Frequently Asked Questions - Gynecology

When should I have my first gynecology exam and/or pap test?

Routine Gynecologic exams and Pap screening begins at age 21, but we are happy to see younger patients to discuss contraception, STD Screening, or irregular/heavy/painful periods. 

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How often do I need a Pap Smear?

Women from 21-29 should have a Pap Smear every 3-5 years. Women age 30-65 should have a Pap and HPV test every 3-5 years. These intervals change when abnormalities are found. Pap Smears are generally discontinued at age 65. Yearly examinations are still recommended for breast and pelvic exam, prescription refills, and to address other concerns. 

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Can I still get my Pap Smear when I am on my period?

As long as your flow is not heavy, your period will not interfere with your Pap. 

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Should I be tested for HPV?

HPV is transmitted sexually and is very common. It often goes away on its own, especially in young women. We look for it specifically when the Pap Smear comes back abnormal in women in their 20s. We routinely do a Pap Smear with HPV screening for women after the age of 30.

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What should I do if I think I have a sexually transmitted infection?

Avoid sexual activity and call our office for an appointment to get tested. Getting tested and treated early can avoid long-term complications. Not all STDs have symptoms so it is important to consider testing if you feel you are at risk. 

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What should I do if I forget to take a birth control pill?

If you miss one pill take it as soon as you remember, or two at the same time if you don't remember until the next day. If you miss more than one pill please call for advice and use back up contraception such as condoms for the rest of your pill pack. Taking more than one pill at a time can cause nausea, and light bleeding may occur with irregular pill taking. If it is difficult to remember to take the pill regularly, you can talk with your provider about alternative forms of contraception. 

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Should I take Plan B?

If you have an episode of unprotected intercourse or birth control failure you can take the morning after pill, which can prevent pregnancy. It is most effective in the 72 hours after intercourse, but the earlier it is taken the more effective it is. It is available over the counter and does not effect or abort an existing pregnancy. 

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What should I do if I miss my period?

If you are sexually active you should do a home pregnancy test. Certain forms of contraception can cause you to miss your period, feel free to call if you have questions. If you are not on contraception and miss your period for 3 months you should come in for an appointment. 

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When should I start getting mammograms?

For most women mammogram screening starts at age 40 as recommended by the American College of Obstetrics and Gynecology and the American Cancer Society. Earlier screening may be indicated for women who have a family history or other risk factors, please discuss with your provider. Sometimes 3-D imaging or breast MRIs are recommended for women at high risk for cancer. 

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