The pelvic exam has three parts:

• Looking at the vulva
• Looking at the vagina and cervix with a speculum
• Checking the internal organs with a gloved hand

The doctor will use a speculum to look at your vagina and cervix. When you have a Pap test, a sample of cells is taken from your cervix with a small brush.

A pelvic ultrasound is a noninvasive diagnostic exam that produces images that are used to assess organs and structures within the female pelvis. A pelvic ultrasound allows quick visualization of the female pelvic organs and structures including the uterus, cervix, vagina, fallopian tubes and ovaries.

Source:
ACOG
https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/pelvic-ultrasound