A pelvic exam has been stressful for many women. This is easy to understand since the area examined is considered private and the exam can be uncomfortable. Many healthcare providers today are aware of this discomfort and will help their patients through it. Reviewing patient history, questions, and concerns with the provider, before entering the exam room, is helpful. If this is a first exam, the office staff and provider should know. It helps to be prepared to talk with the healthcare provider about any questions or concerns.

Knowing what to expect ahead of time helps. The process can be explained and a video may be available before the visit. The exam will vary depending on individual needs, but will usually include:
* having weight and blood pressure checked,
* a breast exam, and
* the pelvic examination.

A special table designed for leg support will be used so the woman can be placed in an open, sitting position. A sheet will be used to cover the area. The tools and test will first be explained and then the internal portion of the exam will start.

The pelvic exam will include checking the skin and glands of the outside opening of the birth canal, or vagina. The vagina will be checked with the help of a tool called a speculum. This opens the vagina just enough to allow light in to see the surface of the skin and the opening of the womb, called the cervix. The cervix can be tested for infection and precancers by touching it with Q-tips and small brushes. This may give a pulling sensation or no sensation at all. The vaginal tool is then removed. The organs deep within the pelvis are checked next. The examiner will use a lubricated, gloved finger in the vagina and a hand on the abdomen to locate and move these organs to feel their size and shape. If there are no problems, this will feel odd but usually not painful. Depending on age and problem, an exam of the rectum may be performed as another means to check the female organs.

This will end the exam. The healthcare provider will usually now review the findings and may ask questions about sex, birth control, or hormone problems.

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