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.
The Importance of Regular Visits
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. 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.
Consultation and Preparation
It is a good idea to have any questions prepared beforehand to discuss with the doctor. 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. 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.
What Happens During a Physical Examination?
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. 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 process may include several specific checks:
- Breast Exam: 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.
- Pelvic Exam: The gynecologist will then perform a pelvic exam to check for any irregularities.
- Speculum and Pap Test: 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.
Summary of Examination Guidelines
| Patient Status | Procedural Expectations |
|---|---|
| Young Teenager (Ages 13-15) | Evaluation and answering questions; physical exam may not be required. |
| Under Age 21 | Likely no full pelvic exam or pap smear; no STD tests unless sexually active. |
| Older or Sexually Active | Full pelvic exam, visual check of vaginal walls and cervix, and a Pap test. |
Furthermore, the gynecologist can also give young patients a vaccine for human papillomavirus (HPV), which can help protect against cancers caused by an HPV infection. These include cancers of the vulva, vagina, and cervix. A gynecologist appointment should be an absolutely positive experience, so let us help you feel great about your health.