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Pelvic Examination for Teens: Care Instructions

Side view of the female pelvic anatomy

Overview

A pelvic examination is a physical examination that lets your doctor check to see if your pelvic organs are healthy. You may have a pelvic examination if you have abnormal vaginal bleeding or an infection in your vagina. Or you could have one if you have pain in your pelvis. You might also have this kind of examination to check for sexually transmitted infections (STIs).

Before the examination, it's best to talk honestly with your doctor. Tell your doctor if you might be pregnant. And tell your doctor if you have a pelvic problem or any other health problem. You can also use this time to ask any questions about your body, birth control, or STIs. If you are not having sex, but you're thinking about it, you can also discuss that.

If you are sexually active, it's important for your doctor to know that. This is so your doctor can check for signs of pregnancy. You can also be checked for STIs, such as herpes and gonorrhea.

Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse call line if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.

How is a pelvic examination done?

  • During a pelvic examination, you will:
    • Take off your clothes below the waist. You will get a paper or cloth cover to put over the lower half of your body.
    • Lie on your back on an examination table with your feet and legs supported by footrests.
  • The doctor may:
    • Ask you to relax your knees. Your knees need to lean out, toward the walls.
    • Put on gloves and check the opening of your vagina for sores or swelling.
    • Gently put a tool called a speculum into your vagina. It opens the vagina a little bit. You may feel some pressure. The speculum lets your doctor see inside the vagina.
    • Use a small brush, spatula, or swab to get a sample for testing. The doctor then removes the speculum.
    • Put one or two fingers of one hand into your vagina. The other hand goes on your lower belly. This lets your doctor feel your pelvic organs. You will probably feel some pressure.

This examination takes about 10 minutes. You may have a small amount of vaginal discharge or bleeding after the examination.

Why is a pelvic examination for teens done?

  • You think you have a vaginal infection. Signs include itching, burning, or unusual discharge.
  • You have vaginal bleeding that is not part of your normal menstrual period.
  • You have pain in your belly or pelvis.
  • You are pregnant.
  • You have been sexually assaulted. A pelvic examination lets your doctor collect evidence and check for STIs.

What are the risks of a pelvic examination?

There is a small chance that the doctor will find something on a pelvic examination that would not have caused a problem. This is called overdiagnosis. It could lead to tests or treatment you don't need.

When should you call for help?

Watch closely for changes in your health, and be sure to contact your doctor or nurse call line if you have any problems.

Where can you learn more?

Go to https://www.healthwise.net/patientEd

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Care instructions adapted under license by your healthcare professional. If you have questions about a medical condition or this instruction, always ask your healthcare professional. Healthwise, Incorporated disclaims any warranty or liability for your use of this information.