The Miltex Vantage Pederson floor grade speculums are flat, narrow speculum that are designed for use in women who have narrow vaginal canals. Narrow vaginal canals can be caused by traumatic injuries and scar tissue. They are also found in elderly women and women who have never had sexual intercourse. Using this narrow speculum can eliminate some of the discomforts of a pelvic exam and make it easier to visualize internal structures to ensure they are normal in size and shape. Metal specula are ideal for those seeking an environmentally-conscious product that is reusable and easily disinfected.