Which structures are assessed during the bimanual examination?

• A. Vagina, Cervix, And Ovaries
• B. Cervix, Uterus, And Adnexa
• C. Fundus, Placenta, And Uterus
• D. Uterus Only

Answer: (B)

In a bimanual pelvic examination, two hands are used to palpate internal pelvic structures to assess their size, shape, position, mobility, and tenderness. One hand is inserted into the vagina to feel the cervix and palpate the uterus from below, while the other hand rests on the lower abdomen to help identify and evaluate the uterus and adnexal regions (the ovaries and fallopian tubes). This approach specifically targets the cervix, uterus, and adnexa because those are the structures whose size, contour, and tenderness reveal important information about pelvic health and potential pathology. The placenta is not assessed with this maneuver, and while you can evaluate the uterus as a whole (including the area that corresponds to the fundus), the key structures palpated with the two-handed technique are the cervix, uterus, and adnexa.