If i had herpes inside my urethra would a doctor know after doing a pelvic exam?

Only if visible: Dr. would be able to see it only if clearly visible on the outside of the urethra. If the lesions are even inside by 1/8 of an inch, this would not be visible. If you are concerned, you should see a urologist and a cystoscopy could be done in the office to check this out. The procedure is not painful, and will put your mind at ease.

No: The pelvic exam will show lesions in the vagina, labia.