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While it is awkward, I have never had any pain during a pap smear. It's also very quick. The routine at my doctor is the nurse shows me into an exam room, I undress completely and put a robe on, my doctor comes in and opens the top of the robe to do a breast exam. She only takes a minute or two at most. Then she closes it back and performs the pelvic exam. That also only takes a couple of minutes. The worst part to me is the lubricant that she uses to insert the speculum. I have to go home and shower right after because it is so thick and I feel gross.

It's definitely uncomfortable, but it's over in a few seconds. You're going to want to tense up and clench your .. everything, but it's easier if you just breathe and stay as relaxed as possible. Good luck!

@Arden: I agree that chatting with the doctor about other stuff is helpful. It is less uncomfortable if you're relaxed, so even talking about the weather might help.