Mary's First Pelvic Exam

An example of positive provider/patient interaction

Provider: OK Mary, now I am going to put in the speculum. I have warmed it up. Can you feel how warm it is?
Mary: Yes, I can feel it.
Provider: Now I am separating the outer lips of your vagina and beginning to put it in. Can you feel it? How are you feeling now?
Mary: OK, I'm OK. (A little nervously)
Provider: I am going really slowly. Remember to breathe deeply. Are you still in your rose garden (or other "safe place)? What color are the roses? My favorite is yellow. How are you?
Mary: It's OK.
Provider: Tell me when you are ready to have me put it in further.
Mary: It's up to you.
Provider: Now I am putting it in further. How is this?
Mary: No. No.
Provider: OK. Now I have stopped. Breathe deeply, Mary. Smell the roses. Should we pick one? Are you still holding that finger? We just have a little further to go. Tell me when you are ready.