Why You Should Never Skip Your Pelvic Exams

a woman discussing regular pap smear test schedules with her OBGYN

Pelvic exams are a fundamental part of preventive healthcare for women, yet they’re often misunderstood or overlooked. These exams play a vital role in maintaining your reproductive and overall health by identifying and managing potential gynecological issues early.

Regular pelvic exams can detect a range of concerns, from benign conditions like cysts to serious ones like cervical cancer, often before symptoms even appear. Hence, we generally encourage you to strive to visit your OB-GYN for regular pelvic exams.

This guide will explain the importance of these exams, what to expect during your visit, and how prioritizing them can benefit your long-term health.

What Happens During a Pelvic Exam

To better understand its importance in reproductive health, it’s best to start by examining the procedures involved in a comprehensive pelvic exam. In general, it involves a total assessment of the pelvic region, from the external to the internal.

Hence, the specific procedures a pelvic exam typically involves are:

  • External exam. Your OB-GYN begins with a visual examination of the outer genital area using only observation techniques and tools. They’ll inspect the region for signs of irritation, such as redness or rashes, which could indicate infections or allergies.

Swelling or lumps might also be observed, and if found, they can suggest cysts or blocked glands that may need attention. Lastly, any unusual discharge, sores, or lesions that could point to an infection or other condition are also checked and treated promptly.

  • Manual exam. This test involves inserting two gloved fingers into the vagina while pressing on the abdomen with the other hand. Your OB-GYN feels the uterus, ovaries, and other internal structures, checking for size, shape, or tenderness irregularities.
  • Speculum exam. During this part of the exam, a speculum is gently inserted into the vagina to widen the area, making it easier to examine the cervix and vaginal walls visually. The speculum exam is crucial for spotting any unusual discharge or signs of infection.
  • Pap test. Often, a pelvic exam includes a Pap smear, where a small sample of cervical cells is collected and tested for abnormalities. This is essential for identifying early signs of cervical cancer or changes that could develop into cancer if untreated.
  • Rectal exam. Sometimes, a rectal exam is also part of the pelvic exam. This involves inserting a gloved finger into the rectum to assess for abnormalities behind the reproductive organs and check for any masses.

Often, you won’t need to go through each step of the pelvic exam process unless your doctor deems it appropriate. A Pap smear test, for instance, is done less frequently if you don’t have any previous issues with cervical health. Contrastingly, more frequent Pap smear tests may be needed if you have a history of specific human papillomavirus (HPV) strains.

READ ALSO: How Often Do You Need a Pap Smear? Screening Frequency Guidelines

Whichever the case, each step discussed above serves a purpose: To provide you and your healthcare providers with deeper insights into your reproductive health. In the section below, we’ll examine specific reasons in more detail.

a woman on a hospital bed receiving chemotherapy for cervical cancer

Why Pelvic Exams Are Important for Women’s Health

Pelvic exams are among the fundamental approaches OB-GYNs use to understand your reproductive health and, subsequently, safeguard it. Earlier, we learned that it is instrumental in addressing everything from the simplest to most complex reproductive health concerns.

Some specific ways it helps you and your doctor safeguard your health are:

1. Early Detection of Gynecological Conditions

Pelvic exams allow for the early detection of many common reproductive health issues. Often, these conditions don’t show symptoms in the initial stages, so routine exams are the only way to spot them early.

We emphasize the need to detect these early, as prompt treatment helps us manage them efficiently and avoid complications. Some conditions that routine pelvic exams can detect are:

  • Ovarian cysts. These fluid-filled sacs can develop on the ovaries and sometimes cause pain, bloating, or menstrual irregularities. Detecting them early allows your provider to monitor or treat them before they cause further complications.
  • Fibroids. These benign growths in or around the uterus can lead to symptoms like heavy periods, pelvic pain, or pressure. Early identification can help manage these symptoms and prevent further growth.
  • Infections. Pelvic exams can identify infections, including bacterial or yeast infections and sexually transmitted infections (STIs), which may cause discomfort, unusual discharge, or odor. Prompt treatment prevents these infections from worsening or spreading.

2. Screening for Cervical and Ovarian Cancer

Routine pelvic exams are instrumental in screening for potentially life-threatening cancers like cervical and ovarian cancer. A Pap smear, which is often performed during the pelvic exam, detects abnormal cells that could indicate the onset of cervical cancer.

Early detection is critical; when cervical cancer is caught in its initial stages, treatment is often more effective, and more drastic, invasive interventions can be avoided. Ovarian cancer, though more challenging to detect, can also be screened through pelvic exams and additional testing if needed, particularly for those with high-risk factors.

3. Reproductive Health Monitoring and Family Planning

Pelvic exams benefit women of all ages and are especially important for those considering family planning. Regular exams can identify hormonal imbalances, menstrual irregularities, or underlying reproductive issues that may impact fertility.

For those planning a family, these exams provide insights into reproductive health and allow for discussions about contraception options or prenatal care. They’re an opportunity to address any health concerns proactively, setting a solid foundation for future reproductive choices.

Prioritizing Health With Routine Pelvic Exams

Pelvic exams are a cornerstone of preventive health for women, offering peace of mind and proactive care. These check-ups provide essential insights into reproductive health, enabling early detection and the prompt management of potential issues. By scheduling regular exams, you’re taking a crucial step to protect your health, maintain your well-being, and support long-term reproductive health.

If you have questions or want a comfortable, compassionate experience for your next pelvic exam, Atlanta Obstetrics & Gynecology Specialists is here to support you. Our dedicated team offers a caring approach and expertise to help you feel confident and cared for through every stage of your health journey.