The perineum and vagina are prepped with antiseptic.

Using a sterile speculum examination to visualize the cervix, the dilator is introduced into the endocervix, allowing the “tails” to fall into the vagina.

Dilators are progressively placed until the endocervix is “full.” The number of dilators used is noted in the medical record.

A sterile gauze pad is placed in the vagina to maintain the position of the dilators.