The annual gynecological exam, also known as a gynecological Well woman exams, is a yearly preventative and diagnostic examination which serves to maintain the wellness of female patients, as well as monitor any ongoing physical and hormonal conditions. This annual visit is an opportunity for doctors to counsel patients about maintaining a healthy lifestyle and minimizing health risks. The annual gynecological exam includes a routine breast and pelvic exam, and depending on your age may include a screening for sexually transmitted diseases, such as chlamydia, gonorrhea and trichomonas. A Pap test may also be performed depending on the age and sexual history of the patient. The American College of Obstetricians and Gynecologists recommends that women begin annual pelvic exams at the age of 21. In women without a history of abnormal paps, the frequency is every 2 years from aged 21-29 and every 3 years ages 30-65 as long as co-testing with HPV is done and negative. Pap smear screening may be stopped at the age of 65 in most women.
During the annual well-visit, a physical examination will be performed to assess the patient’s overall health. The examination may vary based on the patient’s age and sexual history, but most annual gynecological examinations may include the following:
- Pelvic exam
- Breast exam
- Pap smear
- HPV screening
- Blood pressure check
- Height and weight measurement
- Cholesterol screening every 3 to 5 years
- Complete blood count
- Thyroid screening
In addition, there are several other tests that may be recommended for patients. These may include, mammograms, bone density screenings and colonoscopy.