Genital examinations are a core part of women’s health assessment and are carried out for assessment/diagnosis, screening and treatment. These may take place in GP surgeries and sexual health clinics, A&E and custody suites. The procedure should be guided by taking a patient’s history, valid consent and a clear clinical reason. This guidance also includes genital examination carried out for assessment of people who do not identify as female, are non-binary or transgender.

• Genital examination in women
• Who can undertake genital examinations?
• Before the examination
• Positioning and environment
• Abdominal examination
• External genital examination
• Digital vaginal and speculum examination
• Speculum examination and STI screening in pregnant women
• Bimanual examination
• Following the examination
• Respecting the individual
• Confidentiality and privacy
• Special considerations
• Chaperones
• Children
• Conclusion