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A pelvic examination, also pelvic exam, is a physical examination of the female pelvic organs. Broadly, it can be divided into the external examination and internal examination. It is also called "Bimanual Exam" & "Manual Uterine Palpation". The exam should not be excessively uncomfortable, but a woman with a vaginal infection may feel pain when the speculum is inserted. During the bimanual exam, the palpating of the ovaries may be painful. The pap test may cause some cramping as well.