Probably not your fav appointment you have on your schedule but usually a good idea to keep up with them anyway. I don’t perform annual exams in my office so I refer to trusted practitioners in my community. I just went in for an annual exam myself and realized it’s really important for YOU to be empowered with knowing whether or not you’re receiving an adequate and thorough exam.
Like most things, quality here can vary a lot and a complete exam is important for early detection of things like breast cancer, thyroid issues and also helping you figure out if there are symptoms you’re having that you might consider normal but are indicative of an underlying condition. So here are what I consider the essential elements of a complete well-woman exam.
The conversation. Your practitioner should ask about any concerns you’re having, your general health, menstrual history, any pain you’re having (cramping, with intercourse, mid-cycle), thyroid health (cold hands/feet, constipation, hair loss), weight gain/loss, unwanted hair growth, sleep & mood at the very least.
The breast exam. The breast exam should last at least 3 minutes if not 5. A thorough breast exam involved slow circular motions covering the armpit to sternum and collarbone to under the breast. The provider should be looking at your breast and inching their fingers along the tissue to make sure no areas are missed. Small growths can go easily undetected if an area is missed. Ask them to show you how to do this at home as well if you aren’t checking yourself regularly.
The pelvic exam. The exam should start with asking your experience with pelvic exams in the past. Your lymph nodes in your groin should be assessed, then pelvic muscle tone, they should check for any prolapse. Then the pap smear (when appropriate) is done and finally they should palpate (feel) your ovaries and uterus for size and texture.
Pay attention at your next exam and make sure you’re getting this kind of care and that you also really like who you’re seeing. If you don’t, move on and find someone that spends the time and listens to you.
Have any specific questions about annual exams? Ask away!
