Most girls will start going for
gynecological care when they are having any abnormal symptoms (such as vaginal
discharge), if they have just started having sex (or are planning to start), or
even if they haven't yet become sexually active but have reached the age of 18.
Here is a step-by-step breakdown of exactly what is going to happen during the
First off, you should make sure that you schedule
your appointment during the middle of
your menstrual cycle. If it gets too close to menstruation,
the uterus will start to shed cells, which can interfere with the Pap smear
results. If you feel that you may want someone to be
in the exam room with her during the exam for support, you
should ask what the doctor's policies are on this subject while making
your appointment. Also during the scheduling, you
should make it known that it is your first visit and
exactly why you
will be coming for the visit. Secondly, you should not put anything into
your vagina for 2 days before the appointment, as this can cause an abnormal Pap
smear. This means that you should not have intercourse, douche, or put dildos,
tampons, or fingers into your vagina.
It is helpful for you to write down any specific questions, symptoms, or
anything else you may be wondering about and take it to the exam. If considering
birth control, you should think about your preferences
before the visit. You will be asked about any current medications, so be sure to bring the
bottles for any current medications and also any old medical records if
uncertain about the details of any previous procedures. Also, waits at the
doctor's office may be long, so if nervousness is going to be a problem, make
sure to bring a good book or something else to do that can provide a
Take a Survey About Your First Pelvic Exam
Before the nurse takes you back to the examining room, she
may ask you for a urine sample in order to diagnose urinary tract
infections or pregnancy. Even if a sample is not requested, it is a good idea to
empty the bladder to aid in avoiding feelings of discomfort during the exam.
Once back in the exam room (which will be set up with a tray for the various
tests), you will have to give your medical history.
You will be asked
about such issues as family history of cancer of the female reproductive organs,
past operations or hospitalizations, and any medications that you may be
The doctor and nurse will now leave the room so you can get undressed.
You will either put on a hospital gown (maybe 2 if
you want to cover your back)
or you will be given a paper top with a sheet covering
your bottom half. After
you are finished covering up, you should sit on the exam table and wait for the
doctor to come back.