You should do some reading, routine pelvic exams are of poor clinical value and expose you to risk. Dr Carolyn Westhoff partly blames this exam for America's high hysterectomy rates and the removal of healthy ovaries after false positive exams. There are many articles covering this topic.
Women should understand what they're agreeing to....it can lead to some ugly places.
Also, on the subject of pap testing the new Dutch program is very interesting. This is one country that has managed to keep their program directed on woman, and what's best for them. They will move from their 6-7 pap test program, 5 yearly from 30 to 60 to 5 hrHPV primary triage tests offered at ages 30,35,40,50 and 60 and only the roughly 5% who test HPV positive will be offered a 5 yearly pap test. The vast majority are HPV negative, not at risk and they will be offered the HPV program and there is also a self test HPV device, the Delphi Screener. Those HPV negative and confidently monogamous or no longer sexually active may choose to forget all further testing. This program will save scarce health resources, save more lives and spare huge numbers from a lifetime of unnecessary pap testing and the risk of over-treatment and excess biopsies.
Some countries may never offer women evidence based screening, excess generates huge profits...women will have to demand smarter testing. There was never a need to worry and harm so many women, now there is no excuse....
HPV Today, Edition 24, sets out the new Dutch program
The Delphi Bioscience site provides info on the self test HPV device.
So far from being backward, a country or doctor that does not promote unhelpful and harmful exams and excess is acting in your best interests...and internal exams during a normal pregnancy are unnecessary as well. Excess is not a good thing and just exposes you to risk....I consider it bad medicine.