I think calling GYN is a good place to start. When you call for appointment tell tell them what is going on health wise. They might tell you to call GP. I really doubt that with what you described they will be doing an internal exam. Also when you go in for appointment you can tell the assistant that does the vitals stuff about your concerns and ask that they let doc know in advance. My GYN knows my history and always has nurse stay in room with me and tells me what he is going to do before he does it.