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What Happens at a Gynecologist Appointment?

The American College of Obstetricians and Gynecologists recommends that young women first visit the gynecologist when they are between 13 and 15. This exam helps to determine any abnormalities that may need treatment. Women may need to visit the gynecologist for several reasons, including a routine checkup; irregular menstrual cycles; information about contraceptive methods; unusual vaginal discharge; abdominal pain or painful intercourse; genital itching, swelling, or redness; or possible exposure to sexually transmitted diseases.

  1. Prior to the Exam

    • For the most accurate exam results, it is important for women to not douche or engage in any sexual activity for 24 hours before visiting the gynecologist. It is also recommended that you schedule the exam for a time when you are not expecting your period.

    Before the Examination

    • Before seeing the doctor, you will be asked to give your health insurance or payment information and to fill out a questionnaire regarding your medical, menstrual, sexual and contraceptive history, as well as any heath concerns you wish to address with the doctor.

    The Examination

    • When it is time for your exam, you will be directed into a private room and then asked to disrobe and put on an examination gown. When the gynecologist begins the exam, he or she may also be accompanied by a nurse or medical assistant. The doctor will ask you a few questions about your medical history, check your breathing and heart rate, and perform a breast exam before beginning the pelvic exam.

    The Pelvic Exam

    • You will be asked to lie down on the examination table and place your legs in the metal foot rests called stirrups at the end of the table. The doctor will then check the outer genitalia for any redness, swelling or irregularities. They will then insert a plastic speculum to help hold the vaginal wall open for the Pap smear.

    The Pap Smear

    • With the speculum in place, the doctor may use a small light to get a clear view of the vaginal wall and cervix. They will use a cotton swab to collect cells from the vaginal wall for the Pap smear. The Pap smear is a test done using the collected cells to help detect any precancerous cells or other cellular irregularities of the cervix.

    The Digital Exam

    • With a gloved hand, the doctor will insert one or two fingers into the vagina and use the other hand to apply pressure to your abdomen to test for swelling, tenderness or pain. When this is completed, the doctor will ask you to dress and will then discuss the results of the examination with you and address any questions or concerns you may have. It can take up to a week to receive the results of the Pap smear test.

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