A routine gynecological exam consists of several parts, including: - Collecting a comprehensive medical history, including family history - Measuring vital signs, including blood pressure, heart rate, height and weight Patient-practitioner discussions about: - periods - pregnancy history - sexual activity - contraception needs - history of GYN problems - history of GYN surgeries - any current symptoms - how to improve health A physical exam to: - listen to the heart and lungs - feel the thyroid gland - feel the abdomen - A breast exam which checks for any abnormalities or changes A pelvic exam, which consists of three parts: - an external examination of the vulva - an internal examination of the vagina and cervix with a speculum - an examination of the uterus and ovaries During the speculum exam, a Pap smear may be performed, a procedure that gently collects cells from the cervix which is then sent to the laboratory for examination. The exam will also focus on evaluating any current symptoms, which can be addressed with the introduction of treatment options.