A pelvic exam can be recommended for several reasons, including the following:

If you have symptoms—Symptoms such as abnormal bleeding, abnormal vaginal discharge, pelvic pain, or pain during sex could point to a gynecological problem. A pelvic exam can help your ob-gyn diagnose the issue.

As part of a pelvic procedure—Pelvic exams are recommended when getting an intrauterine device (IUD) or having an endometrial biopsy.

When you’re pregnant—A pelvic exam is typically performed at your first prenatal care visit.

If you have a history of gynecological conditions—Certain conditions, such as cervical dysplasia, may require regular screenings.

There is not much research on the usefulness of annual pelvic exams for women who aren’t pregnant, experiencing symptoms, or at risk for gynecological conditions. The American College of Obstetricians and Gynecologists (ACOG) recommends women have pelvic exams only when they have symptoms or have a medical history that requires it.

Ultimately, you and your ob-gyn or other health care professionals should make this decision together. Discuss your medical history and the risks and benefits of a pelvic exam.

Recommendations on how often you should get a pelvic exam can vary. The timing for your pelvic exams are typically based on your medical history, or if you’re experiencing problems or symptoms. Some healthcare providers may recommend annual visits.

Others may recommend an exam every three years until you’re 65 years old. Ask your provider when they recommend you come back for routine pelvic exams.

Sources - https://my.clevelandclinic.org/health/diagnostics/17343-pelvic-exam

https://www.acog.org/womens-health/faqs/pelvic-exams#:~:text=Experts%20recommend%20that%20you%20visit,at%20all%20stages%20of%20life.

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