bldcb0408ada_1034An Overview of a Woman’s First OB Appointment

When to go to the first OB appointment is a question that women in the Plano, Frisco and Dallas, Texas communities have been asking for years. Once upon a time the answer to this question was around 21. But because women are becoming sexually active at progressively younger ages this question does not have a definitive answer. According to the gynecologists that make up Women’s Specialists of Plano, “The most important concept to remember is that once you become sexually active, at whatever age, it is important to begin receiving regular pap smears. A pap smear test is the only way to be sure that you are free of STDs, ovarian, cervical or uterine cancer, or any other issues or underlying conditions that may occur with the reproductive organs.”

Your first OB appointment and first Pap smear test is a common fear for every young woman. Oftentimes, the fear and anxiety can be so great that young women will purposely put off making that very first appointment.  Most women are anxious about exposing their most intimate parts to a stranger and are also afraid that there may be an amount of pain associated with the checkup. Both of these fears are normal thoughts.

Q&As on First OB Appointments and Pap Smear Tests

Drs. Murray Fox, Daryl Greebon, Jules Monier and Dennis Eisenberg answered several questions for this Q and A designed to help you decide when the best time is to schedule your first OB appointment and Pap smear test.

Q. When should I go to the gynecologist for the first time?

A. You should see your gynecologist for the first time upon becoming sexually active. Other reasons to visits the gynecologist would be:

  • Abnormal bleeding outside of your normal menstrual cycle
  • Menstrual periods become longer
  • Menstrual periods become heavier and more painful
  • An overall change or disruption in your menstrual period
  • Severe pelvic cramps outside of your normal menstrual cycle
  • Infections such as a bacterial infection or yeast infection that would cause itching, redness, burning or unusual discharge

Q. At what age should I have my first pap smear test?

A. The recommended age for a woman to receive her first pap smear is at age 21. Keep in mind that this age applies to a woman who is not sexually active, and has had regular, similar periods since the beginning of her menstruation.

Q. Why is it important to get annual pap smears?

A. It is important to return to your gynecologist annually because there are complications that arise without symptoms. This means that something could be wrong with your reproductive organs though you have no symptoms and no reason to believe so. The early stages of ovarian and cervical cancer will cause your pap smear to test abnormally; through a routine pelvic exam which is usually also included in these annual appointments, such abnormalities as tumors and cysts can also be diagnosed. Annual pap smears and pelvic exams allow your doctor to catch specific conditions at early stages so that proper treatment can be implemented and fertility can remain healthy. In addition, your gynecologist will check your breasts for any abnormal lumps during each annual visit. This is important because most women do not begin receiving regular mammograms until they are in their forties. Your gynecologist may be able to help you detect breast cancer in its early stages at your annual.

Q. Does it hurt to have a pap smear?

A. No, pap smears do not hurt.  There will be a mild discomfort during the exam and for most women the first check-up will be uncomfortable. However, the majority of the discomfort is the result of the unknown. There should be no pain associated with your pap smear and all future visits will become easier each and every time.

Q. What does the gynecologist do during a pap smear?

A. Before the check-up a nurse will bring you a sheet and ask you to undress waist down. As your doctor comes into the room you will be asked to lie down and place your feet in stirrups which will keep your feet in place during the exam. Your doctor will then use a lubricated speculum to gently open your vagina. It is important to relax and take deep breaths during this part. The more relaxed you are the less uncomfortable you are likely to be. Your doctor will then use a long q-tip to swab the inside of your vagina. This swab is what is tested to determine if the cells are healthy, or abnormal. After your doctor swabs you using the speculum, the tool is removed and the exam will be finished.

Most women find that their anxiety about their first pap smear test disappears just as quickly as the actually procedure. But for some the anxiety returns every year when they go back for their annual. It is important to remember that your health should be rated much higher than your fear.

It is important to receive your checkup annually. But it is important to call your gynecologist sooner if:

  • Your periods become irregular or cease
  • Your periods become heavy
  • You experience odor and/or discomfort
  • If intercourse becomes painful
  • If you think you may be pregnant

When the examination portion of your appointment is complete, your gynecologist will most likely meet with you and discuss a health follow-up with you and answer any questions you may have about such topics as birth control, etc. Finding the right OBGYN is just as important as going every year. Some women see the same doctor through their twenties, the birth of their children and into their mid-life years.  If the time is now for you to find and visit an OBGYN, ask around to friends and family for a solid recommendation and make the appointment sooner than later.

For more information on a woman’s first OB appointment, or to schedule an appointment for a Pap smear test, please contact the Plano, Frisco and Dallas, Texas area office of Women’s Specialists of Plano.

Schedule an Appointment