I remember hearing about “That First Trip” to the gynecologist when I was younger. I wasn’t exactly sure what happened at the gynecologist, I just knew you had to take your pants off in front of some doctor, and this doctor had to stick things inside you to make sure you were healthy. I thought going to the gynecologist was guaranteed to be painful and uncomfortable, and my first trip to the gynecologist was something I was afraid of. When the time for my first visit came I was really nervous, but I was pleased to find all the mystique and scary rumors surrounding my visit were nothing like my actual positive experience.

What is a gynecologist?

A gynecologist is “a physician who specializes in treating diseases of the female reproductive organs and providing well-woman health care that focuses primarily on the reproductive organs.” Gynecologists provide patients with birth control, information about sexual health, menstruation, fertility, as well as treat conditions or vaginal health concerns, and provide Pap smears.

If someone hasn’t already made a visit to the gynecologist well into puberty, it is recommended that you start going for Pap smears either once you become sexually active or once you turn 21. A Pap smear is a test that gynecologists do to test for cervical cancer and overall cervical health. 

What to expect at the gynecologist

After checking in, you’ll be led into an examination room and the nurse will ask you if you have any questions for the doctor. This is a good time to voice any questions or concerns about your sexual health. Asking about contraception, STD tests, pain during sex, or any other sexual health concerns are all things you should feel comfortable asking your gynecologist. For example, I’ve asked my gynecologist how and why some antibiotics make birth control pills less effective.

People often feel uncomfortable talking about sex, but giving you information on your sexual health is what the gynecologist is there for. Even if it seems scary, it is totally normal and important to voice any questions or concerns you have while you are at the office and the doctor can take a look at anything they need to. You won’t be judged – it is literally the gynecologist’s job to help you! 

Asking lots of questions

You can also ask your gynecologist general questions about sexual health and birth control, even if they don’t apply to you. You can inquire about birth control methods you don’t use but have read about, or you could ask about managing emotional health along with sexual health in a relationship. I know that at Planned Parenthood, for example, they always ask questions about your emotional well-being within your sexual relationships, and I just love that.  

Next, you’ll be asked to take your clothes off and wear a robe of some sort and wait until the doctor comes in. You’ll be left alone for a while, then the doctor will arrive. The doctor will likely ask if you have any questions or concerns you want to address, then they’ll start the exam. You’ll scoot your booty to the bottom of the examination table and place your feet in stirrups so your legs are spread nice and wide. The doctor will then place a speculum or a metal instrument into your vagina to hold the vaginal walls open so they can see your cervix. The gynecologist should have various sizes of speculums and will likely use the smallest one when it is your first visit. The doctor will then look at your cervix and take a small little brush to take a sample of your cells. The doctor may also put a finger or two into your vagina and feel around to make sure you have no unnecessary pain or pressure.

It’s not as scary as it seems

I know this all sounds really intense and vulnerable, but it truly is not as scary as it sounds. The most important thing is to try and keep your body relaxed. If you tense up your muscles while the doctor is doing their business, it might be more painful than if you stay relaxed. The actual Pap smear takes less than a minute, so you will only be uncomfortable for a short amount of time.

You can also ask your doctor to explain what they are doing for the exam before they do it. During my first visit, my gynecologist showed me the speculum before inserting it, told me he was using the smallest one and described how he was going to insert it before he did. This helped me feel prepared, relaxed, and overall more comfortable. This visit is about you and your health, so you should feel empowered to ask for what you need to be most comfortable.

How often to go to the gynecologist

While you’re at the visit, the gynecologist will likely also feel your breast tissue to make sure there are no abnormal lumps or anything like that. After that, you’ll have a final chance to ask any questions, then you’ll get dressed, schedule your next appointment, and be on your way.

Talk with your doctor about how often they think you need to get a Pap test, but for most people between the ages of 21 and 29, a test every three years is appropriate. For patients aged 30 to 64 a Pap test with an HPV test every 5 years is appropriate, and patients over 65 might not need Pap tests anymore. It is best to ask your doctor what they think is best for you and your body.

Although visiting the gynecologist isn’t always the most comfortable experience, I always feel good leaving my appointment knowing I’m in control of my sexual health. Knowing that my body is healthy and working correctly makes me feel good. 

If you’re anticipating your first visit to the gynecologist, take a deep breath, relax, and know that people get Pap smears done all the time. It’s important for your health, and after the first visit, you definitely won’t be as nervous.

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