What to Expect During Your First Pelvic Exam

If you’re feeling nervous about your first pelvic exam, you’re not alone. For many people, the unknown is the most stressful part. 

The good news? Dr. Andrea Das, Dr. Louisa Griggs, Dr. Djamilia Kryukov, and Dr. Patricia Tagamolila at Advanced OB/GYNE Associates offer pelvic exams as a routine, straightforward part of preventive care. Knowing what to expect can make the experience far more comfortable. 

Here’s a clear, step-by-step look at what happens, why it matters, and how you can feel more at ease going in. 

Why pelvic exams are important 

A pelvic exam helps us check the health of your reproductive organs and screen for certain conditions early. Even if you feel completely fine, these exams play a key role in preventive care. Pelvic exams can help detect: 

• Cervical changes and abnormalities
• Ovarian cysts
• Uterine issues
• Infections
• Signs of sexually transmitted infections (STIs)
• Other reproductive health concerns 

They’re often part of a well-woman exam, but our team will recommend them based on your age, symptoms, and medical history. 

Before your exam

Your appointment usually begins with a conversation. This is your chance to ask questions and share any concerns. We may ask you about: 

• Your menstrual cycle
• Sexual activity
• Birth control use
• Symptoms like pain, irregular bleeding, or discharge
• Family history 

This discussion helps tailor your exam to your specific needs. If you’re anxious, don’t be afraid to tell us — we’re used to first-time nerves and are here to walk you through each step. 

During your pelvic exam 

A pelvic exam typically takes only a few minutes and includes a few simple parts. 

External exam 

We visually check the external genital area for any signs of irritation, swelling, or abnormalities. 

Speculum exam 

A small instrument called a speculum is gently inserted into the vagina to allow us to see the cervix. During this part, you may feel pressure, but it shouldn’t be painful. If a Pap smear is needed, a small sample of cervical cells is collected. 

Bimanual exam 

We insert one or two gloved fingers into the vagina while pressing lightly on your abdomen with the other hand. This allows us to check the size and shape of your uterus, feel for ovarian tenderness or masses, and assess your overall pelvic health.

How to make your first pelvic exam easier

Feeling prepared makes all the difference. We highly recommend scheduling your exam when you’re not on your period (if possible), avoiding vaginal products or intercourse 24 hours beforehand, and wearing comfortable clothing. 

Most importantly, remember that you are in control and can (and should) communicate any questions or concerns you have with us. You can ask questions, request a pause, or ask for a smaller speculum if needed. 

After your exam 

Once your exam is finished, you’ll get dressed and discuss next steps. If a Pap smear was done, results typically come back within a few days to a week. We may also review preventive recommendations, discuss birth control options, address any concerns, and recommend follow-up care if needed. Most people are surprised by how quick and manageable the exam feels once it’s over. 

In the end, your first pelvic exam may feel intimidating, but it’s a routine and important step in caring for your reproductive health. If you’re ready to learn more, call us at 847-755-1111 or use our online booking tool to request an appointment today. We have offices in Arlington Heights and Hoffman Estates, Illinois.