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A 18 years old girl needs a gynecological examiation including - pressure, heart beat, breasts exam, abdominal exam, measurements, doppler, physical exam, electro and vacuum therapy, anal smear, enema, piss, vaginal douche, step-mometers, vaginal check-up, bimanual exam, vaginal ultrasound, anal exam, vaginal depth, metal vaginal speculum, urethral smear, plastic speculum, cervix smear, masturbation orgasm heartbeat and suppository.