Read and see a short history of the
examination technique called The Touch.
Read Dr. Soucasaux about the colposcope, used to
examine the vulva, vagina and cervix of the
uterus.
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THE MUSEUM OF MENSTRUATION AND WOMEN'S
HEALTH
Sims's speculum
Dr. Marion Sims, sometimes claimed
as the founder of modern American
gynecology, in the mid-19th century,
invented the position named for him
(see below) and this instrument to
open the vagina to allow inspection of
the cervix (neck of the womb) and
interior of the uterus (womb).
The museum's three examples are
shaped like his earlier one and could
originate from before 1900.
SarahAnne Hazelwood kindly donated
the speculum to the museum.
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The metal speculum
measures 7" (about 17.7 cm) in its
longest dimension. One blade is about
0.25" (about 0.7 cm) wider than the
other, different size blades being
characteristic of the Sims'. Harry
Finley made the image.
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Drawing (1903) from Dr. Howard
Kelly's "Gynecology," 1928, showing Sims' position.
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Sims' speculums and a Graves'
from Crossen, "Diseases of Women,"
1922. I added the text.
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The photos show the
doctor using not a Sims speculum but a
Graves bivalve speculum (see picture
above) with the blades almost at a 180
degree to each other. In a future
instrument page I'll show the many
Graves speculums in the museum. (I
added the arrows and text.)
By
the way, a famous surgeon at Johns
Hopkins (William Halstead) is
usually credited with first using
rubber gloves (see the pictures).
Now (2008) Hopkins has banned them
because of the danger of latex
allergy.
In the first photo the
examiner lifts the right labium (lip)
of the vulva and inserts the blade
into the vagina. Then (s)he pulls the
blade toward him and pulls the buttock
up. By the way, the blades are not
sharp.
Photos from "Diseases
of Women," Harry Crossen, M.D., St.
Louis, 1922
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The examiner can now see and
examine the cervix as an assistant
grabs the cervix with forceps and
pulls it into view.
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Read and see a short history of the
examination technique called The Touch.
|