Insertion of Speculum Cervical cancer screening should be done before doing bimanual examination. Put on gloves before handling instruments. Lubricate speculum with warm water. Avoid using cream or jelly as they may interfere with cytological examination. Hold the speculum with blades closed with your right hand.
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Bend your knees and place your feet wide apart. Different styles of speculums work slightly differently, but all have two bills and a handle. Use the lever to open the bills until the lock clicks. Be sure to figure out how to release the lock before you insert it. Put lubricant on the speculum or your vulva. Hold the speculum in a closed position the bills are together with the handle pointing upward. Slide it in gently as far as it will comfortably go. If it hurts, stop; pull it out and try inserting it into the vagina sideways, then turn it.
A speculum Latin for "mirror"; plural specula or speculums , is a medical tool for investigating body orifices , with a form dependent on the orifice for which it is designed. In old texts, the speculum may also be referred to as a diopter or dioptra. Vaginal and anal specula were used by the ancient Greeks and Romans ,  and speculum artifacts have been found in Pompeii. Marion Sims , consists of a hollow cylinder with a rounded end that is divided into two hinged parts, somewhat like the beak of a duck. The speculum is inserted into the vagina to dilate it for examination of the vagina and cervix. Specula were formerly made of stainless steel , and sterilized after use.