Many women may feel anxious or afraid of pelvic exams. They may feel embarrassed, uncomfortable, or reluctant to undergo the examination, leading to avoidance and risking detection of abnormalities at a stage that is too late. Since many female reproductive organs are internal and cannot be seen with the naked eye, regular annual pelvic exams are essential for women. They help screen for disease risks and detect diseases at an early stage for timely treatment.
Who should have a pelvic exam?
- Women aged 30 and above should start having regular annual exams
- Women of all ages who are sexually active to screen for cervical cancer
- Those with abnormal menstrual symptoms such as severe menstrual cramps, irregular periods, or abnormal vaginal bleeding
How to prepare for the exam?
- Clean the genital area as usual but avoid douching the vagina
- The exam can be done after the menstrual period ends
- Urinate before the exam to avoid discomfort during the pelvic exam
- If you have never had an exam and feel embarrassed, you can inform the staff to request an exam with a female gynecologist
Does the pelvic exam hurt?
The pelvic exam does not take long. The gynecologist will choose the appropriate examination tools suitable for each patient’s body.
Those undergoing a pelvic exam may feel slight tightness
but will not feel pain while the instruments are used
What are the methods of pelvic examination?
External examination The doctor will observe for any abnormalities
- Speculum examination, also known as the duckbill speculum, is a tool used to open the vagina so the doctor can clearly examine the vagina and cervix, checking for abnormal discharge. During this step, the doctor will collect cervical cells for laboratory analysis.
- Manual examination The gynecologist will insert gloved fingers to feel the size of the uterus and ovaries or check for tenderness in the pelvic area.
- Ultrasound examination In cases where the doctor suspects and requires a more detailed examination, an ultrasound may be used to view images of the pelvic organs.
The pelvic exam is an important step that helps all women take better care of their health. Regular annual pelvic exams with a gynecologist can help prevent and treat various diseases promptly, including infections, endometriosis, tumors, cysts, cervical cancer, endometrial cancer, and other related conditions. There is no need to be afraid or embarrassed because taking care of your own health is the most important thing.
