Graves Speculum — Small 75 × 20 mm

The small Graves at 75 × 20 mm is the speculum for a vagina that has shrunk: postmenopausal atrophic vaginitis, prolonged amenorrhoea on anti-oestrogen therapy, congenital vaginal hypoplasia, post-pelvic-radiation stenosis, and the nulligravid patient who still needs cervical screening but for whom the standard 95 × 35 mm blade is the wrong size. At 20 mm closed-blade width it passes a tightened introitus without forcing the operator to dilate, and at 75 mm length it does not push through the shortened post-menopausal vault.

The atrophic vagina is its own clinical problem

Estrogen loss thins the vaginal epithelium, reduces rugal folds, narrows the calibre and changes the colour of the cervix to pale grey-pink — and a routine-size speculum on this tissue produces the pin-point bleeding that the patient remembers as the reason she will not return for screening. The small Graves combined with topical lubricant lets cytology proceed without the trauma that compromises the next visit.

Build

AISI 410 forging with the same distal flare as the larger Graves blades, scaled to the smaller calibre.