Hospitals employ strict policies relating to the provision of consent by the patient, the availability of chaperones at the examination, and the absence of other parties. The pelvic exam is part of the physical examination of the pelvic area of a woman, which generally also includes the taking of a sample for a pap smear. With the patient in a supine or seated position, the medical professional will look at both breasts to check the color, symmetry, dimensions according to age, lean body mass, the physiological pregnancy and lactation and race, looking for abnormalities, such as bulges and shrinkage. The patient is placed in a supine position on a special examination table, which has two protrusions called "stirrups. The interpretation has to be performed by a specialist. The external genitalia is examined first, looking for abnormalities like lesions, ulcers, warts and color changes. Some women experience temporary bleeding from this procedure. The speculum examination is recommended for only women over 21 years old, irrespective of her sexual activity. They are performed with the patient standing, the breast pressed between two plastic plates, as the image is taken.
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