Can I please please tell you that, as a Practice/FP Nurse I can and often do, conduct upto 6 smears a day; I will always use the smaller speculum with plenty of cytology friendly lube gel for almost all women apart from multigravida's who sometimes have larger vaginal walls which can 'occlude' i.e.; fall in a bit....and they may need a slightly larger model.
I have never ever 'noticed' any one particular feature of a Vulva/Vagina which sets anyone apart and aside from making an observation that there is no obvious problem...discharge/loss, deformity or lesion, I do not even notice the state of someones wax or pubic hair or lack/amount of it....SO many women 'apologise' that they haven't been for their regular wax, or that there razor was blunt! I don't care!!!!
I also see a lot of piercings!! not as clunky as when speculums were exclusively stainless steel! so in general a little less cumbersome than it used to be.
I aim to make the procedure as quick and comfortable as possible and use a little ctyobroom and honestly its all over in one minute....I always offer a modesty cover even if it is only a sheet of paper, and almost all my patients just hold their underwear until we are done.....the only only thing I would say is not to have sex within a few hours of attending as semen definitely makes everything a bit 'cloudy' but if it happens, then we deal with it !
Oh - and well done for attending.....take a panadol an hour before the appointment if you are supersensitive is my only advice but really- it won't make too much difference.....
It is so important to have these smears and I make it my daily mission to never lose sight of anxieties around having it done and I will also ensure that there are NO interruptions or loss of privacy at any stage during the appointment.
Please please do not worry.