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hi my name is Michelle Odierno iamp;#39;m the womenamp;#39;s health nurse practitioner at UB student health services the Pap test should be done every two years you may need one more frequently depending on your health history if you need a Pap test or pelvic exam you will be asked to lie down on the table and put the heels of your feet in the stirrups youamp;#39;ll need to scoot your bottom down to the end of the table and spread your knees apart your health care provider should let you know what is being done during the exam so that you are not surprised by anything you may feel during the exam once you are in position a plastic speculum will be inserted into the opening of your vagina it can be a little uncomfortable especially if you donamp;#39;t relax so do your best to focus on relaxing your stomach muscles leg muscles and the muscles between your legs the speculum is an important tool for holding the walls of the vagina open allowing the walls and the cervix to be visualized