Your Annual Wellness Exam for Women: What to Expect & Why It Matters

Let’s be honest – scheduling your annual gynecology exam (sometimes called a Wellness Exam for Women) might not be at the top of your to-do list. Between work, life, and everything in between, it’s easy to put off preventative care when nothing feels wrong. But regular check-ups are about more than just addressing immediate concerns—they’re an investment in your overall health and well-being, helping prevent issues before they start.

What is Preventative Gynecology Care & Why It Matters

Preventative gynecology care focuses on your whole health—not just the parts down there. It’s about understanding how your physical, mental, and emotional well-being are connected.

Regular check-ups help establish your baseline health and catch potential issues early. But perhaps most importantly, they help you build a relationship with a provider who takes the time to truly know you. When questions or concerns arise—whether about birth control, family planning, your menstrual cycle, pregnancy, menopause, or unexpected symptoms—you’ll have a trusted team who understands your health history and respects your preferences.

Components of an Annual Wellness Exam & What to Expect

There is a preconceived notion that your Annual Wellness Exam is just a pap smear and we send you on your way. But it’s so much more than that! Here is what to expect from an annual wellness exam for women:

A thorough health discussion: During your annual, your provider will take the time to understand your health history, current concerns, and future goals. This includes conversations about mental and sexual health, relationships, and life changes—because it’s all connected.

Comprehensive preventative care: You and your provider will discuss your sense of your overall wellness and help you identify areas that are working for you and where you might want to make some changes. Lifestyle factors you could explore include diet and nutrition, exercise, stress management, and any specific concerns you have.

Physical exams & screenings based on your needs: You can expect several routine screenings as part of your annual exam—including a pelvic exam, health breast assessment, and baseline lab work, which may include blood and pregnancy tests.

During the pelvic examination, your healthcare provider checks for any abnormalities in your reproductive organs, including the pelvis, cervix, and vulva. Depending on your age and risk factors, you may also be screened for sexually transmitted infections (STIs), ovarian cancer, and cervical cancer (via a pap smear).

Contrary to popular belief, not everyone needs a pap smear every year!

Following current ACOG guidelines, we recommend:

• Ages 21-29: Pap test every 3 years
• Ages 30-65: Pap test every 3 years or every 5 years with HPV co-testing. Your specific schedule may vary based on your health history and risk factors.

Remember, this appointment is designed to support you, so don’t hesitate to ask questions and express any concerns you may have.

What to Look for in a Provider

The right provider makes all the difference in your preventative care experience. Look for a team that:

• Provides comprehensive, judgment-free care: Your provider should take time to understand all aspects of your physical, mental, and emotional health while respecting your personal beliefs and priorities.

• Takes a research-backed approach: Care should be grounded in the latest research while recognizing that no one-size-fits-all solution exists.

• Makes decisions with you: Your provider should trust that you know your body and provide evidence-based recommendations while respecting your preferences and choices.

• Provides culturally competent care: Look for providers who center consent and cultural competency, ensuring respectful care regardless of your gender identity, sexual orientation, or background.

Experience A Better Approach to Preventative Care

At Oula, we’re redefining what gynecology care can be. Our trusted team of midwives and OBGYNs provides comprehensive, judgment-free care in a warm and welcoming environment. We offer both in-person and virtual visits to meet you where you are, all covered by insurance.

Whether you’re due for your annual wellness exam for women, have specific concerns, or are planning for the future, we’re here to support you with the time and attention you deserve. Our care team will get to know you as a whole person, ensuring you receive the right care from the right expert at the right time.

Ready to schedule your Annual Wellness Visit? Book here.

Learn More:

 Updated Cervical Cancer Screening Guidelines: Practice Advisory, ACOG April 2021

 Well Woman Visit: Committee Opinion, ACOG October 2018

Frequently Asked Questions

How does a wellness exam support reproductive health?

Your provider will assess your menstrual cycle, discuss any issues like premenstrual syndrome, vaginal bleeding, or pain, and evaluate contraception options, such as an intrauterine device. They may also check for complications related to estrogen and progesterone levels that can affect menstruation and fertility.

How often should I have a gynecological wellness exam?

It is generally recommended to have gynecology check up annually, but your healthcare provider may suggest more frequent visits based on individual health needs. Healthcare providers may recommend more frequent visits for women with specific risk factors, such as a family history of reproductive cancers or existing chronic conditions like polycystic ovary syndrome (PCOS). Additionally, women undergoing significant life changes—such as pregnancy, menopause, or transitioning to a new form of contraception—might require closer monitoring to ensure their ongoing health is managed appropriately.

Should I schedule my appointment around my menstrual cycle?

Healthcare professionals often recommend a wellness exam for women during a time when they are not menstruating. The rationale behind this recommendation lies in the practicality and clarity it offers during the pelvic examination. When a patient is menstruating, the presence of menstrual fluid can obscure the examination process, making it more challenging for the gynecologist to assess the condition of the cervix, uterus, and surrounding structures effectively.

What should I do if I experience abnormal uterine bleeding before my wellness exam?

The female reproductive system is complex. If you notice abnormal uterine bleeding, such as unusually heavy periods, spotting between cycles, or bleeding after sexual intercourse, it’s important to discuss it with your provider. Your provider may want to perform a pelvic exam, a pap smear, or a finger exam to check for abnormalities. Depending on your symptoms, additional testing may be recommended to determine the cause and appropriate treatment.

How does lifestyle affect women’s health, and what can I discuss with my provider?

Lifestyle choices play a significant role in influencing women’s reproductive health, impacting everything from hormonal balance to fertility and overall well-being. Factors such as diet, physical activity, sleep patterns, and stress management can either bolster or jeopardize reproductive function. During a comprehensive women’s health exam, a provider can offer tailored guidance to help you navigate the various aspects of your lifestyle that may impact your reproductive system. They can also help you ensure that other risks like high blood pressure or cholesterol are minimized.

What reproductive health concerns should I bring up during my exam?

During your exam, you should feel encouraged to discuss a range of reproductive health concerns that may affect your well-being. You can discuss any irregularities in your menstrual cycle, pelvis pain, yeast infections, or concerns about your bladder. Additionally, if you are considering family planning or facing challenges with fertility, you should openly communicate your intentions or concerns.

How can my wellness exam help with menstrual irregularities and birth control options?

During a wellness exam for women, the provider reviews medical records and discusses any menstrual concerns, such as amenorrhea (missing periods) or dysmenorrhea (painful periods). They can also provide counseling on potential causes and treatment options to help regulate cycles.

If you’re considering birth control, your provider can offer information on different methods, including barrier options like the diaphragm and condom. Additionally, they may check for any underlying conditions affecting reproductive tissue, ensuring you receive the best care for your needs.

What should I do if I feel anxious about my gynecology exam?

Feeling anxious about a gynecology exam is a common experience, and it’s important to acknowledge those feelings as a valid response to a potentially stressful situation. Talk to your healthcare provider about your concerns, and they can help make the process more comfortable. At Oula, we provide a safe place to discuss preferences and fears without judgment.

What should I do to prepare for my annual wellness exam?

To get the most out of your exam, track your menstrual cycle, note any symptoms like pain or irregular vaginal bleeding, and bring a list of medications or supplements. Being open with your provider fosters a compassionate experience and ensures personalized care tailored to your needs.