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Speculum Insertion

  1. Warm and lubricate the speculum by holding it under running tap water.
  2. Announce what you are going to do and then touch the patient on the thigh.
  3. Expose the introitis by spreading the labia from below.
  4. Insert the speculum at a 45 degree angle pointing slightly downward. Avoid contact with the anterior structures.
  5. Rotate the speculum horizontal and continue insertion.