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doctors use the speculum to gain greater access to, or more easily observe, the vagina, rectum or other body opening. The word speculum is typically associated with the vaginal speculum, a device with two handles hinged to two rounded blades. This tool can sometimes be used as a rectal speculum as well. why does it hurt to put a tampon in - 3 common causes of tampon pain. An anoscope is a tube-shaped instrument that widens the opening of the anus. I understand the thought of performing your first anoscopy can be rather intimidating. However, the procedure is actually quite simple, and im here to help you through it. Ahead, youll learn what you need for this exam, and ill walk you step by step through how to use an anoscope. description made of stainless steel vaginal speculum - cusco is used to dilate the vagina for examination of the vagina and cervix.