A speculum having first and second arms beginning at a proximal point and ending at a distal end and having a cup positioned at the distal end, an attachment portion positioned on the first arm and proximal to the cup, and a user manipulation element positioned within the attachment portion. In another embodiment the speculum has a generally U-shaped frame having a proximal point and pair of distal ends, a pair of cups attached to the distal ends, a pair of user manipulation elements attached to the frame and positioned between the cups and the proximal point so that the user manipulation elements can rotate relative to the frame.
