Dear Cheer50,

A speculum is a plastic or metal instrument used to separate the walls of the vagina so that the clinician can examine the vagina and the cervix during a gynecological exam. The part of the speculum that is inserted into the vagina looks a little like two spoons hinged together. With the speculum inside the vagina, the clinician gently pushes the walls of the vagina apart by spreading the "spoons" away from each other to check the vagina and cervix for discharge or other signs of infection. The clinician will also collect a few cells from the cervix for a test called a Pap test.

Some women experience discomfort or pressure during a pelvic exam. This is normal and can be relieved by trying to relax — taking deep breaths, for instance. It may also help if you ask your clinician to explain what she is doing, step by step. If you feel any pain during the exam, it's important to let your clinician know.

It is recommended that women start having regular Pap tests three years after they have vaginal intercourse or once they reach the age of 21, whether they have had vaginal intercourse or not.

Hope this information helps!

Take care,

teenwire.com^® Editors

This column is for informational purposes only and is not intended to constitute medical advice, diagnosis, or treatment. If you have a medical problem, please call toll-free 1-800-230-PLAN for an appointment with the Planned Parenthood health center nearest you.