A pelvic exam is a routine part of healthcare for many women and individuals assigned female at birth. While it’s essential for your health, the thought of it can make many feel nervous or unsure of what to expect. Understanding what happens during a pelvic exam can help alleviate anxiety and ensure that you feel prepared and confident. In this guide, we’ll walk you through everything you need to know about a pelvic exam, from the process to how you can take care of yourself afterward.
What is a Pelvic Exam?
A pelvic exam is a medical procedure that allows your healthcare provider to check the health of your reproductive organs, such as your uterus, ovaries, and cervix. During the exam, your doctor or gynecologist will look for any abnormalities or signs of conditions like infections, cysts, or cancer. It’s also a crucial part of regular screening for various health concerns.
Why You Might Need a Pelvic Exam
Your healthcare provider may recommend a pelvic exam for several reasons:
- Routine check-up: An annual pelvic exam helps ensure your reproductive organs are in good health.
- Screening for infections is essential for detecting conditions such as pelvic inflammatory disease (PID) or sexually transmitted infections (STIs).
- Assessing symptoms: If you experience symptoms such as pain, unusual discharge, or abnormal bleeding, a pelvic exam can help determine the cause.
- Cervical cancer screening: A pelvic exam includes a Pap test, which screens for cervical cancer.
Before the Pelvic Exam: Preparing Yourself
It’s perfectly normal to feel a bit anxious about an upcoming pelvic exam. But knowing what to expect can help ease your nerves. Here’s how you can prepare:
1. Schedule Your Appointment
Choose a time when you are comfortable, ideally when you’re not menstruating. Most healthcare providers prefer you to be between periods for a more accurate exam.
2. Avoid Certain Products
Avoid using vaginal douches, sprays, or scented products for at least 24 hours before the exam. These can interfere with the exam’s results and irritate the sensitive areas being examined.
3. Empty Your Bladder
Arrive at your appointment with an empty bladder, as this will help make the exam more comfortable.
What Happens During a Pelvic Exam?
The pelvic exam itself is typically brief, but its duration can vary depending on the type of examination and your individual health needs. Here’s a breakdown of what happens:
Step 1: The Initial Discussion
When you arrive for your pelvic exam, your healthcare provider will start by asking about your health history, including any symptoms you’ve been experiencing. This helps them understand what they’re looking for and whether any additional tests are necessary.
Step 2: Positioning for the Exam
You will be asked to lie back on an exam table with your feet in stirrups, similar to a gynecological exam. This allows the doctor to access your pelvic area.
Step 3: External Inspection
The first part of the pelvic exam involves the doctor visually inspecting your external genital area for any abnormalities, such as irritation, sores, or swelling.
Step 4: Internal Exam
Next, your doctor will perform the internal part of the pelvic exam. This includes two components:
Bimanual Exam
Your healthcare provider will insert one or two lubricated fingers into your vagina while pressing on your abdomen with the other hand. This helps them feel for the size, shape, and position of your uterus and ovaries. While this may feel a little uncomfortable, it shouldn’t be painful.
Speculum Exam
For the speculum exam, your provider will gently insert a speculum (a tool that opens the vaginal walls) into your vagina. This allows them to see your cervix. A Pap test or HPV screening may also be done during this part of the exam.
If you experience any discomfort or anxiety during the exam, please don’t hesitate to inform your doctor. They can adjust the process to make you more comfortable.
After the Pelvic Exam: What Happens Next?
Once your exam is complete, you may experience some discomfort or slight cramping, but this typically subsides soon after the procedure.
1. Discussing the Results
Depending on the tests done during your pelvic exam (such as a Pap smear), your doctor will discuss the findings with you. If there are any concerns or additional tests are needed, they’ll walk you through the following steps.
2. Post-Exam Care
After the exam, there are a few things to keep in mind:
- You may experience spotting or light bleeding, especially if you had a Pap test or other cervical screening.
- Cramping or mild discomfort can occur but should resolve within a few hours.
- Avoid sexual activity for a day or two if you experience discomfort or if a test was performed.
Common Questions About Pelvic Exams
Is a pelvic exam painful?
Pelvic exams are usually not painful, though they might feel a little uncomfortable. If you’re feeling nervous or tense, try to relax, as this can help ease any discomfort.
How often should I have a pelvic exam?
Your healthcare provider will recommend the frequency based on your age, health history, and specific needs. Generally, adults should have an exam every one to three years, starting at age 21.
Can I have a pelvic exam during my period?
It’s usually best to schedule a pelvic exam when you’re not menstruating, but it can be done during your period if necessary.
Do I need to have a Pap test every time?
Not every pelvic exam requires a Pap test. Your doctor will determine if a Pap test or HPV screening is needed based on your age, sexual history, and health.
What if I feel embarrassed or uncomfortable during the exam?
It’s normal to feel uneasy, but your healthcare provider is there to help you feel as comfortable as possible. You can request a female provider or bring someone with you for additional support.
Also Read: What is Cervical Ablation and How Does It Work?
Conclusion
Now that you know what to expect during a pelvic exam, you can approach the process with more confidence. Remember, this routine exam is an essential part of maintaining your reproductive health. It’s designed to catch potential health issues early, ensuring you stay as healthy as possible. If you have any questions or concerns before your exam, don’t hesitate to speak with your healthcare provider—they’re there to guide and support you every step of the way.
