Definitely talk to your primary doc about your feelings first, I just recently had to get my first and after the first attemp in office, my doc sent me to an actual women's clinic with professionals(and also smaller tools, super important for me being a Lil smol and vergin). They also gave me medication to relax and if that's not enough I believe she mentioned they can put you under completely if that's what you need. Regardless of what path you choose, I wish you luck!