Yes they use a lubricant. Its not comfortable, its a doctors appointment and someone you don't know is sticking things inside of you. It is also normally not painful, if it is painful that is something to discuss with your doctor.
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They do use lubrication. It's very cold. The procedure isn't comfortable at all but it's also usually not painful (not true for all women and not true all the time for most women, the muscles sometimes have a mind of their own). Most doctors are trained to be mindful of their patients' needs but occasionally you get someone who clearly doesn't get it. One time I was in pain and was told flatly that that's impossible. So it's always scary and stressful going in, because you just never know.
I also find that they always use like three times as much lubrication as is needed, so when it's all over you can continue to feel cold and uncomfortable and wet with it all slowly oozing out as you walk out of the clinic.
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They use KY jelly like lubricant.
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Yes, they do.
Edit: also a lot of people seem to be weighing in about whether or not it's painful. Every vagina is different. It was quite painful for me despite them using the smallest speculum. I think it probably does have to do with whether or not you receive vaginal penetration regularly, cause a lot of my lesbian friends report the same issue.
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Yes. It doesn't help as much as you'd think.
They do, it's still excruciating, but I have problems there and it's unrelated to the exam that's making it painful. Most gynos are understanding. Some have been...really shitty about it though.
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I assume you are male, just wait until you get older and need prostate exams, then you'll have some idea of what's it's like to have a doctor sticking their fingers all up in there. It's not a direct comparison, of course, but close enough for the Internet.
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Fun fact: piercers also often use lubricant
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