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Examine the Adnexal Structures
  1. Pull back vaginal hand to clear cervix.
  2. Reposition vaginal hand into the right fornix, palm up.
  3. Sweep the right ovary downward with the abdominal hand 3 or 4 cm medial to the iliac crest.
  4. Gently "trap" the ovary between the fingers of both hands (if possible). Note its size and shape along with any other palpable adnexal structures.
  5. Pull back and repeat on the left side.