When you visit an OBGYN, you see a doctor who specializes in reproductive and gynecologic health. OBGYNs treat patients from the teen years through menopause and beyond; some visits focus on pregnancy, but many focus on preventive care. Here is more information on the standard steps of a routine checkup:
Updated Weight and Height
Many OBGYN checkups start with a few basic measurements. A medical provider records your weight, and they may also measure your height. These numbers help your doctor calculate your body mass index, which gives a general view of your health.
Weight shifts over time, and your provider tracks those changes from visit to visit. If your weight changes without a clear reason, your doctor may ask about your diet, sleep, or stress. Height also matters, especially for older patients at risk of bone loss.
Cervical Cancer Screening
Cervical cancer screening checks for abnormal cells before they turn into cancer. Your provider collects a small sample of cells from your cervix. This step happens during the pelvic exam, and it takes less than a minute. General screening schedules suggest:
- Ages 21 to 29: Pap test every three years
- Ages 30 to 65: Pap test every three years, HPV test every five years, or both every five years
- Over 65: Screening may stop after a history of normal results
Your doctor may adjust this schedule based on your health history. If your results come back abnormal, your provider will explain the next steps. Many cell changes clear up on their own, and some need only a repeat test.
Physical, Pelvic, and Breast Exam
Once they are ready, your provider begins a general physical exam. They listen to your heart and lungs, and they may check your thyroid and abdomen. This part of the exam typically takes only a few minutes.
The pelvic exam comes next. During this exam, you lie on the table while your provider checks your vulva, vagina, and cervix. A speculum holds the vaginal walls open, and a gloved hand may feel your uterus and ovaries. Tell your provider about any discomfort during the exam.
Your provider also performs a breast exam, and they check each breast and underarm for lumps. They also look for skin changes, dimpling, or nipple discharge. If you notice any changes at home, mention them during this part of the visit. Some patients also get a mammogram referral.
Routine STD Testing
STD testing is a standard part of many checkups, and you may request it at any visit. Since many infections cause no symptoms at first, your provider will ask about your sexual history so they can recommend the right tests. Answer your provider’s questions honestly. Your answers stay private, and they guide the testing plan. Ask about these STD tests:
- Chlamydia and gonorrhea: Urine test or swab
- HIV and syphilis: Blood test
- Trichomoniasis: Vaginal swab
- Herpes: Swab of a sore, if one is present
Schedule an OBGYN Appointment
Most patients schedule a routine checkup once a year, but your provider may suggest a different schedule. When you call, ask whether your insurance covers preventive visits. Bring a list of your medications and any questions. Write down the first day of your last period before the visit.
