Rectovaginal Exam is performed in this medical video. In this technique, first wear new pair of gloves and lubricate the gloved fingers, then slowly reintroduce the index finger into the vagina and the middle finger into the rectum. At last step, doctor sweeps from side to side and use abdominal hand to bring utereus and adnexa towards vaginorectal hand. During examination, it is important to feel the rectovaginal septum for thickening, nodularity or tenderness. While gently pressing your fingers as superiorly as possible, doctor also examines the rectouterine pouch. During this procedure, palpate laterally, doctor identifies the right and left uterosacral ligaments to notify any masses or abnormal tenderness.