Why Should I Get a Pelvic Exam?

A woman holding her abdomen walks towards an exam room for a pelvic exam. The woman is wearing a pink outfit.

Why Should I Get a Pelvic Exam?

There are many types of physical exams to assess the health of the human body, particularly the female body. One exam that you will likely have in order to check out your reproductive health (if you’re a woman) is called a pelvic exam.

A pelvic exam is a relatively simple and painless procedure that may occur during your annual well woman visit with your primary care physician or gynecologist. If you’ve never had one before, here’s why pelvic exams are important (and what you can expect to happen).

Why Do I Need a Pelvic Exam?

There are many reasons why you might need a pelvic exam. Here are some of the most common:

  1. To assess your gynecological health: A pelvic exam is often part of a routine physical exam to find possible signs of ovarian cysts, sexually transmitted infections, uterine fibroids or early-stage cancer. Pregnancy is also another cause for pelvic exams.
  2. To diagnose a medical condition: If you’re experiencing gynecological symptoms such as pelvic pain, unusual vaginal bleeding, skin changes, abnormal vaginal discharge or urinary problems, your doctor may suggest performing a pelvic exam. An exam can help your doctor diagnose the causes of these symptoms. Your doctor might even suggest additional diagnostic testing or treatment. 
  3. To help detect cancer early: According to the American Cancer Society, about 14,480 new cases of invasive cervical cancer will be diagnosed in the United States in 2024. Regular pelvic exams and Pap tests can help detect cervical cancer early, significantly increasing the chances of successful treatment. Regular pelvic exams, combined with Pap tests, have reduced the incidence and mortality rates of cervical cancer by over 50% in the past 30 years in the United States.
  4. To help detect STIs and STDS: The Centers for Disease Control and Prevention (CDC) reports that nearly 20 million new sexually transmitted infections (STIs) occur each year in the United States. Pelvic exams are crucial for detecting and treating STIs early, preventing serious health complications.

There’s a lot of debate among experts regarding the recommended frequency of pelvic exams. Ask your doctor what they recommend is best for you.

What to Expect During a Pelvic Exam

A pelvic exam is done in your doctor’s office by a medical professional and takes only a few minutes. Before the exam, you may be asked to change into a gown, or you may be asked to remove only your pants/undergarments and given a sheet to be placed over your bottom half for privacy.

During the exam, you will lie on your back on an exam table with your knees bent and feet placed on the corners of the table or in supports (stirrups). You’ll be asked to slide your body toward the end of the table and open your knees. You may need to relax your buttocks during this part as well. Once you’re situated, the doctor will generally do the following:

  • External visual exam. During this part, the doctor looks at your vulva, checking for irritation, redness, sores, swelling or other abnormalities.
  • Internal visual exam. Then, your doctor will likely use a speculum — a plastic or metal-hinged instrument — to spread open your vaginal walls and see your vagina and cervix. Some women find this to be uncomfortable, and it helps to relax as best you can during this part. However, if you’re in a lot of pain, let your doctor know right away.
  • Pap test. If your pelvic exam includes a Pap test (Pap smear), your doctor will swipe a small wand to collect a sample of your cervical cells for testing.
  • Physical exam.  During this part of the exam, your doctor will check the size and shape of your uterus and ovaries, noting any tender areas or unusual growths. Because your pelvic organs can’t be seen from outside your body, your doctor needs to palpate (feel) your abdomen and pelvis. To do this, your doctor will insert two lubricated, gloved fingers into your vagina with one hand, while the other hand presses gently on the outside of your lower abdomen.

Throughout the whole examination, your doctor should tell you exactly what they are doing at each step so that nothing comes as a surprise.

While it sounds like a lot of different steps, it will happen very quickly and before you know it, you’ll be asked to remove your feet from the stirrups and sit up. The doctor may then give you wipes (to clean any additional lube from yourself) and leave the room to give you privacy to clean up and get dressed. If they’ve noticed anything unusual, they may come back into the room to discuss next steps.

How Often Should I Get a Pelvic Exam?

The frequency of pelvic exams can vary depending on your age, health history, and risk factors. Generally, women aged 21 to 65 should have a pelvic exam as part of their annual well-woman visit. However, guidelines can differ based on individual health needs. For example, women with a history of gynecological issues or those experiencing symptoms may need more frequent exams. 

Where Can I Get a Pelvic Exam?

You can receive a pelvic exam at a doctor’s office, such as a gynecologist’s office like Copperstate, or at another health clinic.

Remember, if you’re experiencing gynecological symptoms such as pelvic pain, unusual vaginal bleeding, skin changes, abnormal vaginal discharge or urinary problems, you may need to make an appointment for a pelvic exam.

Are you a patient of Copperstate OB/Gyn? Access your patient portal here, or share your experience with us on Google.

Resources: 

https://www.plannedparenthood.org/learn/health-and-wellness/wellness-visit/what-pelvic-exam#:~:targetText=What%20happens%20during%20a%20pelvic,%2C%20fallopian%20tubes%2C%20and%20uterus.&targetText=Try%20to%20relax%20your%20butt,will%20make%20you%20more%20comfortable.

https://www.mayoclinic.org/tests-procedures/pelvic-exam/about/pac-20385135