First, I am in France, so go direct to Gynecologist rather than practice nurse or GP.
I went for a smear and breast exam last summer. Doctor was very jolly, wanted to speak to me in English even though I speak fluent French (lived here over 10 years).
During the smear, I just casually asked about the episiotomy scar. It is not something I really think about but had two episiotomies and just wondered if there was visible scarring, so I asked.
He replied no, it was all fine. Then added, don't worry, you can hit the online dating sites no worries. 
Then, as I finished the exam and I sat up, he reached up to my face and "tweaked" my nose, like you would affectionately to a child.
I feel really ill at ease about returning to see him this year but can't be fecked to find a new doctor and go through the whole rigmarole of registering and explaining my medical history.
I am now putting off going to have a smear / breast exam. Although I know IABU, I just can't go back to him.