A vaginal speculum comprising a supporting base oriented generally vertically. A blade extends from the base and the angle between the blade and the base is adjustable. A locking system has an unlocked position allowing the blade to be angularly moved with respect to the base and a locked position retaining the blade at that desired angle. The vaginal speculum may also have two blades, a posterior blade having the angular adjustment and an anterior blade adjustably affixed to the base such that the space between the blades may be selectively adjusted by the physician. One or both of the blades may have a plastic sleeves slidably affixed thereto. Preferably, there is a plurality of sleeves of different lengths and/or widths that can be selected and attached to the blades depending on the particular patient. That selection can be made from a kit readily available to the physician.