
Speculums aren’t designed to be uncomfortable, they don’t have to be inserted all the way, they don’t have to be opened all the way, and if it’s metal it’s often kept in a heated drawer. Pap smears shouldn’t be uncomfortable when performed by a good doctor! Now the clamps used during iud insertion are different (these also weren’t designed to be uncomfortable, they were just designed with the incorrect assumption that the cervix has no nerve endings)