Annual Gynecological Exam in Portland, OR

We recommend that you see us immediately if you are experiencing any of the following:

• Unusual or persistent vaginal discharge or bleeding
• Bleeding between periods
• Bleeding after intercourse
• Severe pelvic pain
• Sores, swelling, itching or tenderness of the vulva or vagina
• Growths or thickening in the breast or armpit

At Pearl Women’s Center, we understand that you may be fearful about gynecologic exams, particularly if it is your first. Please try not to worry. Our staff is here to help make your experience as comfortable and relaxed as possible.

During your exam, a practitioner will spend time discussing your medical history, any issues or problems you are experiencing, and you will have ample opportunity to ask questions. Topics often include sexual function, birth control counseling and preventive care, all of which are important when discussing women’s health.

Your physical exam includes a comprehensive breast exam and a pelvic exam. A Pap smear will be taken to screen for cervical cancer. An HPV test may also be performed. HPV stands for Human Papillomavirus, a common, sexually transmitted virus which can lead to cervical cancer and genital warts.

Depending on your sexual history, lab tests for sexually transmitted diseases may also be performed. Women with a family history of breast or ovarian cancer may elect to pursue genetic screening for the BRCA gene. Inherited alterations in the BRCA 1 and BRCA 2 genes have been linked to an increased risk of developing these cancers.

As we age, our risk of developing certain health concerns increases. Specialized tests can help identify potential problems at their earliest stages when treatment is most effective. Your Pearl Women’s Center practitioner may recommend one or more of the following tests depending on your history:

• Osteoporosis screening Osteoporosis is a disease that robs the body of bone strength making the bones fragile and prone to breaks. Women are four times more likely to develop this disease than men. Postmenopausal women are at the highest risk. A simple, painless screening procedure known as a Bone Mineral Density (BMD) scan is used to measure bone health. If you are over 50 with one or more of the risk factors for osteoporosis, your doctor may refer you for a BMD scan. For more information on risk factors, visit the National Osteoporosis Foundation or call the center.
• Breast cancer screening In addition to the clinical breast exam we conduct during your annual exam, the American Cancer Society recommends a yearly screening mammogram for breast cancer beginning at age 40. New recommendations include the addition of an annual MRI for women at high risk. Your Pearl Women’s Center practitioners are experts in breast cancer diagnosis and will help you determine the most appropriate tests for you.
• Genetic Screening Due to technological advances and new cost efficiencies, screening for genetic predispositions for various cancers is now available as a cost-effective general screening tool. For just a few hundred dollars, a woman can screen for every known cancer syndrome. Even in low-risk women, as many as 4% of women will find a positive and actionable result that may prevent future cancer. Ask your Pearl Women’s Center practitioner about genetic screening at your next visit.

What is included in an annual gynecologic exam?

An annual gynecologic exam may include a review of your medical history, menstrual cycle, medications, reproductive health, and any symptoms or concerns you may have. Depending on your age, health history, and individual needs, your visit may also include a breast exam, pelvic exam, Pap smear, HPV testing, or other preventive screenings.

How often should I schedule a gynecologic exam?

Most patients should schedule a preventive gynecologic visit once a year. Although certain screenings, such as Pap smears, may not be needed annually, yearly visits allow your provider to monitor changes in your health, discuss new concerns, and recommend screenings based on your age and risk factors.

Do I need a Pap smear at every annual exam?

No. Pap smear recommendations vary based on your age, previous test results, medical history, and other risk factors. Your gynecologist will determine when cervical cancer screening is appropriate and whether Pap testing, HPV testing, or both are recommended.

Can I have an annual exam while I am on my period?

In many cases, you can still attend your annual exam while menstruating. However, heavy bleeding may affect certain tests, including a Pap smear. Contact Pearl Women’s Center before your appointment if you are unsure whether you should reschedule.

What is not included in an annual exam?

Annual is strictly preventative. For instance, an annual exam is not a problem focused visit. We are happy to schedule another appt to discuss any other issues.