Women’s health is increasingly recognized as a critical public health issue. Gynecological exams are essential for sexual and reproductive health research, including screening for cervical cancer and infections. These exams typically involve external inspection, speculum examination, and bimanual palpation. However, they often cause discomfort due to pain, anxiety, and emotional distress, especially in prepubertal and post-menopausal women. Diagnosis of STIs/RTIs in many healthcare settings relies heavily on speculum-assisted visual inspection due to limited resources and a shortage of trained professionals. This often leads to inadequate care and over-reliance on syndromic management. To address these challenges, we propose developing a digital transvaginal dermatoscope with AI-enabled decision support for automated detection of vaginal and cervical pathologies. This innovation aims to provide a safe, non-traumatic, and accurate alternative to traditional gynecological exams, improving women’s healthcare significantly.