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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 rectovaginal exam. Gynecologists will sometimes perform a rectovaginal exam in addition to a normal pelvic exam. To do this, your doctor will insert a gloved, lubricated finger into the vagina and another from the same hand into the rectum. They will then palpate examine by feeling the abdomen with the free hand. A rectovaginal exam allows doctors to examine and identify abnormalities in the pelvic area, most specifically those of the uterus and ovaries.