Pelvic Exam

Before the procedure

Before your pelvic exam, make sure to use the bathroom. If your provider has asked for a urine sample, be sure to collect it beforehand.

You might have a nurse or chaperone in the room, but if not, and you’d like one, feel free to ask. You can also bring a friend, partner or family member for support during the exam.

Before the pelvic exam, your provider will ask about your health history and any symptoms you've been experiencing. They'll also answer any questions you may have. You may also have a physical exam, which can include listening to your heart and lungs, checking your ears and other routine evaluations.

Your provider will then give you a gown and a sheet (which may be made of heavy paper). When they step out, you can undress privately and put on the gown. Once you're dressed in the gown and covered with the sheet, you'll lie back on the exam table and slide down to the edge of the table.

During the procedure

For the exam, you'll lie on your back with your knees bent. Your feet will rest on supports called stirrups or on the table. You'll be asked to slide toward the end of the table and let your knees fall open to allow for the exam.

A pelvic exam is made up of several steps, and your healthcare provider will explain each part before it happens. You may feel mild discomfort during the exam, but not pain. Breathe slowly and deeply to help limit discomfort and tension. Relax the muscles in your shoulders, core and legs.

Here’s what you can expect during a pelvic exam:

• External exam: Your provider will take a look at the outside of your vagina and vulva to check for any signs of infection, irritation, or unusual discharge.
• Speculum exam: A small tool called a speculum is inserted into your vagina to help open it up, so your provider can see your vagina and cervix more clearly. It might feel a bit uncomfortable, but it shouldn’t hurt. If you feel pain, tell your provider, and they can adjust it.
• Pap smear test: While the speculum is in place, your provider will use a small brush or wand to take a sample of cells from your cervix. This is often done along with an HPV test, which checks for certain types of the virus.
• Manual exam: The provider will gently insert one or two gloved fingers into your vagina, while using their other hand to press on your abdomen. This helps them feel the size and shape of your uterus and ovaries, and check for any tenderness or changes. If you feel uncomfortable or pain, let your provider know.
• Rectal exam (rectovaginal exam): In some cases, your provider may gently insert a finger into your rectum to check for any problems behind your uterus, like abnormal growths or tumors.

Your provider will try to make you feel as comfortable as possible. Don’t hesitate to speak up if you feel any discomfort or have questions during the exam.

After the procedure

You will be able to return to work or school or go home after your appointment. You may have light bleeding or cramping, but these symptoms should pass in a few hours. Contact your provider if symptoms worsen or don’t go away.