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?