Get myself very worked up about pelvic exam. get upset, and tense up so doctor can't do it. have to see a gynecologist how can i get through an exam?

With help: Bring a trusted friend to hold your hand if necessary- ask the gyn md to use the narrow speculum- heated of course and lubricated with warm k y gel. Express your fears in advance of the exam so everyone is aware of any involuntary tightening- good luck-.

Talk to your doc: Often i will have my patients do breathing exercises to help them relax before the exam. If you are not comfortable with your gynecologist you may want to seek another.