Next the doctor will put on thin plastic gloves and conduct an internal examination to feel the size, shape, location and consistency of the uterus, checking also for pain or tenderness. Both sides of the abdomen are felt to locate the Fallopian tubes and to check for masses or tender areas. The doctor also may perform a routine Pap smear at this time. The visit may also include a rectal examination in which the doctor inserts a gloved, lubricated finger into the woman's rectum to feel for the presence of any abnormalities. The entire physical examination, after taking the medical history, takes about 15 minutes.
Some women find gynecological exams to be unpleasant, uncomfortable or anxiety producing.
They may find it difficult or embarrassing to have their genitals examined and to discuss their bodies or their concerns about sexuality. Asking the doctor to explain each portion of the examination before it is performed is one strategy that may help women feel less frightened and anxious during the examination. Being informed of what is about to take place on vulnerable areas of the body can allow women to prepare themselves physically and emotionally for the experience. Focusing on breathing slowly and deeply can enhance relaxing and help the time pass more quickly and comfortably. With regard to discussing sexuality or bodily functioning, it may help to remember that it is a gynecologist's job every day to examine women and respond to all kinds of questions, concerns and worries.