How does a doc check your overies and cervix?

Sono and exam : Based on the need, physicians may need to assess the uterine size and the ovaries (adnexa). This is best done with the patient in childbirth/pap position (lithotomy) with one hand inside the vagina stabilizing the cervix, and the other outside the pelvis (bimanual exam). It is the traditional method, but it lacks specificity/sensitivity to find disease. At times, vaginal/pelvic sonogram helps.