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Speculums are -never- very nice unfortunately! Assuming there were no health problems to cause the bleeding, there are 2 main reasons it could make you sore:

1) Maybe the doctor didn't use enough lube, or the speculum had a jagged edge, or the hinge caught a bit of you. Sometimes they pinch skin around the outside a bit too -- you can always ask a doctor to readjust (or use a smaller speculum) if you are experiencing pain.

2) If you are nervous or uptight when the speculum is opened, then your internal muscles can clamp down quite hard against the plastic or metal of the speculum. The clamping down can cause a bit of bruising or cramping to the muscles themselves and surrounding tissue. It can be very hard to relax in the stirrups (particularly if that dang thing is cold!) but it's important to try so that you don't get overly sore.

Also keep in mind, if the doctor did a PAP smear or took samples it tends to feel like being pinched and spotting afterwards is common. A bit of cramping afterwards is also common, especially if something more than just an examination was done (like inserting an IUD or doing a colposcopy). If you are worried, call your doctor's office and talk to a nurse or ask for a quick check to ensure everything is okay -- it is their job to ensure that you are healthy!

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Q: What would cause a plastic speculum inserted by dr to cause pinching and bleeding?
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