Tell your doctor it is your first time. Yes it is awkward. I used to have a really great doc who would chat away with me while he was doing it and with him it was no big deal. But he retired and my new doc is quiet and that makes me uncomfortable.

When the doc inserts the speculum it is only mildly uncomfortable and then s/he will use a cotton swab to rub on your cervix. The swab is a bit annoying but not really painful. I think the thing that I hate most is I get cold with just that tiny sheet to cover me.

Your doc will probably want to check to see if you have HPV and if you do not you can return for an immunization. Not all insurance covers this but I think it is a good idea.

Your doc should also do a breast exam and should teach you how to do your own breast exam.

If you have any questions about contraception you can ask. Perhaps you may want contraception in addition to condoms.