* Medical history review: The doctor will discuss your medical history, including menstrual cycles, sexual history, pregnancies, and any relevant family history.
* Physical exam: This often includes:
* External exam: A visual inspection of the external genitalia for any abnormalities.
* Internal exam (pelvic exam): This involves a speculum exam (a device to open the vaginal walls for examination) to visually inspect the vagina and cervix. A Pap smear (to test for cervical cancer) and/or other tests (like HPV testing or STI testing) may be collected at this time. After the speculum is removed, a bimanual exam is typically performed, where the doctor inserts one or two fingers into the vagina and uses the other hand to palpate the abdomen to assess the uterus and ovaries for size, shape, and any abnormalities.
* Other tests: Depending on your needs, other tests might be ordered, such as:
* Ultrasound: An imaging technique to view the internal reproductive organs.
* Blood tests: To assess hormone levels or check for infections.
It's important to remember that the specific procedures performed during a gynecological exam will vary depending on the individual's circumstances and the reason for their visit. You should always feel comfortable asking your doctor to explain any procedure before it's performed. If you have any concerns or questions, don't hesitate to discuss them with your healthcare provider.