I remember how nervous I was about moving to #2 at first. #3 terrified me, and now I feel totally ready for #4. Now the #1 just looks so small compared to the rest. I start with #1 every time to ensure I reach depth, and then work up the sizes. It may be more work and cleaning, but it seems to make each one easier to insert and now I reach full depth with #3.
As for internal exams with a speculum, Dr McGinn also examined me, she did that on my second follow up appointment. She does it to check on how the skin graft is taking, and was able to confirm that all of the graft had taken. I thought it was a standard thing to do. I just went back for 7 week check up and she did another speculum exam then too. All is healing well. I do have some granulation tissue around the vaginal entrance and on my labia. I'm trying to be patient with that healing and going away. I guess it takes some time.