What to Look For

A self-exam isn’t as in-depth as a pelvic exam performed by your gynecologist. You should still have routine pelvic exams. These check for ovarian cysts, sexually transmitted diseases (STDs), uterine fibroids, early-stage cancer, and other signs of health problems.

But a self-exam may help you find signs of an STD or changes to your vulva (the outer part of your genitals) that could signal other health problems. Spots, sores, or bumps could be early signs of vulvar cancer and should be checked by your doctor. A more involved self-exam could also help you detect changes to your vaginal wall and possibly your cervix.

How Do I Do a Vaginal Self-Exam?

You can do it any time, but it’s best when you’re in between periods. Don’t use any vaginal creams or douches for at least 24 hours before doing the exam.

Here are some things that you can use that will help:

• A hand-held mirror
• A flashlight or other small light
• A detailed diagram of the genitals with all the parts labeled (so you’ll know what you’re looking at)
• Pillows and a towel

Make sure your hands are clean or that you’re wearing sterile gloves. Be mindful of your fingernails.

Remove your clothes from the waist down. Sit on your bed or on a towel on the floor against a wall with your back propped up by pillows. Pull your feet toward your butt and spread your legs.

Relax your pelvic muscles. Then examine the parts of the vulva: the clitoris, and the outer and inner labia. Take note of the color and size of each part, so if anything changes you’ll notice it easily. You may need to pull back slightly on the hood of the clitoris. You might also have to spread apart your pubic hair to get a clear view of the area.

If you’re not comfortable with this much probing, it’s OK. You can do a simple visual inspection. Just be sure you see your gynecologist for your regular pelvic exams. How often you have pelvic exams may depend on your age, health history, and other factors. Ask your doctor about what’s right for you.