The Pelvic Exam and Pap Smear continued...

As the speculum opens, it will create a sensation of "fullness", but it should not be painful. Please let your physician know if you experience any discomfort.

Once the speculum is open, the physician can see your cervix. The cervix is the "neck" of your uterus and is located at the far end of your vagina. (It looks like a small donut and feels like the end of your nose when you touch it.)

Your physician will then use a small brush to take a sample of cells from both inside and outside the cervix. The sample is called a Pap smear. It will be sent to a laboratory to be examined for any abnormal cell growth. Getting a Pap smear is not painful, but you may possibly feel some slight cramping.

After the speculum is removed, the health care provider will insert gloved fingers into your vagina and place his/her other hand on your abdomen, applying slight pressure. This examination is done to determine the size, shape, and position of your uterus and ovaries. Following this, a gloved finger may be inserted into your rectum to detect any abnormalities of the rectum, and to feel the back of the uterus and the ovaries.

Although this exam may sound complicated, be assured; the pelvic exam takes approximately five (5) minutes or so to complete.

Please remember that the annual exam (and even the Pap smear) are not testing you for sexually transmitted diseases (STDs). If you want to be tested for STDs, please ask your physician in advance. Then, your physician will know to take the appropriate samples (samples may include cervical cells, vaginal discharge, blood, or urine).

Your annual exam provides an opportunity to ask questions or to talk about any health concerns you may have. At The Woman's Wellness Center, P.C., we work with teens every day, and your question is probably one that we've heard before. We understand that you may feel awkward or embarrased, but keep in mind that we are here to help you to stay healthy and strong and hopefully help educate you about your body.

Please visit our Guest Education section for helpful health care link for teen care.