New York University Medical Center

The Annual Gynological Exam: What to Expect
Soma Mandal
Features Columnist
Issue date: 10/4/06 Section: Features

Reprinted from Washington Square News

Dear Dr. Mandal: I have my first gynecological exam coming up, and I'm nervous. I don't know what to expect, and I've heard really horrible stories. Does it hurt? What should I anticipate? Can my doctor answer any questions I have?

Thanks,

Nervous in New York

Dear Nervous,

The gynecological exam (sometimes called "pelvic exam" or "annual exam") is very important because it allows your physician to make sure that your genitals and reproductive organs are healthy. During this visit, breast health and sexual health is addressed as well. The American College of Obstetricians and Gynecologists and the American Cancer Society recommends a gynecologic exam for any woman who is sexually active or over 21 years of age.

It may seem daunting for many women. Many stress over their first exams because they don't know what exactly the exam entails.

THE EXAM, STEP-BY-STEP

Once you are in the examination room, you will be given a gown and sheet to cover your torso. The doctor will ask general questions about your health and then do a brief external physical exam.

The doctor will examine your breasts for any lumps or any pain, then teach you how to do a monthly self-exam. Before beginning the pelvic exam, you will be asked to lie down and place each foot in a foot holders, called stirrups, at the end of the table. It helps to relax your knees and pelvic muscles to facilitate the exam.