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10 Things to Know Before Your First Gyno Exam

If you have a vagina , there will come a time when you have to see a gynecologist —it’s an essential part of maintaining your health. But that first gyno exam can seem totally foreign—and even scary. The thought of discussing sensitive health topics and letting a total stranger examine your vagina might make you want to skip the appointment altogether.

But here’s the thing: Seeing an ob/gyn doesn’t have to be intimidating or uncomfortable; in fact, it can even be pretty damn empowering. Below, you’ll find exactly what you can expect from your first ob/gyn appointment—including how to best prep for it, how to stay calm when you’re feeling uneasy, and how to leave feeling confident about your sexual and reproductive health.

The American College of Obstetricians and Gynecologists (ACOG) recommends girls have their first ob/gyn appointment between the ages of 13 and 15, with a yearly wellness visit after that. You might have specific things to bring up with your doctor during your first appointment, like period issues, birth control options, and testing for sexually transmitted infections .

It’s smart to be clear about why you’re seeing the ob/gyn, Lauren Streicher, M.D. , associate professor of obstetrics and gynecologist at Northwestern University and author of Sex Rx: Hormones, Health, and Your Best Sex Ever , tells SELF. That way, you can make sure to discuss everything on your mind and be a better advocate for yourself. “For a new patient, most doctors will schedule 20 to 30 minutes,” says Dr. Streicher. “If you prepare before you get there, you can maximize your time and get your questions answered.” Plus, preparing can help you combat pre-exam nerves.

Regardless of your age, a medical professional will do a general physical exam to check your height, weight, and blood pressure before an ob/gyn checks you out.

Your doctor typically won’t perform a pelvic exam to check out your reproductive organs during your first ob/gyn visit. The exception is if you’re sexually active, want STI testing, or have other health concerns like abnormal bleeding or very painful periods .

If you’re 21 or older, however, a pelvic exam is recommended, along with a Pap test . During a Pap test, your doctor will swab your cervix (the lower portion of your uterus that connects to your vagina) to collect a sample of cervical cells to check for abnormalities that could indicate cervical cancer (which is rare and often treatable, so try not to stress!).

Your ob/gyn may also perform a breast exam. Even though young women have a low breast-cancer risk, your doctor will likely use this as an opportunity to show you how to examine your breasts and identify any changes, says Dr. Streicher.

A typical pelvic exam consists of three parts, according to the ACOG. The first is an external genital exam to look at your vulva, which includes everything you can see on the outside of your body, like your labia, clitoris, and the opening of your vagina. If your doctor offers you a mirror so you can see what’s up down there—or if you want to request one—don’t be shy! An ob/gyn visit is the perfect time to make sure you know the name, location, and purpose of all the parts of your vulva.

Your doctor will also perform a vaginal and cervical exam with a speculum, which is a device they’ll insert into your vagina and expand to get a better view of your vaginal walls and cervix. While the speculum is inserted, your doctor will use a soft brush or a flat scraping device to take samples for your Pap test and to test for certain STIs.

Real talk: This part can be kind of weird. “Most people are uncomfortable with the speculum,” Mary Jane Minkin, M.D., professor of obstetrics and gynecology at Yale School of Medicine and creator of MadameOvary.com , tells SELF. Pro tip: Speculums come in different sizes, so if you’re worried about it hurting, you can let your doctor know and ask them to try something smaller. “And if you feel pinching or pain, you can say something,” says Dr. Streicher. The good part is that a speculum only needs to be in your vagina for around a minute for a doctor to perform a thorough exam, William Schweizer, M.D. , clinical associate professor of obstetrics and gynecology at New York University Langone Health, tells SELF.

Once that’s done, your doctor will conduct a bimanual exam to study your reproductive organs. With a hand on your lower abdomen, they’ll insert one or two of their gloved, lubricated fingers into your vagina and feel around to make sure your uterus and ovaries are healthy. This is another part that can make people anxious, but it also only takes around a minute, Dr. Schweizer says.

Most doctors don’t require a pelvic exam to prescribe birth control —they’re able to make an informed decision based on your medical history and personal habits. If you’re curious about birth control options, they’ll start by asking questions about your behavior and preferences to help figure out what’s best for you. For example, pills might not be a great option if you know you’re super forgetful, Dr. Minkin says, so your doctor may recommend a “set it and forget it” method like an IUD or an implant that can last anywhere from 3 to 10 years, depending on the type. For some methods, you can usually walk out of the office with a prescription that day.

Though you might feel exposed during your first gyno exam, remember that your doc isn’t judging any aspect of your body, whether it’s your pubic hair or the length of your labia. Their purpose is to evaluate you medically, full stop. “We really don’t care, we’ve seen it all, and honestly, we barely notice,” says Dr. Streicher. If you’re able to, you can shower and rinse your labia with water before an appointment (no douching or perfume, though, because that can boost your risk of irritation or infection). If you can’t do this, it’s so not a big deal.

You also don’t need to worry about being on your period unless you’re specifically going to have your doctor examine your discharge, adds Dr. Streicher. Having your period may also affect the results of your Pap test or any STI testing, so you should give your doctor’s office a call to see if it still makes sense to come in or if you should postpone your appointment.

You’ll need to know the first day of your last period , so make sure you’re keeping track of that in the month leading up to your exam. You should also mention any pain, cramps, heavy bleeding, irregularity, or mood changes you get with your period. Your ob/gyn can prescribe birth control to help with period symptoms or look for signs of conditions like endometriosis , a condition that can cause pain, heavy periods, and trouble getting pregnant.

Your doctor will also ask about your sexual activity. Don’t be afraid to be open and honest here—your ob/gyn will keep everything confidential and won’t judge you. “It’s their job to support you. You have to answer honestly because STI screening will be based on that,” says Dr. Schweizer. Keep in mind that your oral sex and anal sex history count here, too, as both can lead to STIs. If you’re worried you might be pregnant because you’re sexually active and you’ve missed a period, be honest about that, too, and ask your doctor for a pregnancy test.

Your doctor will ask you about any medical conditions you have, medications you’re on, and past surgeries. That stuff can be hard to remember, especially when you’re nervous, so it can help to write everything down beforehand, says Dr. Streicher. That includes any relevant dates.

They’ll also want to know your family’s medical history. “It’s especially helpful to know about your mom’s health history and any family history of blood clots, as that can inform what birth control methods are best for you,” says Dr. Minkin. Contraception that contains estrogen, like the combined hormonal birth control pill, may put users at a higher risk of blood clots, according to the Mayo Clinic. The risk is still really small overall, but there are options that pose less of a risk if you have a personal or family history of blood clots, like the arm implant, an IUD, and progestin-only pills.

Also, if you haven’t gotten your vaccine for human papillomavirus (HPV), now’s the time to ask about that. The vaccine protects against cancers caused by an HPV infection, including cancers of the cervix, vagina, and vulva, as well as cancers of the anus, back of the throat, and penis.

That starts from before you even arrive. You may find you’re more at ease talking to and being examined by either a male or female ob/gyn . It’s OK to research different medical practitioners in your area and choose based on who you think you’d feel most comfortable with. (Of course, you might be limited due to your insurance or one of your parent’s preferences, but it’s perfectly fine to do your best to choose who you’re going to see.)

Then, if you are anxious when you arrive or at any time in your appointment, tell your doctor, says Dr. Schweizer. “Let them know it’s your first time and you’re nervous. You can ask to have a nurse come hold your hand, or you can even bring in headphones and music if that helps.” If your doctor’s OK with it, you can also bring someone into the room with you—like a close friend or parent—if you need a little extra support, says Dr. Minkin.

You can even keep an eye on what the doctor is doing to ease your anxiety: “Sometimes it helps to see what the doctor is doing, so I offer to hold up a mirror if patients want to see what’s going on. And if you want to be told what I’m doing, step-by-step, I will,” says Dr. Schweizer. “It’s the doctor’s job to make you feel comfortable.”

If you got any tests done during your appointment, your doctor’s office may call to inform you of the results, or ask you to come in to review results or be retested. If you have STI testing, the results may be ready in a day to two weeks, says Dr. Minkin, and Pap test results typically come in one to two weeks.

Some offices won’t call you if your tests don’t show anything unusual, though, so be sure to clarify what you can expect before you leave your appointment. You can also sign off to have someone else, like a parent or close relative, get your test results if you’re super nervous.

Current guidelines only call for an pelvic exam every three years, though your doctor may suggest you get them more frequently, depending on your medical history or any health issues. But most women will go for a yearly wellness visit to renew their birth control prescription, have their well-woman visit, get STI testing, or check in on any other sexual health concerns they have. It’s especially important to get regular STI testing if you have new sex partners or if you’re having unprotected sex, says Dr. Minkin. Sometimes it’s difficult to get an appointment on an ob/gyn’s calendar, so it can be helpful to schedule your next appointment before you head out.

• Ob/Gyns Explain That Stuff in Your Underwear at the End of the Day
• 11 Vaginal Health Tips Ob/Gyns Actually Give Their Patients
• Is There Actually Any Way to Prevent Urinary Tract Infections?

SELF does not provide medical advice, diagnosis, or treatment. Any information published on this website or by this brand is not intended as a substitute for medical advice, and you should not take any action before consulting with a healthcare professional.

Your First Gynecologist Visit: 10 Things to Expect

There comes a time in every person with a vagina’s life that they must start seeing an ob-gyn . I went for my first gynecologist visit after I got my first period, and she just acted like the blood coming out of my vagina was normal, so I did too. When I got to college, I had a few friends claim to be “best friends” with their gyno. Complete honesty without shame? Sign me up. Talking to your gyno about things like vaginal discharge might seem odd if you’re not used to talking about that stuff, but your ob-gyn’s job is to make you feel comfortable about the uncomfortable. Got a question about a new smell ? Ask it.

Before you make your first appointment, we found out exactly what you should know before your first gyno visit by talking to Sherry Ross , M.D., ob-gyn and women’s health expert at Providence Saint John’s Health Center in Santa Monica, California, and Antonio Pizarro , M.D., a board-certified gynecologist in Shreveport, Louisiana.

Below are 10 more things every person should know before going to the gyno.

1. You don’t need a reason to schedule your first appointment.

“It’s recommended girls 13–15 years old see their gynecologist to start and build a relationship to discuss sexually transmitted infection screening, prevention, and other health care advice,” says Dr. Ross. “If you missed this window, now is the time to make yourself an appointment. You want to develop an open and honest relationship where you feel comfortable to ask questions that may make you squirm in your seat or blush.”

2. Being nervous is normal…but you don’t need to be!

According to Dr. Pizarro, it’s all going to be okay. “It is normal to be nervous about going to the doctor, especially to address an issue as private and personal as reproductive health. Patients should not let this overwhelm them. There will be a female chaperone if a pelvic exam is needed, even if the clinician is a woman.” He continues, “Pelvic examination can cause patients to experience pressure, but it should not cause pain. You are in control of your health care, so if at any time during a visit to a doctor you are not comfortable, you should ask for the encounter to end.”

3. You don’t need to wax or shave before your appointment.

“Some women consider grooming their vaginas as part of their weekly or monthly beauty prep along with their mani-pedi and brow wax. It’s not necessary to shave or wax your vagina before getting a gynecologic exam,” Dr. Ross ensures. “Vaginal grooming is your personal choice. The main consideration on how to prepare for an exam is to simply be clean, so showering or using a vaginal hygiene wipe prior to your visit is suggested.”

4. You can bring someone with you, or you can have them wait outside. It’s up to you.

“It may help, if the patient chooses, to have one friend or family member present during the visit,” suggests Dr. Pizarro. “Some patients prefer for that person to stay for the examination, if one is indicated. I never ask a patient’s companion to leave, unless the patient requests that. Patients should feel in control and as comfortable as possible.”

5. Be prepared for honesty.

“Patients should prepare to be open and direct about their health, habits, sexual history, fears, and concerns,” says Dr. Pizarro. “Productive and effective health care only takes place when clear lines of communication and trust are established. The visit is private, and the topics discussed in the visit are protected by privacy laws.”

6. If you have your period, it’s a good idea to reschedule.

“ Having your period and getting a gynecologic exam is not a good idea,” warns Dr. Ross. “If you have a pap smear during your period, blood can make the results inaccurate. Hormonal changes during your period can make a breast exam really uncomfortable and vaginal bleeding makes a pelvic exam messy. It’s best to reschedule your gynecologic exam if Aunt Flo pays you a visit.”

7. Drink some water before you show up — you’re going to pee in a cup.

“You will need to pee in a cup during your gynecologic exam. When you pee in a cup the gynecologist is able to perform a ‘dipstick’ test of your urine,” Dr. Ross says. “This simple office test can check to see if you have anything you may be unaware of happening in your body. Finding bacteria can suggest a bladder infection or finding sugar (glucose) may suggest you have diabetes.”

8. You don’t need to give a blood sample.

“The good news is if you are having a routine gynecologic exam, meaning you are not having any health problems, it is unlikely you will need to have your blood drawn,” says Dr. Ross. “If you are having irregular periods or want a complete sexually transmitted infection screening, a blood sample is likely.”

9. If you’re under 21, you don’t need a pelvic exam yet.

“Pap testing and routine pelvic exam are not indicated before age 21. So, unless a patient younger than 21 is having a specific problem, there may be no reason to see a gynecologist,” says Dr. Pizarro. “Problems that her pediatrician cannot address may require referral to a gynecologist, and Pap testing should probably not be part of that. After age 21, routine exams and Pap testing are indicated.”

10. You can get the birth control pill without having an internal exam.

“It is not necessary to undergo a vaginal examination to start hormonal contraception . A directed abdominal-pelvic exam can be considered — it does not require a genital exam and it will provide a great deal of important information,” says Dr. Pizarro. “The timing of when to start hormonal contraception depends: If periods are normal, then start soon after [the] next normal period without a pregnancy test; but a negative pregnancy test will allow for contraception to start right away.”

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Related: 11 Things Every Girl Should Know About Sex and Sexual Assault in College

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When to See a Gynecologist for the First Time and What to Expect

Knowing when to see a gynecologist for the first time can be puzzling, but for young women, meeting with an OB-GYN earlier on can set you up for a strong foundation of reproductive health, well-being and open communication.

This article is based on reporting that features expert sources.

When to See an OB-GYN for the First Time

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Usually, parents take their child to a health care specialist due to an existing health concern. A pulmonologist follows their asthma, a psychiatrist manages ADHD or diabetes is overseen by their endocrinologist.

When it comes to a first gynecologist visit, it's crucial for women and young girls to proactively receive care as an integral part of their overall health and well-being.

What Age Should Girls First See an OB-GYN?

The American College of Obstetrics and Gynecology recommends that girls establish care with an obstetrician-gynecologist, or OB-GYN, between the ages of 13 and 15.

Most girls get their first period between the ages of 10 to 16, and up to 42% of teenage girls become sexually active between ages 15 to 19. ACOG adds that adolescent girls may have a first gynecologist visit for any of the following reasons at any time:

• Have not had their period by 15 years of age.
• Heavy, irregular or painful periods.
• Puberty concerns, like acne or unwanted hair growth. 
• Sexually active.
• Questioning their gender identity.

Dr. Anne Smith, a pediatric and adolescent OB-GYN at Yale Medicine and assistant professor of obstetrics, gynecology and reproductive sciences at Yale School of Medicine, says, “The primary goal for seeing patients early is to provide preventative care.” Knowing what is normal and what is abnormal can also empower teenage girls, especially regarding puberty and menstruation.

“OB-GYNs can also have a focused discussion with teens about reproductive health, as well as healthy relationships, bone health and other lifestyle factors,” she adds.

Why See an OB-GYN Instead of a Primary Care Provider?

A primary care provider , or PCP, is a medical provider well-versed in typical health care conditions prevalent in the general population. PCPs are excellent at treating common health conditions, helping to coordinate care or recommending specialists.

So, if a teenage girl has a common concern, like a painful period, why should they see an OB-GYN rather than their PCP ? It is in the scope of a PCP to listen to these concerns and recommend a treatment plan. However, Smith suggests some adolescents could be more comfortable discussing their concerns with an OB-GYN.

“They have specialized training in these sensitive topics,” she explains.

Most teens are nervous about seeing an OB-GYN for the first time. Still, Smith explains that an OB-GYN can listen to the teen’s concerns, and they shouldn’t worry about invasive exams or procedures during their first visit.

What Happens at an Initial OB-GYN Visit?

During a first visit with an OB-GYN , the primary goal is to get to know the teenager and establish a trusting relationship.

A first gynecologist visit will often follow this structure:

• Gathering initial information.
• Checking on overall health.
• Discussing concerns.
• Conducting an assessment.

Gathering initial information 

This includes race and ethnicity, religious background, age and family structure, so the OB-GYN can be sensitive to any personal needs and preferences.

Checking on overall health 

A nurse or medical assistant will take vital signs, height, weight and last menstrual period. They will also ask if the purpose of the visit is to establish care, or if there are other health concerns.

Dr. Ashanda Saint Jean, the chair of obstetrics and gynecology at Health Alliance Hospitals Westchester Medical Center and a member of WMCHealth in Valhalla, New York, says, “At the first visit, a detailed history is obtained. Often, parents are quite useful in filling in the blanks of many early childhood medical conditions, hospitalizations, medical allergies and adverse reactions and past surgeries.“

Discussing concerns 

The provider will introduce themselves and spend some time understanding any prevalent concerns.

“Creating a safe space and opportunity to ground that experience in trust will strengthen a bond of trust and temper nerves,” Saint Jean explains.

Conducting an assessment

An assessment could be looking at acne, asking more in-depth questions about pelvic pain or discussing what to expect with physical development during puberty.

Dr. Andrea Braden, breastfeeding medicine specialist at Lybbie, a lactation innovation company, says, “Depending on the age and risk factors of the patient, bloodwork may also be drawn at a first visit as part of a preventive care workup. These blood tests can check for illnesses that require further treatment but may not be apparent on physical exam alone.”

Are you concerned about an unwanted pap smear or a pelvic exam? Pap smears are only recommended for women over age 21, regardless of when they become sexually active. Pelvic exams are only done on teenagers if it is medically necessary to address a specific concern, and only after their OB-GYN establishes trust and receives informed consent from their patient. Saint Jean adds that “patient-centered care is the bedrock of trust-promoting and fear, anxiety and stress reduction. This holds true for young teenage patients, as well.”

Patient Confidentiality at Teenage Gynecology Visits

Both parents and their teenage girls may have questions or concerns about their privacy and confidentiality. Parents want to ensure they are privy to their children’s health status, and teenagers may not want their parents to know about their sexual activity or gynecological concerns.

Rules on patient confidentiality in regard to sexual health differ in each state. The American Academy of Pediatrics says that these laws are highly variable and do not reflect any pediatric standards of care.

To check what the laws are in your state, visit your public health department website. There are differences in regulations with each of the following types of care:

• General medical care. 
• Immunizations, including the HPV vaccine.
• Sexual assault evaluations. 
• STI/ HIV testing and treatment. 
• Contraceptive care . 
• Prenatal care . 

“Given the sensitive nature of reproductive care, many young teenage patients rely on privacy and confidentiality when accessing these care pathways,” Saint Jeans says. “Honoring this patient/physician relationship contributes to building a bridge of trust with our young teenage patients, thus allowing an avenue to exist where care can be sought and delivered without the fear of divulgence and breach of confidentiality.”

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The U.S. News Health team delivers accurate information about health, nutrition and fitness, as well as in-depth medical condition guides. All of our stories rely on multiple, independent sources and experts in the field, such as medical doctors and licensed nutritionists. To learn more about how we keep our content accurate and trustworthy, read our  editorial guidelines .

Braden is a board-certified OB-GYN based in Atlanta and a breastfeeding medicine specialist at Lybbie, a lactation innovation company.

Saint Jean is the chair of obstetrics and gynecology at Health Alliance Hospitals Westchester Medical Center, a member of WMCHealth in New York.

Smith is a pediatric and adolescent obstetrician-gynecologist at Yale Medicine and assistant professor of obstetrics, gynecology and reproductive sciences at Yale School of Medicine in Connecticut.

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Gynecology exam guide: what to expect on your first 'gyno' visit.

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The day you’ve been dreading has finally arrived, and you’re most likely anxious as your palms are sweaty and knees are shaking because it’s time for your first gynecologist (gyno) visit. This experience may be compared to when a woman gets her first period, or buys her first bra, except this time, it’s more invasive and has to do with your lady parts, specifically your vagina. Before you walk into the clinic and open your legs to a world of stirrups and Pap smears, put your anxiety aside and relax with this step-by-step gynecology exam guide that will help you take control of your body and your health as a woman.

Pre-Gyno Visit

Choose your gyno.

Before you call the closest gyno near you, it’s important to do your research, ask your friends, look at reviews, and try to find a doctor that is right for you. “The first GYN visit should not be viewed with apprehension,” Dr. Georges Sylvestre , board certified in obstetrics and gynecology in New York, maternal-fetal medicine and assistant professor, Weill Cornell Medical College, told Medical Daily in an email. “Do you prefer a female doc?” “Do you prefer a doctor who can speak your first language?” “Do you need a doctor who can relate to important cultural issues about sex and womanhood?” “If you find the right doctor, he or she might the one you'll go to for your birth control in your teens and twenties, pregnancies and babies in your 30's and forties, then for your menopause,” he said.

Go Back in Time

After you choose your gyno, it’s important for you to go back in time and think about your sexual history and menstrual history. The number of partners, the age you started having sex, and how you prevent pregnancy/sexually transmitted diseases is all relevant information you should tell your gyno. Ladies, it’s also important to keep track of your menstrual cycle by recording your last period, the length of your periods, how heavy and frequent they are, and if you experience any period-related problems like cramps. Dr. Sara Mornar , obstetrician and gynecologist in Texas, tells Medical Daily women should be prepared to share their medical background and menstrual and contraceptive information with their doctor.

To Shave or Not to Shave?

The age-old question of whether to shave or not to shave your hoo-hah has crossed the minds of many women before their first gyno visit. Before you schedule a bikini wax, or run to the pharmacy to stock up on razors and shaving cream, it’s important to know there is no need to shave before seeing your gyno. Gynecologists do not expect their patients to shave their vulva since pubic hair is not as dense as the hair on the scalp, and it can easily be moved aside during the examination.

The only expectation your gyno has is to practice basic hygiene — take a shower or a bath within 24 hours . Women should not use spermicide, medications, lubricants, or douche a day before the exam because this could interfere with the accuracy of a Pap test. The night before the exam is not an ideal time to get busy between the sheets, either. Intercourse without a condom the night before a Pap smear may obscure cervical cells which then cannot be read accurately.

The Waiting Room

So you’ve made it this far and have managed to stir up the courage to bare your hoo-hah to your gyno for the very first time. The waiting room is similar to any visit at the doctors' where the receptionist will hand you a pile of forms to fill out. Questions range from the number of sexual partners you’ve had (if any) to the date of your last period. It’s important to answer these questions carefully and honestly so your gyno can accurately assess you and keep track of your health. This information stays confidential between your gyno and you.

Behind Closed Doors: The Exam Room

The most frightening part of your first gyno visit has arrived — going into the exam room. If you’re still nervous at this point, tell your nurses and doctors and let them know it’s your first time, so they can guide you step-by-step on the procedure. Like a regular doctor’s visit, the nurse will take your height, weight, and blood pressure.

After the basics, you will be left alone to change into a gown as you remove all your clothing – including your underwear. The doctor will shortly knock on your door and will ask you a series of questions ranging from if you’re sexually active to your periods and how long they last. Your gyno will even ask you if you want to have an STD or HIV/AIDs testing on the day of your first gyno exam, too.

Breast Exam

During a gyno exam, your doctor will ask you to lay back and check your breast and underarms for any lumps. According to Woman’s Hospital your gyno will check for breast abnormalities that include lumps, nipple discharge, and skin changes. Women should do breast self-exams regularly, and if you’re not sure how to do this, you can ask your gyno and he or she will show you how.

Pelvic Exam

After the breast exam comes the moment of truth for every woman — the pelvic exam. Your doctor will lay you on your back and gently press several areas of your lower stomach to see if you experience any discomfort prior to the exam. At the initial start of the exam, the dreaded instruments, the speculum and the spatula, will be used to examine your vagina. Mayo Clinic says the speculum — the plastic or metal-hinged instrument — will help spread open your vaginal walls so your gyno can view your vagina and cervix. If your pelvic exam includes a Pap test, your doctor will collect a sample of your cervical cells before removing the speculum. After this is removed, your gyno will examine your other pelvic organs for signs of abnormalities. After this the exam is officially done, you have survived your first gyno exam.

YOU Ask the Questions

Whether you choose to ask them before or after your exam, or when your gyno asks if you have any questions, it’s time to ask everything you’ve wanted to know from your periods to sex. A common misconception women have is that their gyno will judge them and therefore fear asking questions about birth control, STDs, and infidelities, among many others. However, Sylvestre says, “Again, any questions are okay: about your periods, sex, pain during sex, fear of your first intercourse, dildos, orgasm (or lack of), pregnancy, and abortion. Again, don't be shy, s/he heard it all.”

Like Sylvestre, Mornar recommends patients to ask their gynos: “Why are PAP smears necessary? How often do I need one? When do i need a mammogram? How do I prevent pregnancy and transmission of diseases? What is HPV, and do I need the vaccine for it?”

What Does Your First Gyno Visit Mean?

You’re finally done with the exam, and exit the clinic, but you may ask yourself: what does this first visit mean for your health? “The breast screening is looking for abnormalities such as lumps or masses,” Mornar said. She advises women to start getting Pap smears by the age of 21, and mammograms by the age of 40 and older, depending on family history.

Unlike the breast screening, the Pap exam can reveal signs of cervical cancer, ovarian cysts, fibroids in the uterus, and other possible reason for heavy periods. A clean bill of health at a gyno exam can signify that “her Pap is normal, that she has no STD, that her organs are fine,” Sylvestre said.

Women should have their first gynecological exam when they are 18 years old, but it is recommended earlier than 18 if they are sexually active or have a medical problem requiring a pelvic exam.

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A Complete Guide to Your First Gynecologist Visit

You’ve probably heard stories about a first gynecologist visit .

Maybe these were told by well-meaning friends or perhaps you saw these stories on the internet.

We want you to know that some of these stories may not be true. We’re here to set the record straight.

It’s perfectly normal to be a bit nervous or embarrassed about your first visit to the gynecologis t. That’s okay. But we want you to understand that there’s no reason to feel anxious.

We’ll guide you through your OBGYN annual exam so you’ll know what to expect.

If you’re a parent, you may want to bookmark this blog and show it to your daughter to help you discuss her first appointment.

Your First OBGYN Annual Exam: All You Need to Know About the Gynecologist

When should you first visit a gynecologist.

We recommend that you should have your first gynecologist visit when you’re between the ages of 13 and 17.

If you’re feeling a bit worried about your visit, please let us know. We promise we’ll put you at ease and explain everything that we are doing to help keep you healthy.

What Does A Gynecologist Do On Your First Visit?

Sometimes, on the first visit, we just want to talk to you about your health and what to expect at future appointments. Often, this does not involve a pelvic exam.

But if you have health problems—such as very painful or heavy periods   —you may need certain tests.

One thing is for sure: we’ll ask a lot of questions! This is how we get to know you so we can help you. You may find a few of these questions embarrassing or hard to talk about. We’ll discuss your period or whether or not you’re having sex. Being honest is important.

Don’t worry about your parent being in the room with you. We typically ask parents to wait outside for at least part of the time while we’re asking you these personal questions.

We’ll make sure the information remains confidential—but we encourage you to discuss these health issues with your parent.

It will help us if you can tell us the date of your last period and how old you were when you had your first period. We may also ask questions such as:

• Do you have irregular periods?
• How bad are your period cramps?
• Do you have any uncomfortable itching?
• Are you having sex?
• If you are having sex, do you use condoms? Are you using another form of birth control?

It may surprise you to know that gynecologists care about your whole health—not just what’s going on “down there.” If you’re depressed, have difficulty losing weight or have sleep problems, tell us about it!

What Type of Exams Will I Need to Have?

We’ll give you a general physical exam. This means we’ll check your blood pressure, your heart rate, your weight and we may need to take some blood for a blood test. This will help us see if you have diseases such as prediabetes.

If you are having sex, we may give you a test for sexually transmitted infections. We know it may be difficult to talk with us about sex, but that’s a part of our job.

You should never be embarrassed to talk to us. In fact, your sexual health is very important.

Remember that we talk with hundreds of women every year about their sex lives. There’s no reason to be worried. We understand.

We’ll also do an external genital exam. This means we’ll look at the area around your vagina—called your vulva .

We may also perform a bimanual exam. During this exam, we’ll place two lubricated fingers into your vagina. With the other hand, we’ll check your abdomen. This enables us to feel your uterus and ovaries. It’s a way we can check for growths or cysts.

While this may be uncomfortable, it shouldn’t hurt. If you’re worried about it, please talk to us.

We want to answer all your questions. It’s important to us that your first gynecological appointment is a positive experience.

Will I Have a Pap Smear?

Typically, we don’t perform Pap smears unless you’re 21 or older. But if you’ve had some problems—such as heavy periods, pain or itching– we will need to check things out to determine the cause.

What Happens During a Pap Smear?

During a Pap smear, we gently insert something called a speculum into your vagina. This allows us to hold your vaginal walls apart so we can get a good look at your cervix.

Your cervix is between your uterus and vagina.

Then, we use a small brush and tiny spatula to get cells from your cervix. We examine these cells under a microscope.

Does a Pap Smear Hurt?

We admit, it’s not the most comfortable test, but it shouldn’t hurt. If you feel any pain or discomfort, let us know.

How Do I Prepare for My First Gyno Appointment?

It’s really easy to prepare for your first gynecologist appointment. Be sure to schedule your exam in the middle of your cycle. We want to be sure you’re not having your period during the exam.

If you have irregular periods, that’s something you should mention during your appointment.

For two days before your exam, you should NOT:

• Use powders or creams
• Use tampons or put anything into your vagina

It also helps to think about what questions you’d like to ask us.

Do I Need to Shave “Down There?”

Whether or not you shave is totally up to you. It’s your choice and it won’t affect your exam at all. It really doesn’t matter to us how you trim your pubic hair or even if you shave it at all.

Associates in Women’s Healthcare: Always Here for You

We don’t just want to see you at your first exam. We want to see you every year. This is how we take care of you.

We place your needs first. We call this being a partner in your care.

If you ever have any questions, feel free to talk to our doctors. We also want you to have honest conversations with your parents about your health.

Your parents can contact us for an appointment.

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8 Things You Should Know Before Your First GYN Visit

Dr. Eryn Clipp remembers her first visit to the gynecologist.

“ I remember going to see the gynecologist for the first time when I was a teenager. I was so nervous and embarrassed. I knew we would discuss really personal things — things that I had never shared with anyone before. To do that with someone you just met can be very intimidating. I was lucky, I had a great experience.  Because I remember the significance of that first visit, I do everything I can to put my younger patients at ease. I want them to know that I am their ally. As with all medicine, but especially with my younger patients (and sometimes their parents), I know that attentively listening to their concerns and answering any questions  without judgment goes a long way to building trust and rapport!”

Advice from Dr. Clipp to make your first gynecologist visit less stressful:

Don’t wait until you’re having sex to see a gynecologist.

You don’t have to get naked., no need to be nervous., be prepared for questions from your doctor., your doctor expects honesty., you can expect patient-doctor confidentiality., you don’t have to be alone., you don’t have to have a pelvic exam to get birth control..

Dr. Eryn Clipp sees patients at our Short Pump location. In addition to being a board-certified OBGYN, Dr. Clipp has a particular focus in Pediatric & Adolescent Gynecology (PAG).  This enables her to care for very young girls and their unique health challenges. Watch this video to hear, in her own words, how she can help even the youngest of patients. 

You can schedule an appointment with Dr. Clipp, or another VWC provider by clicking here or calling us at 804.288.4084.

Want to Know More?

These resources are just right for pre-teens and teens. 

There’s Something New About You: A Girl’s Guide to Growing Up  

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The Care and Keeping Of You 2: The Body Book for Older Girls

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How to Prepare to See a Gynecologist for the First Time

Last Updated: August 19, 2024 References

This article was co-authored by Arvind Madan . Arvind Madan is a Nephrologist based in Orlando, Florida. With over 23 years of experience, Arvind works as a Physician at Central FL Kidney Specialists and is the Principal Investigator of the research division there. Arvind is certified by the American Board of Internal Medicine, with a sub-specialty in Nephrology. He is an Assistant Professor of Internal Medicine at the University of Central Florida’s College of Medicine. He is also an Assistant Professor of Medicine at Orlando College of Osteopathic Medicine (OCOM). He received his MD from Maulana Azad Medical College at Delhi University and completed his residency at Nassau County Medical Center. There are 8 references cited in this article, which can be found at the bottom of the page. This article has been viewed 49,971 times.

Preparing for Your First Appointment

• The first visit will include a lot of talking and you will be asked many questions about your health as the gynecologist gets to know you. The doctor will also ask about your family's medical history and whether you are sexually active or not.
• You may feel a little uncomfortable answering these questions but it is important that you are honest because this will allow the gynecologist to help you.

• Your questions can include any issues to do with menstruation, offensive vaginal discharge, bleeding after intercourse, spotting in between periods, a lighter flow than normal, a heavy flow than normal, pelvic pain or any other unusual pain.
• Don't be embarrassed about any questions you want to ask - the gynecologist has heard it all before.

Knowing What to Expect

• When was your last period?
• How long do you bleed for?
• Are your periods regular?
• Do you feel pain during your periods? If so, how would you describe the pain?
• Do you experience any pain after sexual intercourse?
• Do you suffer from any discharge, itching or genital pain?
• Do you have any other medical issues?
• Is there a history of any medical conditions in your family?
• Do you have a specific method of birth control that you are using?
• When was your last pregnancy?
• Do you think that you are pregnant?
• Are you trying to have a baby?
• What method do you use to prevent sexually transmitted diseases?
• Do you have more than one sexual partner?

• The doctor may also want to review the contraceptive that you are currently using and will ask you if you're happy with it and whether it's causing any side effects.

• Usually, you will be provided with a hospital gown and a drape sheet to cover yourself while the exam is being carried out. The gynecologist will ask you to lie down on the bed so that the examination can be performed.
• If it makes you feel more comfortable, you can ask to have a family member or friend in the exam room with you.

• You will be encouraged to spread your knees wide apart and to breathe deeply in and out to try to relax. This may be difficult for the first visit but it becomes easier with subsequent ones.
• Try to relax your vaginal and abdominal muscles, as this will make the exam more comfortable. Don't worry about feeling too exposed as you will usually be provided with a drape sheet to keep you covered throughout the examination.
• Don't hesitate to ask the doctor if you have any questions about what they're doing.

• The doctor will then perform a speculum examination where a sterile plastic or metal speculum is inserted into the internal part of the vagina. The speculum is then opened by the doctor and this helps to separate the walls of the vagina to allow the doctor to see the cervix.
• You may feel some discomfort when the speculum is inserted, however most doctors will warm the speculum and lubricate it to make it more comfortable for you.
• The gynecologist will then inspect the cervix to look for any abnormalities like irritation, abnormal discharge, or any growths.
• The doctor may also do a pap smear by using a tiny brush or spatula to collect some cells from the cervix. The cells are then taken to the laboratory where they are tested for cancerous or precancerous cells. [12] X Trustworthy Source Cleveland Clinic Educational website from one of the world's leading hospitals Go to source
• When the doctor removes the speculum, the walls of the vagina are checked for irritation and redness.

• This is because the different instruments that are inserted into the vagina during the examination may cause bruising or bleeding.
• Therefore, it is advisable to bring a pad or a panty liner to the exam to prevent staining your clothes.

• After the exam, you may need to set up an appointment to discuss the results of any tests. Most laboratory tests take between 3 to 14 days before there are any results.
• The one exception is a pregnancy test, the result of which are usually available by the end of the visit.
• You doctor will be happy to walk you through your test results and answer any questions.

Expert Q&A

You Might Also Like

Expert Interview

Thanks for reading our article! If you’d like to learn more about healthcare, check out our in-depth interview with Arvind Madan .

• ↑ Arvind Madan. Nephrologist. Expert Interview. 7 June 2024.
• ↑ https://settlement.org/ontario/health/sexual-and-reproductive-health/reproductive-and-sexual-health/what-can-i-expect-from-my-gynecology-appointment/
• ↑ https://www.acog.org/womens-health/faqs/your-first-gynecologic-visit
• ↑ https://medlineplus.gov/ency/article/001993.htm
• ↑ https://www.plannedparenthood.org/learn/health-and-wellness/wellness-visit/what-pelvic-exam
• ↑ https://my.clevelandclinic.org/health/diagnostics/4267-pap-smear
• Thornton, R. S., & Schramm, K. (1998). Everything you always wanted to ask your gynecologist: Answers to over 200 questions commonly asked by women. Boston, Mass: Houghton Mifflin.
• Schneider, K. M., & Patrick, S. K. (2009). PreTest obstetrics and gynecology: PreTest self-assessment and review. New York: McGraw-Hill Medical.

About This Article

Medical Disclaimer

The content of this article is not intended to be a substitute for professional medical advice, examination, diagnosis, or treatment. You should always contact your doctor or other qualified healthcare professional before starting, changing, or stopping any kind of health treatment.

Read More...

It’s natural to feel nervous before your first appointment with a gynecologist, but preparing in advance will help put your mind at ease. Before you go in, be ready to answer questions about your health, family history, and any sexual activity you’ve experienced. It can feel a little awkward to answer these questions, but do your best to be honest and open. This is also a good opportunity for you to ask any questions you might have, so write out a list in advance. If possible, try to schedule the appointment for a time when you won’t be having your period, since that could make it harder for the doctor to examine you. It’s a good idea to wash up before your appointment, but use mild soap and don’t put any rinses, douches, or vaginal creams inside your vagina since these could cause irritation. Read on for tips about what to expect during your exam! Did this summary help you? Yes No

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Your First Gynecologist Visit: What to Expect and How to Prepare

Navigating Women's Health. Let's Talk About Gynecological Concerns and Solutions. First Gyno Appointment? Relax! Our guide empowers you with what to expect & how to prepare. Learn about exams, ask questions & feel confident talking women's health. #gynecologist #womenshealth #teenhealth

Dr. Emmanuel L Yanthan (MS OB-GYN))

3/30/2024 3 min read

Navigating Your First Gynecologist Visit: A Gentle Guide

Visiting a gynecologist for the first time can stir a pot of emotions—curiosity, nervousness, and maybe a hint of awkwardness. But it's a significant step in taking charge of your reproductive health. Whether you're going due to a specific concern, for a routine checkup, or to discuss pregnancy, stepping into a gynecologist's office is a move towards understanding and caring for your body. So, let's demystify what to expect and how you can prepare for this new experience.

Understanding What Lies Ahead

Before diving into the preparation, it's crucial to grasp the essence of your visit. It's all about creating a safe space where you can discuss your menstrual cycle, sexual health, contraception, and any other concerns related to your reproductive system. The key is open communication for effective care.

Who Can Visit a Gynecologist?

Adolescents experiencing their first period.

Women considering pregnancy or facing fertility issues.

Anyone with concerns about their reproductive health.

What Happens During the Visit?

Your appointment will likely include:

A medical history review.

An external genital exam.

A Pap smear (as needed based on age and medical history).

A bimanual exam to check the health of internal organs.

A breast exam (to check for any lumps or abnormalities).

Preparing for Your Visit

Feeling prepared can significantly reduce anxiety. Here’s how you can get ready:

Schedule Wisely

Try to schedule your appointment when you're not on your period, unless you're visiting for period-related concerns. This can make the physical examination more comfortable for you and easier for the doctor.

List Down Your Questions or Concerns

It's easy to forget what you wanted to ask once you're in the office. So, jot down any questions or symptoms you wish to discuss beforehand.

Know Your Medical History

Your doctor will ask about your medical and sexual history to provide personalized care. It's important to be honest for accurate advice and treatment.

Understand the Confidentiality

Everything you discuss with your gynecologist is confidential. This assurance can make it easier to open up about personal subjects.

During the Appointment: A Step-by-Step Run-through

Familiarizing yourself with the appointment steps can make the experience less daunting.

The Discussion

The visit typically starts with a conversation. It’s your opportunity to voice any concerns, ask questions, and discuss your health history. This dialogue guides your doctor on how to proceed with the examination.

The Physical Exam

Depending on your age and reason for the visit, the physical exam might include different checks:

External Genital Exam: A look at the external parts of your genitalia to check for any abnormalities.

Breast Exam: Optional but recommended, checking for lumps or other changes.

Pelvic Exam: An internal examination of the reproductive organs, which includes a Pap smear if necessary.

After the Exam

After the examination, your doctor will discuss any findings with you. This is a good time to ask any further questions or clarify any doubts. You might be given advice on contraception, vaccine recommendations, or follow-up tests if needed.

Post-Visit Reflections

It's normal to feel a range of emotions after your first gynecological visit, but knowledge is power. Reflect on the experience:

What did you learn?

How do you feel about the care received?

Do you understand the next steps, if any?

Conclusion: Empowerment Through Understanding

Visiting a gynecologist is a profound step towards taking control of your reproductive health. It may seem daunting at first, but being well-prepared can make the experience far less intimidating. Remember, your gynecologist is there to support you through all stages of life—adolescence, childbearing years, and beyond. Open communication and honest conversations are key to receiving the care you need. So take a deep breath, arm yourself with knowledge, and embrace this journey with confidence. Your health is worth it.

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