I've only had one but it was not in the least bit painful, and I had no spotting or anything after. Basically, it felt like the pelvic exam without the speculum.
I guess technically now I should be SecondBabyMomma
It's not bad...I've had four now. I HATE going for my annual, I dread it, but it's not any worse than that. Definitely didn't hurt, just feels like fingers shoved up there, which it is and it's super fast.
Re: ...oh, and what is an internal exam exactly?
That's pretty much it. Some people experience pain, others don't. Some OB's do them, others don't.