I agree with mmbayles and Nakita here. I have never ever skipped dilating b/f an ob/gyn exam and I think this helps me both mentally and physically. By dilating in advance, I am physically stretched out and mentally, I know the dilator is much larger than the speculum and, thus, won’t hurt and I also get used to the feeling and know what it will feel like to have something inside of me, again, which is much, much smaller. Another great thing to know is that the actual test does not last long at all. In the states, mine have all been 5 minutes max, which was wonderful. Hope this helps.