{"id":909,"date":"2015-12-29T10:30:13","date_gmt":"2015-12-29T15:30:13","guid":{"rendered":"https:\/\/singlecare.com\/blog\/?p=909"},"modified":"2026-04-22T20:48:13","modified_gmt":"2026-04-23T00:48:13","slug":"well-woman-exam","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/well-woman-exam\/","title":{"rendered":"What a well-woman exam is and why it is important"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">One of the most important things we can do to manage and maintain good physical health is to keep up on all of those routine checkups. This means going to the dentist regularly for cleanings, getting yearly skin checks at your dermatologist\u2019s office, <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/ask-a-doctor-annual-physical-exam\/\"><span style=\"font-weight: 400;\">seeing your primary care physician for your annual physical<\/span><\/a><span style=\"font-weight: 400;\"> and, for women, getting a well-woman exam each and every year.\u00a0<\/span><\/p>\n<h2 id=\"what-is-a-well-woman-exam\"><b>What is a well-woman exam?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">While <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/benefits-annual-doctor-checkups\/\"><span style=\"font-weight: 400;\">a standard physical exam is more focused on overall health<\/span><\/a><span style=\"font-weight: 400;\">, a well-woman exam (also called a gynecological exam) is designed to zero in on health issues that are specific to the female reproductive health. The exam can be conducted by a primary care provider, an obstetrician-gynecologist , a women\u2019s health nurse practitioner, a physician\u2019s assistant, or a <\/span><span style=\"font-weight: 400;\">certified nurse midwife<\/span><span style=\"font-weight: 400;\"> (a CNM is a registered nurse who has obtained graduate-level certification in midwifery; they frequently work in clinics alongside OB-GYNs).\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Whichever practitioner you choose to see for your well-woman exam, it is important to make sure they are up to date on <\/span><span style=\"font-weight: 400;\">screening guidelines and recommendations<\/span><span style=\"font-weight: 400;\">, because these change as new research comes out, says Lexi Garbus, a CNM in a private practice in Detroit.\u00a0<\/span><\/p>\n<h2 id=\"what-happens-at-a-well-woman-exam\"><b>What happens at a well-woman exam?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">At your well-woman visit, you will likely receive a clinical breast exam, a pelvic exam, and\/or a <\/span><a href=\"https:\/\/www.womenshealth.gov\/a-z-topics\/pap-hpv-tests\"><span style=\"font-weight: 400;\">Pap smear,<\/span><\/a><span style=\"font-weight: 400;\"> all of which are designed to help spot abnormalities that require further investigation (Pap smears, for example, detect <\/span><a href=\"https:\/\/www.cdc.gov\/cancer\/cervical\/\"><span style=\"font-weight: 400;\">cervical cancer<\/span><\/a><span style=\"font-weight: 400;\">). Your provider will also want to discuss the length and frequency of your periods, your sexual and reproductive history, as well as whether you are experiencing any unusual symptoms, such as breast symptoms, pain, heavy bleeding, vaginal discharge, or itching. Depending on your age and your needs, the exam will also include screening for sexually transmitted infections, vaccine administration (the <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/hpv-treatment-and-medication\/\"><span style=\"font-weight: 400;\">human papillomavirus<\/span><\/a><span style=\"font-weight: 400;\"> vaccine specifically, though some clinics offer additional vaccines), and a <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/birth-control-questions-answers\/\"><span style=\"font-weight: 400;\">discussion about birth control and family planning<\/span><\/a><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">For patients who have reached menopause or are currently experiencing perimenopause (also known as the menopause transition), the well-woman exam will include a discussion of symptom management and treatment.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Some practitioners even incorporate other health screenings into the well-woman exam, such as mental health evaluations, drug and alcohol screening, and blood tests to check lipids and blood sugar levels. Finally, your provider will ask whether you are feeling safe at home. If the exams and screenings reveal anything that needs to be addressed, your provider will either create a treatment plan, order further testing (for example, a breast exam might be followed up with a mammogram\u2014<\/span><a href=\"https:\/\/www.cancer.org\/healthy\/find-cancer-early\/cancer-screening-guidelines\/american-cancer-society-guidelines-for-the-early-detection-of-cancer.html\"><span style=\"font-weight: 400;\">even if you are not technically due for one<\/span><\/a><span style=\"font-weight: 400;\">) or refer you to another healthcare provider.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cIt is highly recommended that [all] these evaluations be included, though the depth of the screening varies,\u201d Garbus says, explaining that every office has its own policies and protocols.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">With that said, be aware that while organizations like the <\/span><a href=\"https:\/\/www.acponline.org\/\"><span style=\"font-weight: 400;\">American College of Physicians<\/span><\/a><span style=\"font-weight: 400;\"> (ACP) and <\/span><a href=\"https:\/\/www.acog.org\/\"><span style=\"font-weight: 400;\">American College of Obstetricians and Gynecologists<\/span><\/a><span style=\"font-weight: 400;\"> (ACOG) publish screening guidelines and recommendations for things like Pap smears and pelvic exams, individual providers tend to make determinations on the need for these and other tests based on a) their own experiences and opinions and b) the needs of the patient in question, explains <\/span><a href=\"http:\/\/madameovary.com\/about\/\"><span style=\"font-weight: 400;\">Mary Jane Minkin, MD<\/span><\/a><span style=\"font-weight: 400;\">, a clinical professor in the department of obstetrics, gynecology and reproductive science at Yale University School of Medicine.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">So, for example, while <\/span><a href=\"https:\/\/www.acponline.org\/acp-newsroom\/american-college-of-physicians-recommends-against-screening-pelvic-examination-in-adult-asymptomatic\"><span style=\"font-weight: 400;\">ACP no longer recommends routine pelvic exams for asymptomatic women<\/span><\/a><span style=\"font-weight: 400;\">, many providers think it is prudent to conduct them as a preventive measure. \u201cIt is a joint decision between the provider and the patient,\u201d Dr. Minkin says, adding that she personally considers them an important part of the exam (<\/span><a href=\"https:\/\/www.acog.org\/clinical\/clinical-guidance\/committee-opinion\/articles\/2018\/10\/the-utility-of-and-indications-for-routine-pelvic-examination\"><span style=\"font-weight: 400;\">as does ACOG<\/span><\/a><span style=\"font-weight: 400;\">).<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\t\t<div class=\"singlecare-dynamic-newsletter-wrapper sin-newsletter-wrapper\">\n\t\t\t<span class=\"heading\">Get our wellness newsletter<\/span>\n\t\t\t<form class=\"form-wrapper\" data-newsletter-form=\"1\" data-subsource=\"Wellness Newsletter\">\n\t\t\t\t<div class=\"input-wrapper\">\n\t\t\t\t\t<label for=\"dynamic-email\">Email<\/label>\n\t\t\t\t\t<input type=\"email\" id=\"dynamic-email\" class=\"email\" required>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"input-wrapper\">\n\t\t\t\t\t<input class=\"submit-form-btn\" type=\"submit\" value=\"Click to sign up\">\n\t\t\t\t<\/div>\n\t\t\t<\/form>\n\t\t\t<p class=\"success-message\" aria-live=\"polite\"><\/p>\n\t\t<\/div>\n\t<\/span><\/p>\n<h2 id=\"how-to-prepare-for-your-well-woman-exam\"><b>How to prepare for your well-woman exam<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">One of the most important things a woman can do to prepare for a well-woman exam is to get it on the calendar. Many providers have long waits, especially for new patients, so be sure to call the scheduling department long before you are due for your exam. As long as your visit is routine, expect to spend about one hour at the clinic.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">When the day of your appointment arrives, Dr. Minkin says it is important to show up with a list of questions and health concerns at the ready so you don\u2019t forget to bring anything up that you want to discuss. You can also find a checklist for health living at each age at <\/span><a href=\"https:\/\/www.womenshealth.gov\/healthy-living-age\"><span style=\"font-weight: 400;\">womenshealth.gov<\/span><\/a><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cAny question that you have, write it down,\u201d she says. This could include questions about symptoms, medications, fertility, future pregnancies, or even the nature of the appointment itself.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">And don\u2019t worry about whether you think the question is worthy of your doc\u2019s time. After all, this is<\/span><i><span style=\"font-weight: 400;\"> your<\/span><\/i><span style=\"font-weight: 400;\"> appointment, says Garbus. Any question is fair game.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cThe provider isn\u2019t necessarily going to be able to anticipate every question,\u201d she says. \u201cSo if you have a question or are even just vaguely curious, you [should] definitely feel comfortable asking.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Dr. Minkin also recommends that patients be prepared to discuss their birth control methods, in case changes need to be made (if you frequently forget to take your pill, for example, it might be a good time to try something different, like an IUD).\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Your provider will have questions for you, as well. And while some of them will seem very personal (i.e. questions about your sexual activity and partners), it is important to be honest and straightforward so you can receive the appropriate testing and care.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If you are nervous about the appointment or just want some moral support, it is okay to bring someone along to your appointment (like your partner or a friend), says Garbus.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cThis is your visit \u2026 and if you feel like having someone (else) in the room with you will make you feel more comfortable during the exam, you have the right to ask for that,\u201d she says. \u201cWe always welcome anything we can do to help you feel more involved.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">However, the provider will still need some time alone with the patient, Garbus and Dr. Minkin say, to ensure that critical matters like <\/span><a href=\"https:\/\/www.cdc.gov\/violenceprevention\/intimatepartnerviolence\/index.html\"><span style=\"font-weight: 400;\">intimate partner violence<\/span><\/a><span style=\"font-weight: 400;\"> or <\/span><span style=\"font-weight: 400;\">a young woman\u2019s need for birth control<\/span><span style=\"font-weight: 400;\"> don\u2019t get overlooked. What you say to your doctor is confidential, so you should feel comfortable opening up.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cWe need to give (the patients) time to feel safe and free to confide in us,\u201d Dr. Minkin says.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In terms of timing, a well-woman exam can take place at almost any point in your menstrual cycle, Dr. Minkin says. The exception? If you are experiencing unusual discharge your exam should not coincide with the heaviest day of your period.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cIf someone is bleeding heavily it could be tricky to interpret [those] results,\u201d Dr. Minkin explains.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">As for the cost, the Affordable Care Act mandates that <\/span><a href=\"https:\/\/www.healthcare.gov\/health-care-law-protections\/\"><span style=\"font-weight: 400;\">preventive care such a well-woman exams are fully covered by most health insurance plans<\/span><\/a><span style=\"font-weight: 400;\">. That means no out-of-pocket cost to you, as long as you have insurance. If you <\/span><i><span style=\"font-weight: 400;\">don\u2019t<\/span><\/i><span style=\"font-weight: 400;\"> have health insurance, the cost will depend on who you see and what sorts of tests are ordered. If you can\u2019t afford your exam, <\/span><a href=\"https:\/\/www.cdc.gov\/cancer\/nbccedp\/\"><span style=\"font-weight: 400;\">free cancer screenings are available through the National Breast and Cervical Cancer Early Detection Program<\/span><\/a><span style=\"font-weight: 400;\">. <\/span><a href=\"https:\/\/www.plannedparenthood.org\/learn\/health-and-wellness\/wellness-visit\/what-do-i-need-to-know-before-my-wellness-visit\"><span style=\"font-weight: 400;\">Planned Parenthood also offers low or no-cost exams to those who qualify<\/span><\/a><span style=\"font-weight: 400;\">, as well.<\/span><\/p>\n<h2 id=\"why-do-i-need-a-well-woman-exam\"><b>Why do I need a well-woman exam?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">What if you are happy with your birth control method, are having normal periods, don\u2019t plan to become pregnant anytime soon, and aren\u2019t experiencing any strange or concerning symptoms? Do you <\/span><i><span style=\"font-weight: 400;\">still<\/span><\/i><span style=\"font-weight: 400;\"> need regular well-woman exams? Yes. <\/span><a href=\"https:\/\/health.gov\/myhealthfinder\/topics\/everyday-healthy-living\/sexual-health\/get-your-well-woman-visit-every-year\"><span style=\"font-weight: 400;\">The U.S. Department of Health and Human Services recommends that all women get them yearly<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">You won\u2019t need every component of the exam at every visit, though. Women under the age of 21, for example do not need Pap smears at all, Dr. Minkin says. Neither do most women over the age of 60, says Garbus. The <a href=\"https:\/\/www.cancer.org\/cancer\/types\/cervical-cancer\/detection-diagnosis-staging\/cervical-cancer-screening-guidelines.html\">American Cancer Society<\/a> recommends<\/span><span style=\"font-weight: 400;\">\u00a0women get Pap smears every three to five years. Pelvic exam frequency varies based on the provider and the needs of the patient, and STI testing and vaccines are given on a case-by-case basis (depending on the patient\u2019s needs at the time of the visit).\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Furthermore, well-woman exams are not required for women under the age of 18, although those who are either sexually active or experiencing painful periods (or other concerning symptoms) should see a provider sooner. Women who have reached menopause should keep up with their annual well-woman exams, as well. The idea, says Garbus, is to prevent problems from happening and to catch existing problems early on.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cA lot of this, at times, can just feel routine,\u201d she says. \u201cBut [at the exam] we can delve into a whole lot of things that could come up down the road.\u201d<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>One of the most important things we can do to manage and maintain good physical health is to keep up on all of those routine checkups. This means going to the dentist regularly for cleanings, getting yearly skin checks at your dermatologist\u2019s office, seeing your primary care physician for your annual physical and, for women, [&hellip;]<\/p>\n","protected":false},"author":15,"featured_media":11553,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[8029],"tags":[729,8670],"coauthors":[8861],"class_list":["post-909","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-education","tag-doctor-visits","tag-womens-health","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Well-woman exam: What it is and why it\u2019s important<\/title>\n<meta name=\"description\" content=\"Like a yearly physical, a well-woman exam is important for maintaining optimal health. 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