Pelvic Floor Therapy Guides

Pelvic Exam

Pelvic Exam

Pelvic exams are a necessary and important aspect of any individual with a pelvis’s regular medical care. But let’s face it – many people often feel a little nervous or uncomfortable when they think about this procedure. However, understanding the pelvic exam's purpose and the process can alleviate these feelings – after all, knowledge is power. This comprehensive guide will discuss what a pelvic exam is, why it is important, what to expect during the procedure, and how to prepare for it. Remember to share this information with your friends and check out other guides on Pelvic Floor Therapy for more insights on pelvic health.

What is a Pelvic Exam?

A pelvic exam is a routine procedure performed by a healthcare professional to examine the health of a person’s reproductive organs and surrounding structures - which make up the pelvic floor. The exam typically involves visually and physically examining the external genitalia, as well as the internal reproductive organs, such as the vagina, cervix, uterus, and ovaries.

Why is Pelvic Exam Important?

Pelvic exams are crucial to maintaining good reproductive health as they can help detect potential problems early on, such as infections, abnormal growths or cysts, and even diseases such as cancer. For instance, routine Pap smears done during a pelvic exam can help detect early signs of cervical cancer, leading to early treatment and better outcomes. Moreover, the exam can assist in evaluating the cause of various symptoms like pelvic pain, irregular bleeding, or urinary troubles. In some cases, pelvic exams are essential for the application of certain birth control methods, such as intrauterine devices (IUDs).

What to Expect During a Pelvic Exam

1. Preparation

Before the exam, you might be asked to remove your clothing from the waist down and change into a gown. This is to allow the healthcare professional easy access to your pelvic area.

2. External Examination

The healthcare professional will first visually examine the external genitalia, including the labia, clitoris, and vaginal opening, checking for any signs of infection or abnormalities.

3. Speculum Examination

A speculum, a medical device used to gently open the vagina, will be slowly and carefully inserted. This allows the practitioner to examine the vagina and the cervical opening visually. If you are due for a Pap smear, a swab will be used to collect cells from the cervix at this point.

4. Bimanual Examination

After removing the speculum, the healthcare professional will then insert one or two gloved, lubricated fingers into the vagina while gently pressing on the lower abdomen with the other hand. This allows the healthcare provider to feel for any irregularities, lumps, or tenderness in the uterus, fallopian tubes, and ovaries.

5. Rectovaginal Examination

Sometimes, a rectovaginal exam may be performed during a pelvic exam. The healthcare professional will insert one lubricated, gloved finger into the rectum and one into the vagina, feeling for any abnormalities or issues with the pelvic floor muscles, ligaments, or the rectum itself.

Though the exam may cause some mild discomfort or pressure, it is generally not painful. Communication is key – if you experience pain or discomfort during any part of the exam, inform your healthcare provider immediately.

How to Prepare for a Pelvic Exam

1. Schedule Wisely

If possible, try to schedule your pelvic exam for when you are not menstruating, as the presence of blood and menstrual tissue can affect the examination.

2. Avoid Intercourse and Douching

Refrain from having sexual intercourse or using douches, vaginal creams, or contraceptives for at least 24 hours before the exam to ensure accurate results.

3. Communicate

If you have concerns or are feeling anxious about the exam, communicate your concerns with your healthcare professional. They can provide information, reassurance, and might make adjustments to make the experience more comfortable.

Now that you're well-informed about pelvic exams, you can now approach this essential procedure without apprehension. Don't forget to share this article with friends and family to spread knowledge and awareness about the importance of pelvic exams. Lastly, explore other informative guides available on Pelvic Floor Therapy to learn more about maintaining a healthy pelvic floor.


About Annie Starling

Annie Starling, MD, is a respected authority in gynaecology and women's health with over 15 years of enriching experience. Her expansive knowledge and compassionate approach have been instrumental in transforming countless lives. Alongside her medical career, Annie has an impressive acting background, bringing a unique blend of expertise and empathetic communication to her work. She's not just a doctor; she's an educator, an advocate, and a trailblazer, deeply committed to empowering women through health education. Her blog posts reflect her passion for the field, offering a wealth of insights drawn from her vast professional experience. Trust Annie to guide you on your journey to better pelvic health.

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