If you are older than 50, rely on your doctor's instructions. Pelvic exams are done as a screening test for cervical dysplasia, a condition that produces abnormal cells that may progress into cancer. A speculum is inserted into the vagina and holds the canal open so the cervix can be visualized. Cells are taken form the cervix and sent off for laboratory analysis. The doctor then removes the speculum and inserts two fingers into the vagina so the size of the uterus and ovaries can be evaluated.
Some patients are so fearful or have had such bad experiences that they are unable to cooperate.
It is very important to have a sensitive physician with all patients. A sensitive physician will explain the examination to the patient prior to the exam if the patient has questions. Rectal exam . If you are 18 to 34, your pelvic exam should include a manual rectal exam as well. At age 35 to 49, the exam should include a screening for colorectal cancer.