Nodules on the uterine surfaces suggest myomas (see p._).
See retroversion and retroflexion of the uterus (p.__).
Three to five years after menopause, the ovaries have usually atrophied and are no longer palpable. If you can feel an ovary in a postmenopausal woman, consider an abnormality such as a cyst or a tumor.
Adnexal masses include ovarian cysts, tumors, and abscesses, also the swollen fallopian tube(s) of pelvic inflammatory disease, and a tubal pregnancy. A uterine myoma may simulate an adnexal mass. See Table 11-7, Adnexal Masses (p. ___).
Assess the Strength of the Pelvic Muscles. Withdraw your two fingers slightly, just clear of the cervix, and spread them to touch the sides of the vaginal walls. Ask the patient to squeeze her muscles around them as hard and long as she can. A squeeze that compresses your fingers snugly, moves them upward and inward, and lasts 3 seconds or more is full strength.
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