Your annual well-woman exam is important, even if you don't have any health concerns.
"Every woman should schedule a yearly exam with recommended screening tests," says Dr. Ashley Marcantel, an OB-GYN at Houston Methodist. "Not only does this help maintain your overall health, but can save money, time and ultimately, your life."
Dr. Marcantel answers some questions about this essential medical appointment:
What happens during your annual well-woman exam?
Dr. Marcantel: Your annual well-woman exam is a chance to focus on preventive care and ways to stay healthy, rather than an illness or injury.
Your annual checkup usually includes:
- A general physical exam to check your heart, lungs and abdomen, along with pelvic and breast exams
- Discussion about recommended health screenings and referral information
- Education about your health conditions, risk factors and counseling to help you make informed decisions about your health
Which women's health screenings will be discussed?
Dr. Marcantel: Your doctor will determine which screenings or tests are needed. Generally, these will depend on your age, medical history and current health status.
Experts recommend the following screening schedules for most women:
Cervical cancer screening
- Ages 21-29: A Pap test every three years
- Ages 30-64: There are three options — a Pap/HPV co-test every five years; a Pap test alone every three years; or HPV testing alone every five years
- Ages 65+: Talk with your doctor about whether you need to continue testing
Clinical breast exam
- Ages 25-39: Every one to three years
- Ages 40+: Yearly
- Ages 40-74: Yearly
- Age 75+: Talk with your doctor to determine if you need to continue screening mammograms
- Ages 45+: Every 10 years
Bone density screening
- Ages 65+: Once every two years, unless new health risks develop. (Related: What Are the Signs of Osteoporosis?)
Your doctor may recommend earlier or more frequent screenings if you have a family history or certain risk factors.
Are there questions I should expect during my appointment?
Dr. Marcantel: Your doctor will ask you questions about your health history, any changes in your health or if anything is concerning.
You'll be asked questions about:
- Changes in your health, such as diet, toileting habits, fatigue or problems sleeping
- Family health history
- Last period
- Medical history
- Medications you're taking, including prescription, over the counter or supplements
- Mental health history
- Relationships and safety
- Sexual health and partners
- Use of alcohol, tobacco or other drugs
Should I prepare questions of my own?
Dr. Marcantel: Yes, making a list of questions will help you remember everything you intended to talk about.
Feel free to ask questions without being embarrassed or afraid. You'll build trust with your doctor when you have open communication.
