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Going to the gynecologist for the first time can feel a little scary, but this visit is an important part of your health care. Knowing what to expect can make the experience less awkward and help you feel more confident and prepared. Whether you’re a teen or a parent of one, here are some things to know.
Why are gynecological exams important?
Regular gynecological exams help you stay well and be informed about your body. They serve 3 purposes:
- To make sure your body is healthy
- To give you opportunities to learn about birth control, STIs (sexually transmitted infections), and healthy lifestyle choices
- To offer a safe space to ask questions and get confidential, accurate answers
When should you have your first gynecologist appointment?
Consider a first visit to the gynecologist between ages 13 and 15. You can get to know the doctor, ask questions, and learn about your health. You don’t always need a pelvic exam at your first visit. Your pediatrician can also answer questions about puberty, periods, birth control, STIs, and healthy habits and can refer you to a gyno if there are concerns or issues.
How to prepare for your first gyno visit
Being ready for your gynecologist visit can make the experience less stressful. Here are 3 tips:
Choose the right time.
Aim for a date when you are in the middle of your menstrual cycle (between periods). Cramps, bloating, and breast tenderness can make the experience less comfortable. Avoid sex, tampons, and douching for 2 days before your visit. They can interfere with test results.
Know your family history.
Come ready to share if anyone in your family had painful periods, endometriosis, fibroids, pregnancy issues, gynecologic cancers, or other ongoing conditions. This can help you and your doctor spot and treat any potential health issues early on. If you don’t know this information, that’s OK too. Just share what you do know.
Be ready for honest conversations.
Your doctor or nurse will ask a lot of questions about your periods, sexual activity, birth control, and any health concerns. It’s normal to feel shy about answering. But remember, your care team talks about these things every day and is there to help, not judge.
It’s a good idea to bring your own list of questions to help make the conversation easier.
What should I wear?
You’ll likely need to change into a gown for your exam, so wear comfortable clothes that are easy to take off and put on. If you feel more comfortable keeping your feet covered during the exam, bring along a pair of socks. Shower normally on the day of your appointment. Skip body powders and creams, which can affect test results.
What does the gynecologist do at your first appointment?
The first visit may be just a conversation between you and your doctor. Many gynecologists will just do a general health exam and not a pelvic exam on the first visit. They’ll get your height, weight, blood pressure, and temperature and talk with you about your development. You can ask questions about your body, find out what to expect at future visits, and learn how to stay healthy.
If the doctor does do a physical exam, a nurse or other health care worker will be in the room for the entire exam. They are there to help and to make sure you feel comfortable. The physical exam usually includes:
- A breast exam: Your doctor will carefully feel your breasts and under your arms to check for lumps or other changes.
- A pelvic exam: The doctor will use a small instrument called a speculum to look inside your vagina and your cervix. If you’re 21 or older, they’ll do tests for abnormal cells and check for HPV, the virus that causes abnormal cells and cervical cancer. This is what used to be called a “Pap smear.” They’ll also gently press on your lower belly to feel your ovaries and uterus.
Afterward, your doctor will go over any findings. If you had any tests, the results may take a few days or weeks. Your doctor might give you advice on birth control, preventing sexually transmitted infections, or managing period symptoms.
More common questions
It’s normal to have a lot of questions going into this appointment. Here are some common concerns.
Is it painful?
You may feel some pressure or mild discomfort during the physical exam. If anything feels painful, let your doctor know. Don’t be afraid to interrupt or ask questions.
Can I bring someone with me?
Sure. Some people feel more comfortable having a friend of family member in the room with them. A family member may also be able to help answer questions about your family's health history.
Will the information I share be private?
The information you share with your doctor is private. If you’re worried about confidentiality, especially if you’re under 18, talk to your doctor. They can explain what information stays private and what might need to be shared. If you’re uncomfortable talking with a parent in the room, tell your doctor. They can ask them to step out for part of the visit.
An opportunity to empower yourself
"Concentrate on the fact that this is an opportunity for you to build a trusting relationship with your physician," says Fonda Mitchell, MD, who specializes in obstetrics and gynecology at Kaiser Permanente. "Everyone understands how awkward this can be — especially the first time — but we are here to put you at ease and make sure that you receive the health care that you need."