As a woman, making your first appointment at the OBGYN can be a terrifying experience. We often hear horror stories of what the examinations will be like and immediately feel violated. But going to the OBGYN is important for your body and health for a multitude of reasons. It can be a safe space to discuss your body and learn more about it. The word OBGYN is shorthand for two words; obstetrician and gynecologist. An obstetrician is someone who specializes in obstetrics, or in other words-- pregnancy. They work in pre and post natal care, fertility, and child delivery. A gynecologist specializes in caring for a women's reproductive health. Caring for a women's reproductive health can include diagnosing underlying conditions, pap smears, breast examinations, pelvic exams, and HPV screenings. Most physicians at an OBGYN clinic with specialize in both obstetrics and gynecology to provide comprehensive care and meet whatever the needs may be of the patient. Going to the OBGYN is important for a number of reasons including helping you understand your own body and reproductive system, how to care for your body and meet its needs, how to protect yourself when you have sex, and feel comfortable in the beauty that can be womanhood and motherhood.
Your first appointment varies from person to person. Most women will schedule their first appointment between the ages of 13-15 around the time of their first menstruation cycle and as their bodies begin experiencing puberty. Women will also go around this age to discuss different birth control options that are right for their bodies. Examinations such as the pelvic exam, pap smear, and breast examination will not take place until a person is twenty one years of age or sexually active, whichever one comes first.
understanding the examinations
A pap smear is a diagnostic examination used to screen for cervical cancer. The procedure involves swabbing your cervix in order to test the cells, to see if they have the potential to turn cancerous. Women usually begin recieving their first pap smears around the age of 21 years, and it is recommended that they get tested every three years, unless there is an abnormality. This exam is done in just a few minutes. You will be asked to lay down and place your heels in a support system called stirrups. An instrument called a speculum is inserted which just holds open the walls of the vagina. Next, samples of your cervix are taken with a flat brush and spatula. Prior to your exam, be sure to discuss with your doctor about your level of comfortability so that they can find the right size tools and make you as comfortable as possible.
The pelvic exam is often followed in conjunction with a pap smear. A pelvic exam is used to evaluate and check your reproductive organs. This is part of a regular check-up and can also be requested if you are experiencing any pain or abnominal discharge. A pelvic exam can diagnose and check for ovarian cysts, sexually transmitted infections, fibroids, and early stage cancer. There is no specific preparation required for this exam, but it might be more comfrotable to go when you are not menstruating and empty your bladder before. Similarly to the pap smear, you will lie back on the table, and place your heels in the stirrups. There are two components; the external exam and the internal exam. Your doctor will begin by checking your vulva and surrounding areas for any signs of irritation, sores, swelling, etc. A speculum will be inserted to open the vaginal walls, it is important to remain relaxed to not cause any added pressure. Your doctor will insert two lubricated gloved fingers into your vagina with one hand, while the other one is used to push on your abdomen and feel your uterus and ovaries. This exam also only takes a few short minutes, and your doctor should remain in constant communication so that you know what is ocurring at every step.
During your breast examination, you will be asked to remove your clothes and other undergarments so that your doctor can check your breasts for any lumps or abnormalities. Each breast will be examined by moving their fingers around in a pattern. Often times a doctor, will explain the patterns so that you can perform self examinations to check for breast cancer on your own. This exam will be quick and painless.
Finding the right OBGYN for you is extremely important. Your yearly checkup is an intimate experience and you should feel comfortable physically and mentally with your doctor checking your body and discussing your body and sexual relationships. Before scheduling your appointment there are a few important things to consider. Does having a male or female doctor matter to you? If so, it is important to request that when you call and schedule your appointment. It is OK to have personal preferences in regards to the age, gender, and type of representation in the office when deciding on your doctor. This is YOUR health and YOUR body. Additionally, accessibility and insurance is important logistically. Make sure to check to see their policies and what insurance coverage is offered. Some reccomendations are to ask your pediatrician or primary care doctor if they have any reccomendations, or look for a doctors office who specializes in what you are looking for. Lastly, talk to your friends and family about it. It can feel like an uncomfortable discussion, but EVERY women has to go to the OBGYN at some point in their lives. Get reccomendations from those in your life and ask them about their experiences, it will ultimately help you feel more comfortable and supported.
obgyn's in the area
This is not a comprehensive list, just an outline of local physicians in the area
Doreen Kramer
NY Presbyterian (Queer Friendly, Young)
270 W 231st Street Bronx NY 10463 (855)756-2496
Dr. Suzanne Greenidge
1020 N Broadway, Yonkers, NY 10701
Lorraine Chrisomalis-Valasiadis
55 East 86th St #1B, New York, NY 10028 (212) 879-7180
Dr. Susan Malley
In Office and Televists
Putnam Hospital
670 Stoneleigh Ave Carmel, NY 10512 (845) 279-5711
Michelle Newman
Bergen-Passaic Women’s Health Center
258 Godwin Avenue Wyckoff, NJ 07481 (201)891-3336
No Insurance Required:
Planned Parenthood
Yonkers Health Center
20 S Broadway, Yonkers, NY 10701 (914) 965-1912
Planned Parenthood
The Bronx Center
next to Citibank, 349 E 149th Street, 2nd Ave 2nd Floor, NY 10451 (212) 965-7000
more resources:
https://www.self.com/story/first-gyno-exam-tips
https://www.teenvogue.com/story/first-gynecologist-appointment-tips
https://www.teenvogue.com/story/most-common-gynecologist-questions
https://www.teenvogue.com/tag/gynecologist
https://www.teenvogue.com/story/first-gynecologist-appointment
https://www.self.com/story/pap-smear-guidelines