Regular visits with a gynecologist are an essential part of women’s health – and pelvic exams are vital. Pelvic exams play a critical role in detecting potential health issues early and maintaining reproductive and overall health.

At TopLine MD Alliance, we believe that women of all ages deserve comprehensive, thorough, and quality gynecological care. Preventive care, including pelvic exams, is essential for early detection and effective treatment.

Keep reading to learn how pelvic exams help women stay proactive about reproductive health and address concerns before they become bigger problems. We’ll also share what to expect during a pelvic exam and how to ease any anxiety you may have.

What is a pelvic exam?

A pelvic exam is a physical examination of reproductive organs, including the vulva, vagina, cervix, ovaries, and uterus.

A typical pelvic exam lasts 5 to 10 minutes or less and will require you to undress below the waist. Before the exam starts, you will lie down on the exam table with your legs raised in footrests called stirrups.

A pelvic exam generally has three parts:

  • Examining the vulva – The gynecologist checks the external genitals for any signs of infection, abnormal discharge, or other issues.
  • Examining the vagina and cervix – The gynecologist inserts a tool called a speculum to keep the walls of the vagina open and examine the vagina and cervix. During this time, the gynecologist may also do a Pap smear (a tiny brush that gently removes cells from the surface of the cervix) to screen for cervical cancer.
  • Examining internal reproductive organs – Once the speculum is removed, the gynecologist places 1-2 gloved fingers into the vagina and uses their other hand to press down on the abdomen, allowing them to feel the internal reproductive organs (including the ovaries and uterus).

After the exam is complete, the gynecologist should be able to say certain results right away and discuss the next steps if they find anything abnormal. Pap smear results, however, typically take a few days to come back.

When should women start getting pelvic exams, and how often are they recommended?

Women should have their first pelvic exam by the age of 21 and at least one pelvic exam each year.

The frequency of pelvic exams depends on age, health history, and any symptoms like abnormal discharge, bleeding, irregular periods, pelvic pain, or pain during sex.

Pelvic exams are also recommended when getting an intrauterine device (IUD) or if you have a gynecological condition that requires regular screenings. For pregnant women, a pelvic exam is typically performed during the first prenatal visit.

Ask your TopLine MD Alliance affiliated gynecologist how often you should have pelvic exams.

How do pelvic exams detect early signs of health concerns?

Pelvic exams are one of the best tools we have to assess reproductive health and check for early signs of many health conditions, including:

  • Cervical cancer – Cell changes on the cervix could indicate cancer.
  • Ovarian cancer or cysts – A gynecologist can feel for unusual lumps or changes in the size or shape of the ovaries.
  • Pelvic inflammatory disease (PID) – Symptoms of PID, a bacterial infection of one or more reproductive organs, include abnormal discharge or pelvic pain.
  • Sexually transmitted infections (STIs) – A gynecologist can swab the vagina to test for chlamydia or gonorrhea and visually inspect the vagina for signs of infection, such as warts or sores.

If left untreated, PID, chlamydia, gonorrhea, and other STIs can spread to the uterus or fallopian tubes and permanently impact fertility. Pelvic exams improve the chances of detecting and treating infections, cancer, and other health concerns, potentially saving fertility – and your life.

What are common misconceptions about pelvic exams?

Don’t let misconceptions about pelvic exams stop you from getting them!

  • “You don’t need a pelvic exam unless you have symptoms.” – Some STIs and cancers have delayed symptoms or no symptoms at all. Getting regular pelvic exams can give you peace of mind about your reproductive health.
  • “Women who aren’t sexually active or are done having children are off the hook.” – Pelvic exams are necessary even if you aren’t sexually active or are past your childbearing years (up to age 65).
  • “It will hurt.” – A pelvic exam may feel strange if you haven’t had one before. You may feel mild discomfort, but the exam should not be painful. Let your gynecologist know immediately if you feel pain at any point during the exam.

Still anxious about getting a pelvic exam? Here are some tips to help calm your nerves:

  • Choose a provider you trust. For example, some women feel more comfortable with a female gynecologist.
  • Bring a family member or friend to the exam for extra support.
  • Ask your gynecologist to let you know when they will begin and explain which areas they will touch.
  • Relax your muscles and take slow, deep breaths throughout the exam.

TopLine MD Alliance affiliated providers prioritize making patients feel comfortable and supported. Do not hesitate to ask questions or share concerns at any time during your visit.

Schedule your next pelvic exam with a TopLine MD Alliance affiliated gynecologist.

The TopLine MD Alliance was created by physicians who came together to make healthcare experiences better for patients. We help patients navigate the healthcare system, connecting them with top-of-the-line healthcare providers, practices, diagnostic centers, and imaging centers we trust.

To find a TopLine MD Alliance affiliated gynecologist or other provider near you, visit us online today.

The TopLine MD Alliance is an association of independent physicians and medical practice groups who are committed to providing a higher standard of healthcare services. The members of the TopLine MD Alliance have no legal or financial relationship with one another. The TopLine MD Alliance brand has no formal corporate, financial or legal ties to any of the affiliated physicians or practice groups.