the sphincter muscles, and muscles and ligaments that support the vaginal walls, uterus, rectum, urethra, and bladder.
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