Healthcare for Women Overview

By the time a female turns 21, her body has already experienced a myriad of emotional and physical changes.  With the onset of cyclic hormone production from the ovaries, secondary sexual characteristics such as breast development and pubic hair growth begins.

Approximately 18 months after this, and at about 100 pounds, the menstrual cycle begins. Frequently, these developmental milestones create individual issues that require a specialist’s input. The adolescent time (pre-teen to age 21) may also require consultation regarding infection, vaginal discharge, and contraception. As women age, the body continues to change, making gynecological “well-woman” visits and a trusted resource regarding healthcare for women even more important.  This article discusses the importance of women’s health, and more importantly, finding a trusted, skilled practitioner who is in practice solely for the health of a woman, and understands the issues, conditions, and underlying factors that ultimately affect the health and well-being of the female body.

According to the Women’s Specialists of Plano, a group of gynecologists in the Plano, Frisco and Dallas, Texas area who provide women’s healthcare throughout North Texas, new guidelines in the area of Pap smears have evolved over the past several years. However, many of the other guidelines surrounding well visits and women’s physical health remain the same.

Pap Smears

The new guidelines in the area of gynecological care state that a woman should have her first Pap smear around the age of 21. During a routine Pap smear, a gynecologist will insert a small instrument called a speculum into the vagina to visualize the cervix and collect a sample of cells to be checked under a microscope.  If a Pap smear appears abnormal once it is analyzed, additional tests will be needed to diagnose the underlying cause of the abnormality.

Most women will continue to have a Pap smear every year following the first, but after the age of 30, it may not be required as often and many will begin having one every other year, or at the advice of their physician.  One known fact is that Pap smears are crucial to a woman’s health.  Medical professionals state that the occurrence of cervical cancer is higher in patients in whom a Pap smear was not performed, with the majority of diagnosed cases being in patients who have not had a Pap smear test in five or more years.

Pelvic Exams

Even though the first Pap smear may not take place until around age 21, it is recommended that teenage girls begin seeing a gynecologist around the age of 15 for problems related to the female organs and puberty. By this time, they have most likely started their menstrual cycle and it is a good time to begin establishing a relationship with a trusted resource and talk about questions regarding contraceptives, gynecological issues such as menstrual cramps, abnormal bleeding, and hormonally-related mood swings, as well as STD’s.

In time, before the first Pap smear, a routine pelvic exam will be performed. During a pelvic exam, a gynecologist will look and feel the external and internal reproductive organs. This exam helps to make sure that these organs are healthy and that no underlying condition exists. Many medical professionals recommend a woman have their first pelvic exam if they have not started their menstrual cycle by age 16, by the time they have become sexually active, or have reached the age of 18. If a woman is a virgin it is still important to have this exam. Problems with bleeding, cramping, pain, or discharge, can be diagnosed and treated with this exam will help determine if there is a medical problem.

Women’s Healthcare—What Next?

After the age of 21, a woman should visit her gynecologist every year.  Topics surrounding healthcare for women will become very important in the years that follow as additional body changes occur, and the topic of pregnancy and childbirth become more relevant. Routine Pap smears, pelvic exams, breast exams, weight, blood pressure and nutritional health will be at the forefront of these visits.  Some gynecological conditions, such as Endometriosis, are often detected in women who are in their 20s. Endometriosis is a condition in which uterine endometrial tissue grows outside of the uterus on the fallopian tubes and ovaries leading to abnormal bleeding and cramping, and in some cases, infertility. Vaginal infections such as yeast infections are also more prevalent in this age group.

By age 30, the body will continue to change. The transition into menopause can last more than 10 years, but the average age for perimenopause can start as early as 35. During a woman’s 30’s, estrogen begins to naturally decrease within the body.  In addition, between the ages of 30 and 40, a good percentage of American women will develop fibroids—small, benign growths that develop inside the uterine wall.  If a woman has given birth and had difficult deliveries, issues such as incontinence or pelvic floor dysfunction may also arise.  The American Cancer Society recommends that women have their first baseline mammogram between the ages of 35-40. After the age of 40, a mammogram needs to be an annual, consistent test so that if breast cancer is detected, the chances for a cure can be higher.

By age 40 and 50, a woman will begin to slowly transition into menopause.  Other factors such as diet and exercise, bone density, osteoporosis, hormone therapy, and other important issues in women’s health may become a more prominent topic of discussion.

A Healthy Future

Women’s healthcare will always be an important topic.  While there are known facts that are able to help guide a woman through the stages of her life, as well as knowing the conditions and diseases that may occur, the most important aspect is education.  Every woman should educate herself and understand the various transitions and common gynecological conditions so that each phase of life is healthy, productive, and happy.

For additional resources on the importance of women’s health, or to discuss healthcare for women with a skilled physician, please contact Women’s Specialists of Plano, a group of board certified OBGYNs serving the communities of Plano, Frisco and Dallas, Texas.

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