What to Expect at a Gynecologist Appointment
For a female who has already started her menstrual cycle, she will at some point begin to see a gynecologist, or OB/GYN (obstetrician/gynecologist). This is the type of doctor who specializes in women’s reproductive organs, cycles, and related health issues, and this physician will treat a woman from her teen years through menopause and beyond.
Timing and Recommendations
The American College of Obstetricians and Gynecologists (ACOG) recommends that girls have their first visit to a gynecologist between the ages of 13 and 15. After that, the ACOG recommends annual visits. An annual visit to a gynecologist is ideal so that the young woman can ask questions, and so that the doctor can catch any issues early.
For many young women and teenage girls, going to a gynecologist for the first time can create a sense of the jitters. However, this appointment is necessary in order to ensure that everything is working properly and that nothing is amiss.
What Happens During an OB/GYN Visit?
It is a good idea to have any questions prepared beforehand to discuss with the doctor. During the appointment, the physician will ask questions about your general health, abnormal periods, or very painful cramps during your period. The gynecologist will also ask you about your family history of any disease that affects the reproductive organs, such as breast or ovarian cancers.
Physical Examination and Procedures
If you are older, if you are sexually active, or if you have any issues that require an exam, the doctor will leave the room so that you can disrobe and put on a paper gown. The gynecologist will then perform a pelvic exam to check for any irregularities.
They will also insert a speculum into the vagina so they can check the vaginal walls and cervix, and so they can take a Pap test. Speculums come in different sizes, so if it hurts, tell the doctor. Because the breasts are part of the female reproductive system, the gynecologist may examine them manually. The doctor may also teach you how and how often to perform a breast self-exam, and what sort of changes to be aware of.
Special Considerations and Preventative Care
- Age under 21: If you are under the age of 21, your doctor will likely not perform a full pelvic exam or a pap smear, and you will likely not require STD tests unless you are sexually active.
- Teenage visits: If you are a young teenager, the doctor may only take an evaluation and answer any questions you might have during your first visit; you may not have a physical exam.
- HPV Vaccination: The gynecologist can also give young patients a vaccine for human papillomavirus (HPV), which can help protect against cancers caused by an HPV infection, including cancers of the vulva, vagina, and cervix.
Below is a summary of what patients can expect based on age and health status:
| Patient Category | Typical Components of Visit |
|---|---|
| Ages 13–15 (First Visit) | Evaluation, answering questions, and general health discussion. |
| Under Age 21 | General health review; likely no Pap smear or pelvic exam unless symptomatic. |
| Older or Sexually Active | Pelvic exam, speculum exam, and Pap test for cervical health. |
| General Preventative Care | Manual breast exam, breast self-exam education, and HPV vaccination. |
A gynecologist appointment should be an absolutely positive experience, ensuring that your health is properly managed through every stage of life.