A pelvic exam can feel a bit overwhelming, but knowing what to expect can help ease the experience. Here’s a breakdown to help you feel more comfortable and prepared.

What is a Pelvic Exam?

A pelvic exam is when your doctor examines the female reproductive organs. There are different types of pelvic exams:

• External Exam – The doctor examines the outside of your genital area.

• Speculum Exam – A tool called a speculum (it looks a bit like a duck's beak) is inserted into the vagina to see the cervix and vaginal walls.

• Bimanual Exam – The doctor uses one hand inside the vagina and the other on your abdomen to feel your uterus and other organs.

Difference Between a Pelvic Exam and a Pap Smear

• Pelvic Exam: A general exam of your reproductive organs.

• Pap Smear: A specific test done during a pelvic exam to collect cells from your cervix to screen for cervical cancer. These cells are sent to a lab to check if they’re healthy.

How to Prepare for Your Pelvic Exam

• Understand why the exam is needed– Ask your doctor why they need to perform the exam and what will happen during it. This helps mentally prepare you.

• Relax your pelvic muscles – Try relaxing your muscles by slightly bearing down (the opposite of doing a Kegel exercise) and focusing on deep breathing.

• Wiggle your toes – A little trick to distract your mind and reduce discomfort.

What to Do If You’re Nervous

• Delay the exam – If you’re meeting a new doctor and don’t feel comfortable yet, you can ask to postpone the exam until your next visit.

• Seek help if needed – If you have trouble with tampons or sex, it might help to see a pelvic floor therapist before your exam to make it more comfortable.k

Should a Pelvic Exam Be Painful?

• No– A routine pelvic exam should not cause pain. It might feel uncomfortable, but you should tell your doctor if you feel pain and ask them to stop.

• For procedures – If you're having a procedure like an IUD placement or biopsy, ask your doctor in advance about pain control options. If they don’t offer any, consider finding a new doctor.

Advocating for Yourself

It’s important to speak up during a pelvic exam:

• Ask questions if you don’t understand what’s happening.

• Let your doctor know if something hurts.

• Request pain control if needed.

Remember, your comfort and understanding are key to a better experience and outcome. Don’t hesitate to ask your doctor questions or ask them to stop if you feel discomfort.