Not Your Mom’s Annual
The days of the annual pap smear are over. In fact, research has shown that routine pelvic exams are unnecessary for most women. The pap smear, which tests for cervical cancer, is recommended for average risk women 21-30 every 3 years, and for women over 30, every 5 years.
That doesn’t mean you shouldn’t see your doctor every year, though. The new annual is a well-woman visit, and it encompasses a lot more than a pap test.
The well-woman visit is a whole-health appointment. The focus is on preventive care and screening. It is also on allowing you to have some say in your healthcare. You and your doctor will assess your physical health, mental health, lifestyle, and gynecologic or reproductive health, along with any immunization needs or personal goals you may have. This visit is the time when you can talk to your provider about pretty much anything, and expect to have your questions answered with no judgment. Anything you say to your doctor is confidential, so it’s your opportunity to talk to someone knowledgeable, about a topic you may consider embarrassing.
All well-woman visits begin with a conversation between you and your doctor, usually based on questions you’ve answered before the actual appointment began. Based on your age, risk factors, lifestyle, and goals, your doctor will determine which screenings or immunizations you need.
Cancer screenings vary with age and type of cancer. When and how often you will be screened will be a joint decision between you and your provider, based upon your provider’s professional recommendations, and your personal preferences.
Mental health is a vital component of the new well-woman care. Your physician will screen you for depression and anxiety, as well as discuss with you how you’re feeling emotionally. If indicated, your doctor will give you a referral to a mental health provider, which is often available for free or at a reduced cost. Your doctor might also suggest medications which could help with your symptoms.
The physical exam, which was formerly the lone reason for your mother’s annual, is still an important part of the visit. There will be a breast exam, possibly a pelvic exam, and a general physical exam, with vitals such as blood pressure, temperature, height, and weight. If weight loss is a goal, this is a good time to discuss it with your doctor.
The yearly visit that your mother dreaded has, thankfully, evolved into something much more beneficial. It is so much more than putting your feet in the stirrups and then answering a couple of clinical questions. It is your chance to be heard and understood by a health professional, one who will treat your whole person and not just your “lady parts.” Schedule your annual well-woman visit… it will help you in more ways than you realize!