Going to the gynecologist for the first time can be a bit daunting. However, seeing a gynecologist regularly is an incredibly important part of taking care of your health. They help us navigate the management of our periods, find the right forms of contraception, answer questions about the confusing world of hormones, reduce the risk of any gynecological illnesses, and catch anything of concern early so it doesn’t turn into a more serious problem. They are, quite literally, lifesavers. As obvious as it may seem, it’s important to remind ourselves that gynecologists are people who genuinely care. They also probably remember the first time they went to the gynecologist as a patient. They’re on your team so don’t be afraid to tell them exactly what you are experiencing and what concerns you may have.
To help ease any pre-visit nerves, our team has asked our resident gynecologist-extraordinaire, Dr. Chantel Roedner, the questions we would have wanted answered before our own first visits to the gynecologist. Let us know if you think of other questions you’d like answered and we’ll be happy to pass them along to Dr. Roedner!
Q: At what age should I first see the gynecologist?
A: It is recommended to have your first Pap smear (the test which screens for cervical cancer) at age 21, but providers see those at much younger ages depending on any concerns you may be experiencing. We may see adolescents or teens with menstrual issues such as irregular flow, heavy bleeding or pain. Pediatricians often manage these conditions but OBGYNs are an option as well if your concerns are not improving.
Q: Are pelvic exams and Pap smears the same thing?
A: Pelvic exams and Pap smears are not the same. The pelvic exam is when we assess the health of your reproductive organs. It may include a speculum examination of the vagina and cervix. A speculum is a tool that holds the sides of the vagina open so that we can clearly see inside. In addition to the pelvic examination, we are palpating the genital and urinary structures, including the uterus and the ovaries. The Pap smear involves the collection of cells from the outer portion of the cervix using a small brush. A Pap smear can be a part of your pelvic exam, but not necessarily and generally only has to be done every 3-5 years depending on your age. Many people get confused and think that they’ve had a Pap smear when in reality they had a pelvic examination with a past provider.
Q: Will I need a pelvic exam on my first visit?
A: Not necessarily. Depending on the reason for the visit, a pelvic exam may not be necessary. This is even true if individuals are interested in discussing contraceptive options. During a well woman visit, a breast and pelvic exam are typically performed. If a patient has concerns regarding pelvic examination, it’s always important to discuss that with your provider so we can make sure you feel as comfortable as possible.
Q: If I am going to have a pelvic exam, are there things I need to do to prepare? Can I still come if I’m on my period?
A: There is nothing that needs to be done ahead of time. If you are having a Pap smear, it is recommended that you not be experiencing heavy bleeding. Light bleeding, such as the first or last day of the menstrual cycle should be acceptable for Pap smear collection and not interfere with the test results.
Q: Why would I need a Pap smear in the first place? Does it hurt?
A: Pap tests are indicated at age 21 to screen for cervical cancer. The test can also identify precancerous changes on the cervix that might become cervical cancer if they’re not treated appropriately. Specifically, we are looking to see if HPV, the virus known as human papillomavirus, is present. There are over 100 different strains of this virus but 14 that are considered the most high risk. If your pap test is normal, you can wait three years until your next Pap test. After the age of 30, if you have normal pap and HPV results, your next test will be due in 5 years.
Most people describe the Pap smear test as slightly uncomfortable. You may also feel some cramping that feels similar to the cramps you feel on your period. If there is ever pinching, or you feel that there is more discomfort than you would anticipate, please let the provider know.
Q: If I am under 18, do I have to have a parent or guardian with me? Will they be able to see my records?
A: You do not need permission from a parent or guardian in order to get birth control or have STI screening services performed. There are some states and locations where parental permission may be required. You can keep documentation about contraceptive services confidential if you so choose. Many young individuals are on their parents insurance. This can make things a little bit more challenging, especially when prescribing medications or if there is a need for additional follow up. Always speak with your clinician if you have concerns around your privacy.
Q: What do I do if I’m still feeling a bit nervous?
A: Let us know any fears you may have. Our goal with any gynecological examination is to make everyone feel at ease. If there are any questions, concerns, or fears, we want to make sure we address that before performing any sensitive examination.
Q: What’s a fun fact about gynecology?
A: OBGYNs perform 3 of the top 10 surgeries in the world (cesarean sections, circumcisions, hysterectomies)!