Ready for a view of a Lifetime?

Has anyone ever performed a speculum exam with your patient in the knee-chest ("Doggie") position?

If you haven't, you're in for a view of the vaginal interior like you never thought possible. With the patient in this position, there is no pressure from the internal organs on the vagina, so it expands beyond your imagination once opened. The cervix will blast into view! Let me know how you like it!

Been there...done that...and yes...especially on a mature woman that has had children...

Yes it's a good position because the air invades more freely the vagina than in woman lying on her back but it's still better with a spreader ( kind of half speculum ) applied successively on each vaginal wall ( up, right, down and left ) giving an excellent view of the vagina widely open and the cervix !

Yes...in fact a woman mentioned that she could really feel the cool air in the vault of her vagina when she was opened in the knee/chest...couple this with a simultaneous rectal exam and you have one well opened and very vulnerable little lady!

You are so right!! Used a Collins speculum on my wife while on her knees. Was able to open it all the way. View was awesome!! Made her very excited as well.

Do you need a special speculum, or will a regular one work?

Well, define regular!

I have used both a Pederson and Graves speculum, while I have heard others use a Collins or even a Cusco.

With a speculum opened side to side (a Collins), you won't be able to open the blades any more than usual, but gravity will remove the pressure of your patient's internal organs, providing a much more expanded vaginal cavity.

With a speculum that opens vertically, such as a Pederson or Graves, you'll be able to open the blades as much as 2 times farther than normal because the blades won't really be pushing against the organs.

So, in short, any speculum should do, although I doubt you'd get much out of it if you tried a rectal speculum... save that for your patient's pretty behind!

That positions gives you a very good view. I like it.

I'm in total agreement here - Could some enterprising soul with photographic capability show us the results of both positions ?

This sounds iknteresting and sounds like a good view

I will have to view that one of these if i am lucky enough

Agree with those comments

Inserting the speculum from behind while the woman kneels is something I would do during most play exam, it is normally very rewarding for both 'patient' and 'doctor.' A regular speculum is just fine but a Sims is best used from behind while the woman lays on her side with knees up.

Vaginal fisting, if desired, can be carried out to good effect in this position as well...

Can't wait to try this. Thanks......Why haven't I thought of this???????

Position her knees wide apart at each edge of the table and ensure she is down on her chest or at least elbows then adjust the exam light for best illumination.

That chair looks fascinating...

Thanks for the tip re this position.

You’re right, the view is much better and hornier for both of us 👌

I have used it many times, it is the best position.

No problem locating the cervix no matter how it's tilted with this technique. Every good play exam should include it.

Best way to really open the vagina for a good inspection.