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Okay so the speculum is a tool that opens the vaginal canal so the doctor can see the cervix and other things in the back. It is a part of the physical exam because they need to look at that in order to make sure everything looks good.
I would also say, lady you are pregnant. Your OB being able to see your vagina/cervix system prebirth would better allow for checking anything that's wrong after birth.
If you've never had an exam spend time with the doctor talking through your concerns, ask these questions to them, and figure out what the best path forward is for you.
There are different sizes speculums and different styles. The doctor might choose a different one based on your concern.
The HPV test is a cotton swab of your cervix so a speculum is being sure the doctor is hitting the cervix and not any of the other tissue in your vaginal canal.
I guess I'm not understanding what your adversion is to the speculum? My experience is yes, it's uncomfortable but it's not even close to how bad getting an IUD inserted was.
I hope your adversion isn't due to SA or trauma. <3