Can a gynecologist tell if a girl has an orgasm?

Why is a pelvic exam really necessary? I am sexually active, but my boyfriend and I have only ever done anything sexual with each other, and neither of us have anything. I've asked this question to other people and they always say that "You don't KNOW," or that I shouldn't just take my boyfriend's word for it. I trust him, so I'm not considering that part, so ignoring a possibility of disease (which I doubt there is any), why is it so important that I have a pelvic exam?

What exactly is a Pap smear? And does it hurt (because I heard it does)?

I am a 22 year old female, but I have never had a breast and pelvic exam. I know what happens (I've read your articles as well as other websites), and I'm terrified. I don't like people touching me in general (people sitting right next to me, my parents putting a hand on my shoulder), and the only person who can touch me is my long-term (over 1.5 year) boyfriend. I've discussed this fear with my doctor. I'm also a very private and am not comfortable being around others if I'm not fully clothed, even changing my shirt with my roommate in the room - another problem I have with prospect of the exam.

My boyfriend and I have recently decided we'd like to have sex, so I've gotten a prescription for the birth control pill. However, the doctor said she will not prescribe it year after year without doing a regular breast/pelvic exam; she hopes that after I've been having sex for a while I'll become more comfortable with the idea of the exam, but I'm not. I understand why I should have this exam, so I've even tried just scheduling one to force myself to do it. Unfortunately, after a few hours I began to panic and didn't calm until I cancelled the exam. There is no history of breast cancer or any sort of reproductive problem in my family, and I do a monthly breast exam on myself. How long can I safely put off the breast/pelvic exam from the doctor? My boyfriend will come with me, and the doctor said she can give me anti-anxiety medicine, but I'm still worried even if I go through with it I'll become depressed afterward (I have struggled with depression before). Even though these things would help, I'm still terrified, and I begin to panic whenever I think of it. I know I should have had an exam already, but I'd like to know how much longer I can safely delay it.

About how old should you be when you start visiting the Ob-Gyn?

I am going to the gyno for the first time about cysts in my ovaries and I want to know if they will have to look inside me. Or do they just feel my abdomen?

My girlfriend had found a lump inside her vagina. What could this be?