As I consider this to be, par excellence, a speculum fetish site in a gyno exam setting, please please please re-introduce the use of several different specula pr. patient. Please obtain, and use, many different metal and plastic specula. If the comfort/discomfort of your patients is an issue, instead of not using a speculum, consider using several different types pr. patient as a form of "speculum reseach", and each time let the patient describe what each instrument feels like.
I very much think such a reseach program would fit well in with the whole essence of this site.
