In which position is a gynecological exam performed?

In a gynecological exam, the lithotomy position is typically used because it allows for the best access to the pelvic region. This position involves the patient lying on their back with their legs elevated and supported in stirrups. It provides the healthcare provider optimal visibility and access to the vagina and cervix. The elevation of the legs helps to relax the pelvic muscles, which can be beneficial during the examination or any associated procedures.

The other positions have their uses in different medical examinations but are not suitable for gynecological exams. For example, the supine position is when a patient lies flat on their back but does not offer the necessary access and visibility that the lithotomy position provides. Sitting or prone positions do not facilitate the required examination effectively, making them impractical for gynecological assessments. Thus, the lithotomy position is the established standard for performing gynecological exams.