Frequently Asked Questions (FAQs)
1. Why are speculums so uncomfortable?
Speculums can be uncomfortable if the pelvic floor muscles are tight or tense, narrowing the vaginal opening. Relaxing the pelvic floor muscles can help decrease discomfort during speculum insertion.
2. What size speculum do doctors use?
Doctors use different sizes of speculums depending on the patient's needs. Medium-sized speculums are commonly used, but the appropriate size can be determined by performing a digital cervical exam.
3. What is the difference between a pelvic exam and a speculum exam?
A speculum exam is a part of a pelvic exam. During a pelvic exam, a doctor or nurse checks the vulva and inside reproductive organs, including the vagina, cervix, ovaries, fallopian tubes, and uterus. The speculum is an instrument used to gently open the vagina to allow the doctor to see inside.
4. How far does a speculum open you up?
Contrary to popular belief, a speculum does not hold the vagina open several inches wide. During a Pap smear, the opening is only about 2 centimeters wide.
5. Do doctors lubricate the speculum?
Traditional teaching recommends using warm water for lubrication as lubricants may interfere with Pap and infection tests. However, there is evidence that modest lubrication of the external surface of the speculum does not affect cervical evaluation.
6. What is the alternative to the speculum?
The Callascope is an alternative to the standard speculum that allows speculum-free insertion and image capture of the cervix, offering a different approach to examining the cervix.
7. Do all Pap smears use a speculum?
Yes, a vaginal speculum is used during a Pap smear to collect a small sample of cells from the cervix. This test is important for detecting abnormal cells that could lead to cervical cancer if left untreated.
8. What happens if the speculum won't go in?
If the speculum won't go in, you can ask for more lubrication, vaginal estrogen cream, or a pessary. These options can make insertion easier and reduce discomfort. In some cases, you may also have the option to insert the speculum yourself, with guidance from a nurse.
9. What does a cervix look like through a speculum?
When viewed through a speculum, the cervix appears as a tiny, pink doughnut-shaped body part. The visibility may vary depending on the position of the cervix and may require minor adjustments of the speculum or a mirror.