can identify areas of tenderness and nodularity along the rectovaginal septum.
All women who are undergoing surveillance for gynecologic cancers should receive physical examinations that include a pelvic exam with a speculum and bimanual exam with rectovaginal exam
. Many locoregional recurrences are salvageable for most gynecologic cancers, which is not true for most distant recurrences, emphasizing the importance of pelvic examinations.
revealed a nontender soft tissue mass, 6-7cm in size, just to the right of the rectum and vaginal apex.
If you experience at least two of these symptoms clustered together and for two or more weeks, consult your doctor and ask for a rectovaginal exam
, a transvaginal ultrasound, and a CA-125 blood test.
A rectovaginal exam
is important in evaluating deep infiltrating disease and to gauge the pelvic pain landscape overall.
David Fishman asserted that the most effective strategy for early detection of ovarian cancer is regular rectovaginal exams
("Detecting Early Ovarian Ca: Know Your Options," April 1, 2004, p.
A thorough physical exam should include a speculum exam as well as bimanual and rectovaginal exams
. The focus of the pelvic exam should be determining the size, mobility, and consistency of the mass, as well as other findings that may help discriminate benign versus malignant neoplasms.