"Too tight" for speculum

Have you ever been "too tight" to take a speculum (or any other tool) for your examination?

What techniques were used by either you or the doctor to relax the muscles?

From the doctor perspective, I have never had a patient who was "Too tight" for a speculum exam. Most specula are available in three sizes (Small, Medium, Large). I always have all three available, should my original estimate be incorrect. I have found the medium sized speculum to be the most commonly used.

Most adult women, virgins included, are fine with a medium size speculum. The blades are narrow and thin and they are designed to open the back of the vagina to expose the cervix...

Aren't there some virgins for which even putting a tampon in, or perhaps, worse, removing it when filled, in painful? (that was the case of my sister when she was a teen) If so, isn't even the smallest speculum painful ?

Most adult women, virgins included, are fine with a medium size speculum. The blades are narrow and thin and they are designed to open the back of the vagina to expose the cervix...

Most isn't all. I have used a medium before and it couldn't be opened after I got it in. There are all different types and one size doesn't fit all.

Moppy: Was she a virgin?

Moppy: Was she a virgin?

Enema virgin.

I have a medium and large and have yet to find a woman the medium didn’t fit well.

I had one play partner years ago that was very tight. To make things easier, I went digital first, dilator second, speculum third. Perhaps not the most clinical approach, but she appreciated it. It then served as a plan for the rectal exam as well.

I had a rectovaginal exam last month. I have pelvic exams in every annual but this rectovaginal exam was my first. I am really uncomfortable about being examined there, never had before this so I was tensed about first time something being inserted in my bottom, even though it was just a finger. The gyno said I was very tight in the behind even for 1 finger. She kept asking me to deep breathe to relax. It was a tough exam

As someone who has never been on the receiving end of sex, I am extremely tight. And I work out a lot so my muscles grow stronger so I am always too tight for a speculum. So when I get examined my doctor has to work with my vagina to get it loose enough to be inspected probably.

I have a tight but long vaginal canal. I’m also close to 300lbs. My gynecologist uses a large speculum on me and it is a very tight fit and very uncomfortable. I have to do vaginal dilation exercises to keep me stretched out for exams

This is definitely an issue for me. Doctors usually use the pediatric speculum.

I am very tight, too, and find doctors first try a speculum too big for me. I need the small size, even though I am not a virgin.

For the most part I do not think most men realize that being too tight vaginally is an issue doctors deal with more often than not.

When I worked in the doctor's office and a female patient came in with any type of vaginal issue or for her yearly pap/exam several would comment please make sure the doctor knows I need a small or extra small or pediatric vaginal speculum for my exam. Yes they do make speculums that small.

True story and somewhat graphic but when in the medical field it is always best to say exactly what it is. And when I was in college I went out with a girl who was 5' 100 lbs. and she was really cute. And I did not know how tight some females can be. To be intimate/sexual was a chore. I am serious. To just finger her would take 30-40 minutes to have her relax and to be able to let me slide my finger into her vagina. She would moan and not a pleasurable moan more like painful and are you done yet. Also she told me she could not use tampons because it hurt so much to slide it in and to remove it was like uncorking a 100 yr old bottle of wine where the cork did not want to come out (those were her words).

So to all those who are too tight I can say I understand and hope you do not need to have many vaginal exams. GOOD LUCK.

I've never been too tight. By the time I had my first gyno exam (pap smear by GP) I was 23 and had had a couple of guys in there already 😉 Most recently I've done a few cycles of IVF and had to have vaginal ultrasounds every two days for two weeks at a time. You get surprisingly used to it after a while..

I am no expert but I do not think anyone is to tight for a speculum.

You can be too tensed and not relaxed or could using an inappropriate sized speculum but the vagina can accommodate a speculum unless their is anatomical abnormality maybe.

My vagina is tight for speculum, intercourse and fingering. I try to stretch it by fingering. I can enter two fingers into my vagina, only and I have pain. (Gynecologist says that I should try three fingers but I cannot do it.)

Do you recommend something to stretch the vagina? ( I tried painkillers, muscle relaxants, lubricants).

Thank you.

My vagina is tight for speculum, intercourse and fingering. I try to stretch it by fingering. I can enter two fingers into my vagina, only and I have pain. (Gynecologist says that I should try three fingers but I cannot do it.)

Do you recommend something to stretch the vagina? ( I tried painkillers, muscle relaxants, lubricants).

Thank you.

Speak to your gynecologist about getting a set of vaginal dilators. Yes, they are a real medical thing.

You can probably also find them in some sex shops and online.

You would slowly go up in size and keep it inserted for about an hour each day.

Speak to your gynecologist about getting a set of vaginal dilators. Yes, they are a real medical thing.

You can probably also find them in some sex shops and online.

You would slowly go up in size and keep it inserted for about an hour each day.

I asked dilators to my gynecologist but she did not recommend them, always says fingers. But I think to buy them. When I try my third finger, I cannot stand the pain.

I am afraid of my vulva will tear.

Thank you for your help.

Your vulva will not tear using fingers but it must be well lubricated when stretching.

Using dilators which are rounded and smooth and more penis shaped than three fingers is a much better way to go. There is no medical reason to use fingers over dilators or even dildos.

If you don't want to use dilators, get a few dildos in different sizes from small to whatever size you like from a sex store so you can see what they actually look like. They might be less expensive than dilators too. Playfully fucking yourself with different sized dildos and allowing them to stay inserted for periods of time will certainly be more fun than dilators. Use a good WATER BASED LUBRICANT that is on the thin slide--NOT thick or pasty. Astroglide or other thin runny lube will work well.

This should not be a difficult problem to solve and the process should be rather erotic and fun.

Patient may have thickened hymen which may make a speculum exam difficult or impossible, or have vaginismus. A spasm like reaction to anything placed into the vagina. I have prescribed vaginally dilators to several patients. They work better then fingers.

My vagina is tight for speculum, intercourse and fingering. I try to stretch it by fingering. I can enter two fingers into my vagina, only and I have pain. (Gynecologist says that I should try three fingers but I cannot do it.)

Do you recommend something to stretch the vagina? ( I tried painkillers, muscle relaxants, lubricants).

It looks like you have some form of vaginismus (unconscious tightening of your vaginal muscles) or vulvodynia (a more general term for pain when entering something into your vagina). Dilators can certainly help with vaginismus, together with other methods (sexologist, physiotherapy, ...).

However, I would also check with other doctors or gynaecologists to get a more correct diagnoses and to build a plan on how to get rid of this problem.

A lot of (older) gynaecologists underestimate this problem or they even haven't heart about it. Because of this, a lot of women are having this (big) problem for ages, without that somebody helps them. To be honest, it looks like your gynaecologist is the same. The remark about the fingers is wrong. He or she might be a good doctor on some levels, but solving vaginal pain is not one of them.

Best is to search for a doctor that is specialised in one these areas. If you cannot find them, try looking for a younger doctor and ask them if they have experience with this. They are now teaching it more and more in universities.

I know you will have a lot of awkward conversations with this doctor, but it will certainly help you!

I look at some vibrators and dildos I will buy one, its diameter is three cm, later if I do not get any pain with it I will try other diameters.

It is very diffucult to find a good doctor.

Thank you very much all of you for your concerns.

If a doctor’s finger can be considered a tool, then yes.

My college girlfriend developed an abscess in the upper area of her bottom between her cheeks. Painful and there was some liquid oozing out of it. She asked me to check it as we were very comfortable with one another’s bodies. I told her it looked infected so she went to a clinic and called me later.

She gave me a really detailed description of what happened including the fact that ‘three different people looked at my naked butt!’ One of the doctors told her she needed to do a digital rectal exam, which she’d never had. She told me when the doctor first pushed on her anus, her finger did not go in, and the doctor commented ‘you are quite tight, so I’m going to use more lubrication’, so she did and her finger slipped in. She said it was painful for her. I will mention that during sex my girlfriend never liked any sort of anal penetration so I wondered if she exaggerated this to “prove” to me that her bottom hole was actually tighter than average. But honestly she wasn’t one to exaggerate or lie.

Most times. She just stretches my minora further apart and pushes harder with the speculum

I guess I must have not encountered "tight" vaginal & anuses in my medical play. Most of the women I've examined have either had some sexual experience, or they've had children. I feel for you ladies who have so much trouble, because stimulation of those areas (vaginal area, anus & rectum). Is a hugely enjoyable sexual experience. I have had women orgasm so hard at the end of the exam when I perform the exotic massages that they have to.lie still afterward for a few, and then have a bit of difficulty standing (or so they report) when I let them up.

Sorry you are missing that.

I’m the same. I’m terrified of going to a gyn because I literally can only get one finger in. Aren’t they required to use 2 fingers for the bimanual? Sex is insanely painful. It’s a good thing I’m not married or seeing anyone.

I’m the same. I’m terrified of going to a gyn because I literally can only get one finger in. Aren’t they required to use 2 fingers for the bimanual? Sex is insanely painful. It’s a good thing I’m not married or seeing anyone.

It is best to get some help for this. This can really help you a lot!

For those women who have been very tight when they present for their appointment, have you ever actually had the gynecologist not be able to get the speculum into you at all? If that is the case, did they have to go down to a smaller size. I have always been curious as to what doctors do when they encounter these issues. I imagine that they deal with it somewhat regularly.