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During a pelvic exam, a doctor or nurse checks your vulva and your inside reproductive organs — your vagina, cervix, ovaries, fallopian tubes, and uterus. Using a speculum is one part of a pelvic exam — it's an instrument that gently opens your vagina so the doctor can see inside. Apr 1, - The phrase 'pelvic examination' means the same thing as ' vaginal brief visual check of your vulva (that is, the external part of your genitals).