An obstetrician—gynecologist ob-gyn is a doctor who specializes in the health care of women. Girls should have their first gynecologic visit between the ages of 13 years and 15 years. It is normal to feel nervous about your first visit. It may help if you talk about it with your parents or someone else you trust. You may want to let your doctor know you are nervous.
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Gynecology "gyn" for short is a medical field that focuses on the female reproductive system.
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Gynecology "gyn" for short is a medical field that focuses on the female reproductive system. A gyn checkup is a yearly health check — like a regular eye exam or dental checkup. Doctors often call gyn checkups "well woman visits" because they're designed to keep you healthy by catching small issues before they turn into big ones. This could be even before you realize you have an issue. It's sort of like when a dentist finds a cavity before it gives you a toothache.
Doctors might call the yearly checkup a "gyn exam," but there's very little actual examining involved. A doctor or nurse may quickly look at your breasts and external genitalia to be sure everything's OK. But most of the visit will be spent talking. Some of the things you'll discuss are periods, breast growth, birth control, STDs, sexuality, relationships, pregnancy, and body image. Most important, you'll have a chance to ask questions about anything — like how your breasts look , if you should shave your pubic hair or not, or if the things you've heard about STDs are true.
Doctors recommend girls get a first gynecology checkup sometime between ages 13 and Most girls have started going through puberty by then, so it's a good time to check that everything's developing OK.
After your first appointment, you should go for a gyn checkup once a year, even if you feel fine. Because most of your reproductive system is hidden inside your body, you can't always tell if there's a problem. Talking about what's going on with your body gives doctors or nurses a heads up if anything's not quite right.
Most girls don't need breast exams or pelvic exams until they're If a doctor or nurse notices anything unusual, though or if you have problems, like heavy bleeding, missed periods, vaginal sores or itchiness, discharge, or other symptoms you may get a pelvic exam at your gyn appointment.
Doctors may do breast or pelvic exams if you have a family history of problems. When you arrive for your appointment, the office staff will ask for your health insurance information and give you forms to fill out. The forms will include questions about:. A nurse or medical assistant will take you into the exam room to weigh you and get your blood pressure. If the doctor is going to do a quick visual check of things like breast growth, you will be left alone to get undressed.
The assistant or nurse will give you a robe to wear and a sheet to cover you. Your doctor will look at your breasts to figure out where you might be in your growth and if you are developing normally.
She or he will then take a quick look at your external reproductive organs your vaginal opening and the area around it to be sure everything's OK. If your doctor decides you need a pelvic exam , you may feel nervous, but it shouldn't hurt. Most girls only feel a little pressure or discomfort during the exam. It helps to stay as relaxed as possible and to remember that the exam itself is very brief.
Breathe deeply and think about things that calm you. If it's your first pelvic exam, let your doctor know. He or she can explain what's going on and you can ask questions. If at any time you want the exam to stop, you can just say so. If you haven't had the HPV vaccine yet, you should discuss it with your doctor or nurse, because it is recommended for all girls between the ages of 11 and She may also recommend other immunizations to protect you against STDs, such as a hepatitis B vaccine.
Some doctors and nurse practitioners like to meet with you first, then examine you. Others do an exam first. A parent can stay with you in the examining room if you want.
But if you'd rather not have a parent with you at any point in your checkup, let the doctor or nurse know. Most doctors will spend some alone time with you during your visit, though they may include your parent in a separate discussion. Doctors understand the importance of keeping things private and confidential. Ask your doctor or nurse what he or she plans to tell your parent ;about your exam and let them know if there's anything you don't feel comfortable sharing.
Different states have different rules when it comes to patient confidentiality. If you're worried about privacy, ask about the office policy when you call to make an appointment. If you've ever had sex, the doctor or nurse might test for STDs. That means providing a urine sample or vaginal swab for the doctor to send to a lab for analysis. Sometimes a blood test might be needed,.
If you get a vaginal swab done in the doctor's office, the doctor or nurse will quickly wipe a cotton swab inside your vagina to collect a sample of mucus. Some places give you a kit to take home and get the sample yourself.
Doctors do their best to keep your results confidential. Talk to your doctor or a nurse about how you want to get your STD test results, and what they should do if they can't reach you directly. There are lots of rumors floating around about sex and sexuality. Your gyn appointment is a chance to get real answers. Write down any questions you have in the days before the appointment.
Take the list with you so you don't forget anything. If you feel shy or embarrassed asking a question, you can just give your list to the doctor or nurse. It might be awkward talking about some topics at first, especially if you've never had sex and aren't planning on it. But the best time to talk about sex and relationships is before you need to know, so you're fully prepared when the time comes. There's another advantage to getting past any weirdness and talking about sex with your doctor: The more you talk about difficult topics, the more comfortable you'll get.
That can make it easier to talk to parents about any sensitive topic — not just sex. Your doctor can also give you tips on how to talk to partners about condoms , STDs , and other sexual health topics. Gyn checkups are often done by a gynecologist often called "OB-GYN," short for "obstetrician-gynecologist" , but you don't have to see a gynecologist.
Family doctors, adolescent health specialists , nurse practitioners, and pediatricians also do gyn checkups. Some girls visit a health clinic like Planned Parenthood. Both male and female doctors can do a gyn checkup. The most important thing is to be comfortable with the person who is examining you. If you're 13 or older and your parents haven't said anything about a gyn checkup, let them know you'd like one.
It's best to include parents in your health care. If you want to go to a doctor's office, you may need to involve a parent or other adult because of insurance it can be expensive otherwise. If you can't involve your parents, you can go to a health clinic like Planned Parenthood.
Some high schools have on-site clinics that offer reproductive health care. Clinic staff are fully trained and often care for you at a lower cost. Before you go to your appointment, write down any questions you have. Make a note of the date when you had your last period. Take your health insurance card or information with you. The office or clinic will let you know if the doctor or nurse practitioner needs to see you after your checkup.
Otherwise, you won't need to go back for another year — unless you notice any health problems, of course. Gyn checkups help detect any problems early on, so you need to get one every year. If you don't want to go back because you didn't like the doctor or nurse practitioner, find a new doctor or clinic.
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Your First Gynecologic Visit (Especially for Teens) - ACOG
Crystal M. Newby, MD. The thought of having your first gynecology exam might be nerve wracking, but it is a straightforward and quick procedure that is an important part of maintaining your overall health. Once you understand the purpose of the annual well woman exam and what it involves, you will realize that there is nothing to worry or be embarrassed about.
The purpose of your routine annual gynecology exam is to allow a health care provider to check your female organs to ensure and maintain good gynecological health. The physical portion of the exam takes about 10 minutes and there is a time before and after the exam to ask and answer any questions you and your health care provider might have. Women should start receiving annual gynecology exams between the ages of 18 and 21, or when they become sexually active. However, if you are experiencing any gynecological symptoms, you should schedule an exam sooner.
Such symptoms include irregularities in the menstrual cycle , unusual or severe vaginal or pelvic pain, abnormal vaginal bleeding or discharge , swelling, tenderness, sores, lumps, or itching, or unusual changes in the breast. When making your first appointment, it is helpful to tell your gynecologist that this is your first gynecological exam. Your health care provider knows that many women feel nervous about gynecology exams, and they will help you to relax and understand the process.
It is also perfectly acceptable to have a female family member or friend accompany you during your appointment and, if you would prefer, you can always request an additional nurse chaperone. Otherwise, there is not much you have to do to prepare for a pelvic exam.
Do not douche, use vaginal creams or have sex for 24 hours prior to your well woman exam, and if you have your period during the time you are supposed to have your exam, you will need to reschedule. The physical exam includes a urine sample, an external and internal pelvic exam, pap smear, and a breast exam.
The pelvic exam in your gynecological exam is comprised of four main steps: the external genital exam, the speculum exam, the Pap Smear test and the bimanual exam. For the exam, you will lie on the examining table in a dressing gown with your legs in stirrups or knee rests and a sheet is draped over your legs for your personal privacy. Once you are comfortable, your gynecologist will ask you to spread your knees apart.
At this point, try to relax as much as possible. Breathe deeply and do not tense your muscles. This is will make the exam less painful and more efficient. Rest assured that if you have requested the company of a friend or family member or chaperone, that they will be asked to stand at a location that preserves your personal privacy. During the external genital exam your clinician will visually examine the vulva and labia. They are checking for abnormalities, such as irritation, swelling, redness, cysts, or any visual indication of sexually transmitted diseases STD.
After the external examination is concluded, a sterile medical device called a speculum will be inserted into the vagina. This is not painful but may feel a little cool. Once in place, the speculum is opened slightly to separate the walls of the vagina so that the cervix can be examined.
You may feel pressure or brief discomfort at this point, but remember, if you stay relaxed, this part will be easier, and always communicate with your health care provider concerning your level of comfort. When the speculum is opened, your cervix will be examined.
The clinician is looking for signs of irritation, atypical discharge, or indications of sexually transmitted disease. With the speculum still in place, your health care provider will continue with the Pap Smear test. A Pap Smear checks for precancerous or cancerous cells. This is a quick procedure that involves taking a sample of your cervical cells and testing them to verify that they are healthy.
It will feel like a strong pinch. This annual test is very important and it is necessary even if you are not experiencing any symptoms and do not have any personal concerns. However, you will not know the results of the Pap Smear test at your appointment. The cell sample has to be sent to a laboratory where it is carefully examined.
Your results will take a few weeks to get back to you. After the Pap Smear test, your health care provider will remove the speculum and perform a bimanual exam to check the health of your ovaries and uterus. This portion of the exam involves inserting a gloved and lubricated finger in to the vagina with one hand. With the other hand, they will press down on your stomach. You will feel pressure and some light discomfort is possible, but again, always tell your gynecologist how you are feeling throughout the examination.
The breast exam is brief and painless. Your health care provider will manually palpate your breast, feeling for lumps, thickening, or discharge. They will also teach you how to give yourself a personal breast exam.
You will be asked to provide a urine sample. Urine is used to check for kidney health, various infections, and pregnancy. As part of your exam, you will be asked questions about your family history, current health, and sexual activity. You can also expect to be asked questions about your menstrual cycle, sexual activity and partners, contraception, STD prevention, pregnancies, illnesses, surgeries, and drug and alcohol use. Some of these questions will be quite personal in nature but it is important that you answer honestly.
Newby married her fellow Kansas native high school sweetheart and they have 3 daughters. Kansas City ObGyn W. Arroyo, MD Crystal M. Newby, MD Meghan A. Nichols, MD Emily S. Minderman, MD J. Connect With Us. Newby, MD The thought of having your first gynecology exam might be nerve wracking, but it is a straightforward and quick procedure that is an important part of maintaining your overall health.
Before Your Well Woman Exam Women should start receiving annual gynecology exams between the ages of 18 and 21, or when they become sexually active. What the Gynecological Exam Includes The physical exam includes a urine sample, an external and internal pelvic exam, pap smear, and a breast exam. Pelvic Exam The pelvic exam in your gynecological exam is comprised of four main steps: the external genital exam, the speculum exam, the Pap Smear test and the bimanual exam.
Pap Smear A Pap Smear checks for precancerous or cancerous cells. Breast Exam The breast exam is brief and painless. Urine Sample You will be asked to provide a urine sample.