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You may be worried about your first gyn exam. It’s very normal to be uneasy about something when you don’t know what to expect. It’s also normal to feel embarrassed. Hopefully after reading this information, you will be reassured that it’s simple, not painful, and takes only about 3-5 minutes. Your health care provider (HCP) should be sensitive and gentle, help you relax, and answer any questions you have.
What is a pelvic or gynecological exam?
A pelvic exam is a way for your health care provider to examine your female organs and check for any gynecological problems.
When should I have my first gyn exam?
Most health care providers agree that you should have your first exam when you have symptom such as discharge or pain, or when you turn 21, whichever comes first. There are other important reasons that you may need a pelvic exam. Your HCP will decide if an exam is needed to figure out the cause of your concerns.
These may include:
Unexplained pain in your lower belly or around the vulva area.
Vaginal discharge or wetness on your underwear that causes itching , burns or smells bad, especially if you’ve had sex
No menstrual periods by age 15 or 3 years after your breast development begins
Vaginal bleeding that lasts more than 10 days
Missed periods, especially if you are having sex
Menstrual cramps so bad that you miss school
Remember, it doesn’t matter how old you are or if you are sexually active, if you have any of the symptoms listed above, you should make an appointment with your health care provider or gynecologist.
Will I need a pelvic exam if I’m a virgin?
Even if you’re a virgin (you’ve never had vaginal intercourse), you may need a pelvic exam if you are having certain problems. Having a pelvic exam doesn’t change anything, just as using tampons doesn’t change your hymen (the skin that partly covers the opening to your vagina).
What should I do before the exam?
When you make your appointment, be sure to let the scheduler or nurse know that this is your first pelvic exam. The nurse can answer your questions and help explain what to expect so you won’t be worried.
Do NOT have sex, use vaginal creams or douche for 24 hours before the exam.
What kinds of questions will my health care provider (HCP) or gynecologist ask me?
Your HCP will ask you questions about:
Your general health, allergies and medications you are taking
Your menstrual period, such as how old you were when you first got it, how long it lasts, how often it comes, how much you bleed, the first day that your last period started, if you have cramps; and at what age your breasts started to develop
Whether you have ever had sexual contact or have been sexually abused or assaulted
If you have vaginal itchiness or an unusual discharge (drainage) or odor from your vagina
If you find it helpful, your mom, sister or friend can stay with you. There may also be a nurse or a medical or nursing assistant in the room, too.
After you have given your medical history, been weighed and had your blood pressure checked, you will be asked to put on a hospital gown.
You will need to remove your clothes including your underwear and bra. A breast exam is often done as a routine part of this check-up.
What happens during the exam?
Your health care provider will explain the different parts of the exam and ask you to lie down on the exam table. You will be given a sheet to put over your stomach and legs.
You will then be asked to move down to the end of the table and place your feet in “stirrups” (these are holders for your feet).
With your knees bent, you will be asked to let your knees fall to each side allowing your legs to spread apart.
This is usually the part when some young women feel embarrassed. Your HCP will make you feel at ease. It’s important to tell him/her if you are scared, nervous, or uncomfortable.
There are usually 3 parts to a pelvic exam. Sometimes not all the parts are necessary. Ask your health care provider which part(s) will be done for your exam.
The External Exam (Part 1): Your health care provider will first look at the area outside of your vagina (clitoris, labia, vaginal opening, and anus).