Gynaecological examination and screening in gynecology: Taking care of women's health
Taking care of your women's health requires regular exams and appropriate screenings. A gynecological exam, although sometimes dreaded, is an essential step in monitoring your reproductive health, detecting problems early, and discussing your concerns. Your Medento Health Center tells you what to expect during a gynecological exam, important screening tests, and how to approach this appointment with confidence.
A gynecological exam is much more than a simple formality. It allows you to monitor the condition of your reproductive organs, to screen for infections, cancers (including cervical cancer) and to discuss your contraceptive or family planning choices. In other words, it's a proactive way to take care of your overall health.
This exam becomes especially important at different times in life, such as at the beginning of sexual life, before pregnancy, or during menopause.
The recommendations vary, but in general, it is advisable to do a first gynecological examination around the age of 21 or at the beginning of sexual life. Afterwards, an annual visit to the gynecologist is often recommended, although the frequency may vary depending on your health condition and your specific needs.
A gynecological exam can be a source of apprehension, especially if it's your first time. However, well-informed and prepared, this stage can take place with complete peace of mind. The following are the different steps of a typical gynecological exam:
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The consultation starts with a discussion with your gynecologist. You'll talk about your medical history, family history, menstrual cycle, and any symptoms or questions you may have. It is also a time to discuss your contraception, your pregnancy plans, or any other topic related to your reproductive health.
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The doctor checks your breasts for any abnormalities, such as lumps or changes in skin texture. Regular breast self-exams at home are also encouraged to monitor any changes between visits.
The pelvic exam is the most specific part of the gynecological consultation. The doctor looks at the external genitals and uses a speculum to visualize the vagina and cervix. It can be a bit uncomfortable, but shouldn't be painful. This exam can identify signs of infections, lesions, or other abnormalities.
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During the exam, your gynecologist may take a Pap smear, which involves taking cells from the cervix to be analyzed in the laboratory. This test is essential for early detection of cervical cancer. In France, it is recommended to take a pap smear every three years for women aged 25 to 65, after the first two normal annual tests.
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This step consists of palpating the uterus and ovaries to check their size, shape, and for any pain or lumps.
Beyond the physical exam, there are several screening tests recommended to monitor women's health.
As mentioned above, the cervical and vaginal smear is crucial for detecting precancerous or cancerous cells in the cervix. In recent years, another test, called an HPV test, has also been recommended. It detects the presence of human papillomavirus (HPV), a sexually transmitted infection that is the main cause of cervical cancer.
Your gynecologist may suggest tests for STIs (chlamydia, gonorrhea, syphilis, HIV, etc.) based on your sexual activity and history. These screenings are essential to prevent the long-term complications of STIs, such as infertility or cancers.
In addition to the clinical examination, starting at the age of 50, it is recommended that a mammogram be performed every two years to detect breast cancer early. Some women who are at increased risk may start screening earlier.
For postmenopausal women, especially those with risk factors (such as a family history of osteoporosis), bone density screening may be recommended to prevent fractures.
To make your visit to the gynecologist as smooth as possible, here are some practical tips:
A good relationship with your gynecologist is essential. Feel free to ask questions and express your concerns.
Write down questions or topics you want to discuss during the consultation.
It's normal to be a bit nervous, but try to take a deep breath and relax during the exam. Your comfort is a priority for the doctor.
● Even if everything seems to be going well, it is important not to overlook routine checkups. Prevention is the best weapon against many health problems.
Gynaecological examination and screening are essential steps in monitoring your female health. While it may seem daunting, these regular consultations allow you to take care of your body, detect problems early, and stay informed about best practices for your well-being. By making these exams a habit, you take control of your health to enjoy a fulfilling and serene life. Remember, your health is your priority.
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