Brown T, Herbert ME. Because the cervix lies at the internal end of the vagina, it is vulnerable to infections caused by bacteria and viruses shared through intercourse. Many women feel anxious about pelvic examinations, 17 especially if it is their first examination, they have had a prior negative experience, Sex vaginal speculum exam there is a history of trauma. Before inserting the speculum, pubic hair and labia must be fully retracted to provide adequate visualization and prevent entrainment of Sex vaginal speculum exam or tissue between the bills. The effect of vaginal speculum lubrication on the rate of unsatisfactory cervical cytology diagnosis. Few guidelines address visual inspection and bimanual examination.