The annual gynecological check-up: what it includes and why it matters

Mikhail Derebenchenko — obstetrician-gynecologist
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Why come when nothing hurts

Most gynecological conditions, including the serious ones, are silent early on. Cervical changes, fibroids, cysts and polyps are usually found at a routine visit rather than because of symptoms. The American College of Obstetricians and Gynecologists (ACOG) recommends an annual well-woman visit even when everything feels fine — while the Pap test itself is now needed far less often than people assume.

What the visit includes

• History and examination — the doctor reviews your history, any complaints and your risk factors.
• Pelvic ultrasound — the core tool, showing the condition of the uterus and ovaries. It is done during the appointment and the findings are discussed with you the same visit.
• Cervical screening — Pap and/or HPV testing. Under current guidance (ACS 2020–2025, ACOG) screening starts at 21–25: primary HPV testing every 5 years, or cytology every 3 years. Your doctor will set the right interval for your age and history.
• Colposcopy and further tests — only when indicated, never routinely.

How to prepare

The first half of the cycle, after menstruation ends, is usually the best window — but if something is bothering you acutely, come any day. No special preparation is normally required for the examination or the scan; our reception will confirm the details when you book.

How it works here

At GMS the examination, pelvic ultrasound and Pap test are done in a single visit, with the results explained at the appointment. Consultations are held in English and Russian, and we work with insurance.

What this is based on

• ACOG. Why Annual Pap Smears Are History — But Routine Ob-Gyn Visits Are Not
• American Cancer Society. Updated Cervical Cancer Screening Guideline (2025)

This article is for information only and does not replace a consultation. If you have symptoms, see a doctor.

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