The woman's bladder and rectum are also usually a part of the examination. symptoms such as unusual vaginal discharge, abnormal bleeding, or pain. Pelvic . Doctors use the Pederson speculum in teenage girls who've been sexually active . Doctors use it to diagnose diseases of the anus and rectum. Gynecologists do a pelvic exam to check the vagina, cervix, and other reproductive organs for If it hurts, you can ask the doctor to use a smaller speculum. Male discomfort during the digital rectal examination: does examiner gender make a Mean pain scores were similar for patients of female ( mm) and male.