The main cause of bleeding after a gynecological exam is related to cervical irritation that occurs during the Pap test or other portions of the exam, states WebMD. A small amount of bleeding or spotting is normal after a gynecological exam.
Women sometimes feel a small amount of pressure or discomfort during a gynecological exam, states WebMD. To make the exam as comfortable as possible, it is best for women to relax their muscles and breathe deeply. During the exam, a speculum is inserted into the vagina, and the doctor examines the pelvic area visually and by inserting one or two gloved fingers into the vagina while pressing on the abdomen. Sometimes a Pap test is performed during the exam, which involves the doctor collecting a sample of cervical cells using a small brush or a wooden spatula.
A gynecological exam, or pelvic exam, involves complete assessment of a woman's pelvic organs, including the size and position of the vagina, cervix, uterus and ovaries, according to WebMD. It is used to detect certain types of cancer, infection, sexually transmitted diseases and reproductive system issues. The pelvic exam is also performed to evaluate abnormal bleeding and abdominal or pelvic pain. Certain methods of birth control, such as the diaphragm or intrauterine device, require a pelvic exam prior to use.