If your Dr. thinks you might have a hormonal imbalance, they probably won't need to do an internal pelvic exam, although they may want to do a pap smear, if you're sexually active.

They'll order blood tests to check your hormone levels, and ask about your period - how regular it is.

They may order a pelvic ultrasound, to check for cysts in your uterus. There are two kinds, external and internal. The external is less invasive but really uncomfortable - you have to drink something like 8 glasses of water an hour before and you're not allowed to go to the bathroom untill you have the ultrasound - they'll just rub your abdominal area with a small round tool and take pictures of anything that looks unusual. An internal is more invasive but gives better detail and I actually prefer it since you don't have the whole water/bladder thing happening. For an internal they won't do it, if you're a virgin. I thought it was funny - I was in my late 30's when I had my first internal ultrasound and I had to sign a document certifying that I wasn't a virgin LOL. They use a long wand, that is inserted into your vagina, kind of like a tampon, actually they give it to you to do the initial insertion and then they take over and wiggle it around a bit. It doesn't hurt, it just feels very weird. Sorry if this is TMI but I actually started to orgasm one time when I was having an internal ultrasound. I'm not sure who was more embarrassed me or the technician.

Good luck with the appointment.