There are different schools of thought on how often you should visit your OBGYN, and though one side recommends that you pay your doctor a visit once a year, the other side suggests that such frequency may not be necessary. The common ground, however, is that the frequency of OBGYN visits should depend on your overall health, as well as your personal history with gynecological health matters. It also varies among women, as every woman has different needs, and of course depends on age as well.
Age
Here are some recommendations based on age that may help you determine how often you should see your OBGYN, and for what services:
- Younger than 21: Start building a relationship with your OBGYN to feel comfortable asking them any questions.
- 21-29: You should receive a General Women’s Wellness Exam that includes a Pap smear and a pelvic exam once a year.
- 30-65: It is suggested to have a pelvic exam every year, and a Pap smear every other year unless otherwise suggested by your doctor. You should also have an HPV test done at least every 5 years.
- 65 and older: As long as you have had no history of precancerous cells or cervical cancer, you do not need to have Pap smears done. If you have undergone hysterectomy you also do not need a Pap test unless you have had a reproductive cancer in the past.
Other Factors
Though a Pap smear or a pelvic exam may not be necessary every year, keep in mind that the frequency of your OBGYN visits depends on other health factors as well. For example, if you are noticing that your gynecological health is out of the ordinary—such as excessive bleeding, or too little bleeding, abnormal pain, vaginal pain or discomfort, changes in menstrual cycle—you should consult your doctor and schedule a visit even if you are not due for one.
You should also reconsider the frequency of your visits to your OBGYN if it is suggested by your primary physician, if your overall health needs attention, and depending on how sexually active you are. If you are not having a Pap smear and have no other worrisome symptoms, some schools of though suggest that having a pelvic exam done may not be necessary. However, you should remember that a pelvic exam, along with other tests, can detect ovarian cancer early and provides a screening for sexually transmitted infections.
Preventive Reasons
In addition to the age factor and other reasons you may, or may not, need to visit your OBGYN you should be aware of the following, which are preventive services:
- Anemia screening
- Contraception and prenatal care
- STIs and HIV screening
- Diabetes Screening
- UTI screening
- Breast Cancer genetic test and mammography
- Osteoporosis screening
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The frequency with which you should visit your OBGYN changes with age, and of course when you’re pregnant. It’s also important to note that if you have any concerns regarding your health, or any changes in your health, you can and should make a non-routine appointment to visit your OBGYN at any time. Outside of health concerns, what follows are general guidelines for how often you should see your OBGYN.
Women Under Age 21
Women under age 21 are encouraged to meet with their gynecologist to ensure they have a resource for any questions or concerns. It is not, however, required for women under age 21to receive an annual pelvic exam and/or pap smear unless otherwise recommended by their physician.
Women Ages 21 – 29
In general, the American College of Obstetricians and Gynecologists (ACOG) recommends that all women over 21 and under 29 should see their OBGYN annually in order to have a pelvic exam. In addition, this annual well woman’s visit should include a general women’s wellness exam, breast exam, and a pap smear.
Women Ages 30 – 65
Women between the ages of 30 and 65 should also receive a pelvic exam every year, however as of 2012 the U.S. Preventive Services Task Force, American Cancer Society, and ACOG recommend that women ages 30 – 65 who have had negative pap test results in the past should have a combination pap and human papillomavirus (HPV) test only once every five years.
If within the last three years of turning 30, you’ve had an abnormal pap smear, a history of dysplasia, are HIV positive, or have been exposed before birth to diethylstilbestrol (a synthetic form of estrogen sometimes prescribed to pregnant women between 1940 and 1971), your gynecologist may still recommend that you receive a pap smear more frequently than once every two years.
Women Over Age 65
Women over age 65 without a history of precancerous cells or cervical cancer, and who have had either three-consecutive negative pap test results or two consecutive negative pap/HPV tests within the previous 10 years, do not need to continue receiving regular pap tests, as long as they have no history of precancerous cells or cervical cancer.
Women Who Have Had a Hysterectomy
Women who have had a hysterectomy and no longer have a cervix do not need to have regular pap tests, unless they’ve had precancerous cells in the cervix or a reproductive cancer, such as uterine cancer, in the past.
Sexually Active Women
While the guidelines above are general recommendations, it is also a best practice that women begin regularly seeing their gynecologist when they become sexually active, or at least within two to three years of becoming sexually active.
When You Should Schedule a Non-Routine Appointment
You can always contact your gynecologist for questions or concerns. You should definitely schedule a non-routine appointment if you experience any of the following:
- Vaginal pain or discomfort
- Abnormal or irregular bleeding not associated with your period
- Changes in your menstrual cycle that could be an indication of pregnancy or the onset of menopause
If You’re Pregnant
In general, women who are pregnant should meet with their OBGYN with the following frequency:
- Weeks 4 to 28: 1 prenatal visit a month
- Weeks 28 to 36: 1 prenatal visit every 2 weeks
- Weeks 36 to 40: 1 prenatal visit every week
If you have any risk factors associated with your pregnancy, your OBGYN may recommend more frequent visits.
Remember that your annual exam is also your time to discuss with your gynecologist any questions or concerns that you may have regarding stress, pregnancy or family planning, or any other related concerns or questions. As the recommendations, relative to the frequency of women’s health visits are continually being reexamined, always check with your doctor for the latest criteria.
If you are looking for a new Ob-Gyn physician and live in the Western New York area, give our office a call today. We are accepting new patients!
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