The doctor will ask you to lie down on a special exam table that has stirrups for your feet.
First, the doctor will check your vulva (your external genitals).
Then they'll check your internal reproductive organs, including your:
- Vagina.
- Cervix.
- Uterus.
- Fallopian tubes.
- Ovaries.
To better see your vagina and cervix, they'll insert a speculum. This is a non-sharp metal or plastic device that holds the walls of your vagina open.
If you're getting a Pap smear, it happens at this stage of the exam.
Lastly, your doctor will insert one or two gloved fingers in your vagina to feel your uterus and ovaries. They'll use the other hand to push on your belly from the outside. They're looking for areas that are tender or feel abnormal in some way.
It's common for a nurse or medical assistant in the room with the doctor or provider. If there isn't, you can ask for one.
You can also ask for your friend, partner, or family member to be in the room with you.
Or you can ask that no one else but your provider is in the room.
Does a pelvic exam hurt?
As a rule, a pelvic exam doesn't hurt. But it may not be comfortable, or may feel strange, especially if it's your first one.
Let your doctor know right away if you feel any pain during the exam.