Pelvic exam

A pelvic examination is a thorough check of the pelvic organs. The exam helps a doctor or nurse see the vagina and cervix and check the size and position of the uterus and ovaries.

• You think you have a vaginal infection. Signs include itching, burning, or unusual discharge.
• You have vaginal bleeding that is not part of your normal menstrual period.
• You have pain in your belly or pelvis.
• You are pregnant.
• You have been sexually assaulted. A pelvic exam lets your doctor collect evidence and check for STIs.

• During a pelvic exam, you will:
  • Take off your clothes below the waist. You will get a paper or cloth cover to put over the lower half of your body.
  • Lie on your back on an exam table with your feet and legs supported by footrests.
• The doctor may:
  • Put on gloves and check the opening of your vagina for sores or swelling.
  • Gently put a tool called a speculum into your vagina. It opens the vagina a little bit. You may feel some pressure. The speculum lets your doctor see inside the vagina.
  • Use a small brush, spatula, or swab to get a sample for testing. The doctor then removes the speculum.
  • Put one or two fingers of one hand into your vagina. The other hand goes on your lower belly. This lets your doctor feel your pelvic organs. You will probably feel some pressure.

This exam takes about 10 minutes. You may have a small amount of vaginal discharge or bleeding after the exam.

If you have any fear about having the test, tell your doctor or nurse.

No other special preparations are needed. For your own comfort, you may want to empty your bladder first.