Nishmat's Women’s Health and HalachaIn memory of Chaya Mirel bat R' Avraham

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Manual Examination

During a manual examination, the physician inserts one or two gloved fingers into the vagina. If his or her other hand presses the abdomen, it is called a bimanual examination. This examination is often performed during pregnancy to determine the degree of opening of the cervix.

A manual examination does not usually render a woman niddah, as it takes place entirely within the vaginal canal and generally does not cause bleeding. If there is a small amount of blood on the gloved fingers, this can usually be attributed to abrasion (scratching) of the walls of the vagina – especially when the vaginal lining is sensitive and likely to bleed with minimal cause, such as during pregnancy or certain phases of the menstrual cycle, while a woman is taking oral contraceptives, or after menopause.

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All health and health-related information contained within Nishmat's Women's Health & Halacha Web site is intended to be general in nature and should not be used as a substitute for consulting with your health care professional. The advice is intended to offer a basis for individuals to discuss their medical condition with their health care provider but not individual advice. Although every effort is made to ensure that the material within Nishmat's Women's Health & Halacha Web site is accurate and timely, it is provided for the convenience of the Web site user but should not be considered official. Advice for actual medical practice should be obtained from a licensed health care professional.

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