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Hi Struggling1995 – I’m so sorry both about your chronic pain conditions and your vaginismus! Not all facilities offer this, but when I was younger I was able to get a vaginal examination done under anesthesia so I was completely unconscious at the time. This can be expensive, but if you truly have no other way and can’t go through with an internal exam otherwise I think it could be worth it – especially since this is in preparation to receive a surgery that will hopefully lessen pain you’re having from an ovarian cyst and endometriosis. You might consider asking your clinic about this possibility if things didn’t go well for you a few days ago.