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Deep breathing exercises can also help. An annual pelvic exam is recommended for all women and can consist of some or all of the following procedures: the external genital exam, the speculum exam, the bimanual exam, and the recto-vaginal exam. How Is Endometriosis Diagnosed? Although a pelvic exam is considered vital to the identification and treatment of cancer, sexually transmitted infections STIs , and other genitourinary tract disorders, a recto-vaginal exam offers uncertain benefits. Identifying scarring or mass that could indicate cancer or another disease Obtaining a fecal blood sample blood in the stool Diagnosing a tilted pelvis Identifying abnormalities of the ovaries. Other reasons can include:. How to Perform a Vaginal Self-Exam.

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