 [ Symptoms ] hi dr i feel a pulling sensation on my vulvavagina my gyn is not concerned but i am i feel a pulling sensation on my vagina this sensation comes and goes i spoke to my obgyn who is unable to tell me what is wrong but my insurance will not cover a visit over anything yearly i am 46 years old with regular periods every 28 to 30 days apart lasting 5 7 days i am in a monogamous heterosexual relationship which began over 3 years ago we have regular vaginal intercourse without condoms because we are both fixed  me with a tubiligation and him with a vasectomy [ Disease ] most helpful answer in my opinion that is not okay having taught this exam for over four decades to medical students this is not the way this exam should be done ever the doctor is technique is highly unusual inappropriate and has strong sexual implications