Diagnosed with Cancer. What is a PEP Test?

A PEP test (physical examination of the pelvis) is a comprehensive examination of the female reproductive organs, including the vagina, cervix, uterus, ovaries, and other surrounding structures. It involves both a visual inspection of the external genitalia and an internal examination of the pelvic organs.

During a PEP test, the healthcare provider visually examines the external genitals, including the labia, clitoris, and opening of the vagina, to check for any abnormalities. This part of the exam allows the provider to identify any skin conditions, lesions, or irregularities that might require further evaluation.

The internal examination involves the insertion of a speculum into the vagina to widen it and allow for better visualization of the cervix, which is the opening to the uterus. The cervix is then gently swabbed to collect a sample of cells for a Pap smear, which is a common screening method to detect abnormal cervical cells associated with certain medical conditions, including cancer.

In addition, the healthcare provider may also perform a bimanual examination by inserting two gloved fingers into the vagina and applying gentle pressure on the abdomen with the other hand. This allows the provider to evaluate the uterus and ovaries by assessing their size, shape, position, and any signs of tenderness or abnormality.

By combining the visual examination and the bimanual palpation, the healthcare provider can thoroughly evaluate the pelvic organs, identify potential issues, and make any necessary recommendations for further diagnostic tests, monitoring, or medical interventions.