Its always interesting to see the diversity women experience with regards to the recto-vaginal exam. For many providers, a pelvic exam is considered incomplete without it, especially with a new patient. This is because the rectovaginal exam helps a provider understand your internal anatomy more fully and look for abnormalities missed by the bimanual exam (when two fingers are put inside the vagina and the other hand presses down on the abdomen, examining the uterus, ovaries, Fallopian tubes, and other internal organs).
We were always taught that a pelvic exam consists of four parts: the external genital exam, the speculum exam, the bimanual exam and the rectovaginal exam . You can feel any signs of tumors that might be located behind the uterus, on the lower walls of the vagina or in the rectum.
The procedure lets doctors evaluate the tissue between the uterus and vagina, the tone and alignment of the pelvic organs (like the ovaries and fallopian tubes) and the ligaments that hold the uterus in place. It can even help diagnose a tilted uterus.
This exam is also a chance for doctors to check for rectal bleeding or growths, as well as any other early warnings of colon cancer. This is especially true for women over age 40.
A retroverted uterus means the uterus is tipped backwards so that it aims towards the rectum instead of forward towards the belly other names names for retroverted uterus include tipped uterus, retroflexed uterus and uterine retrodisplacement. So a recto-vaginal exam makes it easier to feel and palpate.