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Can You Go to the Gyno on Your Period or What?

By Rachel Grumman Bender

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The red tide pays you a visit on the day of your doctor's appointment, and you wonder: Can you go to the gyno on your period ? Or, even more important, can you get a Pap smear or pelvic exam on your period? When it’s that time of the month, seeing your gynecologist might be the last thing you want to do. But the truth is, your gyno really doesn’t care if you’re on your period or not, and we'll explain why below.

Besides worrying about having your period when you're lying on the examination table, your mind might be racing with self-conscious thoughts from Why didn't I get a bikini wax before coming here? to Why am I sweating so much? and Do I smell ?

Chances are while you're stuck in those stirrups stressing out, your doctor isn't giving it a second thought.

Here are 10 things gynecologists say are totally NBD when you come in for an exam:

When you book your gyno appointment months in advance, you can't necessarily control whether your period will land on the same day. If—lucky you!—your period and your check-up coincide, don't sweat it. "If you can't go to your gynecologist on your period, then who can you go to?" Leena Nathan , M.D., obstetrician-gynecologist at UCLA Health-Westlake Village, tells SELF. "We're used to bleeding."

Just be aware that in some cases, having a Pap smear on your period may make it harder to get a clear test result, but that doesn't mean you should skip your appointment. "If you're having a Pap smear on your period, I'll try to swipe away the blood and do the Pap," says Dr. Nathan. "If it comes back inconclusive, you may have to come back. But rarely would we advise patients to cancel their appointment just for that reason."

You may feel self-conscious about body hair , but your gyno truly doesn't care and may not even notice. "Patients always mention that they haven't shaved," Dr. Nathan says. "I don't notice. I'm more interested in the health of the patient. They should not have to worry about mentioning that they haven't shaved or waxed."

As you scoot down on the examination table with your legs in stirrups, it's hard not to wonder and worry about what you smell like , especially if you've started to sweat because you're nervous. "Women are obsessed with how much they're perspiring when they're in my office, thinking, 'Does it smell down there?'" Alyssa Dweck, M.D. , assistant clinical professor of obstetrics at Mount Sinai School of Medicine and coauthor of The Complete A to Z For Your V , tells SELF. "I appreciate it if someone doesn't come to the office straight out of a CrossFit class or having not showered in four days, but in general I really don't notice it much."

"Women often think they should be completely dry except for before or during sexual relations," says Dr. Dweck. "But many women have discharge —some have it more than others—and that's completely normal."

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However, if your discharge is greenish or yellowish in color , frothy, has a strong fishy odor or a cottage cheese-like consistency, or is accompanied by discomfort like itching, those are signs of a problem like a yeast infection or bacterial vaginosis (BV) . If you're confused about what's going on, see a doctor.

No one likes to get an abnormal test result, but an abnormal Pap smear is usually nothing to worry about. Abnormal Pap smears are usually caused by human papillomavirus . Also known as HPV, it's the most common sexually transmitted infection. Eighty million people currently have HPV in the U.S. alone, according to the Centers for Disease Control and Prevention (CDC).

In the majority of cases your body's immune system wipes out HPV , according to the American Cancer Society. But in rare cases, the virus can persist and develop into cervical cancer along with cancers affecting other body parts like the penis, anus, vagina, vulva, mouth, and throat. "It's a slow-acting [group of viruses]," says Dr. Dweck, and the chances of HPV evolving into cancer are "very, very low."

Your doctor may ask you to come back for another Pap in a year to see if you still get an abnormal result, or they may give you an HPV DNA test to make sure that’s what you’re dealing with. Or if your abnormal Pap result showed signs of precancerous cells, your doctor may recommend a procedure like a colposcopy (cervical biopsy) to learn more. Here’s everything you need to know about an abnormal Pap smear and what comes next .

If your old reliable cycle has started to shift by a couple of days you may worry that something is wrong, but period changes are more common than you'd think. "I have patients coming in all of the time saying, 'I have always had a five-day period and now I have a three-day or a seven-day period,'" Leah Millheiser , director of the female sexual medicine program at Stanford University Medical Center, M.D., tells SELF. But what's "normal" for your period can change over time.

Anything from stress to weight fluctuations to hormonal changes can trigger this. However if your period becomes really irregular or you're skipping periods, get checked out by your gyno to rule out a possible health problem, such as PCOS .

If you're single and sexually active with multiple partners, are having an affair, or suspect your partner is having one, sharing that uber-personal information with your gyno can be, well, awkward. But keep in mind that your doctor isn't there to judge you (and if they do, that's a sign that it's time to find a new one if possible). Your gyno needs to know that pertinent information so they can make sure you're using the best methods to both prevent sexually transmitted infections and an unwanted pregnancy.

"[Your] number of sexual partners isn't anything to be embarrassed about," says Dr. Nathan. Adds Dr. Dweck: "It's important to know that in general gynecologists—especially ones who have been in practice for a while—are there to do a job and not judge anything."

“Sometimes women will say: I don’t want to be examined because I have a piercing or tattoo down there,” says Dr. Dweck. “But we’re not here to judge; we just want to make sure you’re caring for things properly.” Having a piercing or tattoo on your nether regions can come with risks like infection or an allergic reaction , so it’s important to be open with your doc and let them examine you.

Both of these issues can be embarrassing to talk about, but it’s important to bring them up with your gyno. “These are things we want to hear about,” says Dr. Dweck. Dryness and low sex drive can affect adults of all ages, she explains, so don't let concerns that you're "too young" for something like that keep you from seeking help. Your doc can help figure out what’s going on so you can start to feel better.

If you’re taking birth control pills , chances are good that your doc will ask about how consistent you are about taking them. (Or how consistent you are with swapping out other forms of contraception when you should, like the vaginal ring .) Be honest! “Everyone always worries about this, but it’s totally normal to forget to take a pill once in a while,” says Dr. Dweck.

The point in telling your doctor you're having issues with your pills (or any other type of birth control) isn't so they can reprimand you, but so they can help you determine if it's really the best method for you. For example, if you're forgetting to take the progestin-only birth control pill (also called the minipill) within the same three-hour window every day, you're really messing with its level of protection. Talking that over with your doctor can help you decide if another type of contraception will be easier to incorporate into your life. Remember, there's nothing to be ashamed of. Gynecologists truly have seen all of this before!

• 11 Reasons Your Vagina Smells a Little…Off
• 10 Things to Know Before Your First Gyno Exam
• Can I Get a Pelvic Exam or Pap Smear on My Period?

SELF does not provide medical advice, diagnosis, or treatment. Any information published on this website or by this brand is not intended as a substitute for medical advice, and you should not take any action before consulting with a healthcare professional.

Sustainable Menstrual

Is it Good to Go to the Gynecologist During Your Period?

Introduction.

Understanding the implications of visiting your gynecologist during menstruation is crucial for every woman. While some may feel hesitant or unsure about scheduling an appointment during this time, it’s essential to explore the advantages and any potential drawbacks. This article delves into the question: Is it good to go to the gynecologist during your period?

Table of Contents

Visiting your gynecologist during your period can be perfectly acceptable and even beneficial in certain situations. Let’s explore why:

Benefits of Visiting the Gynecologist During Your Period

Seeking medical attention during your period allows your gynecologist to assess your reproductive health comprehensively. Here are some benefits:

• Assessment of Menstrual Symptoms : Your gynecologist can evaluate any irregularities or concerns you may have regarding your menstrual cycle, such as heavy bleeding or severe cramping.
• Convenience for Routine Examinations : If your period coincides with your scheduled appointment, it can be convenient to proceed with routine examinations like Pap smears and pelvic exams.
• Opportunity for Diagnosis : Certain conditions, such as endometriosis or fibroids, may exhibit symptoms that are more noticeable during menstruation, making it an optimal time for diagnosis.

Considerations Before Visiting the Gynecologist During Your Period

While there are benefits, it’s essential to consider a few factors before scheduling your appointment:

• Comfort Levels : Some individuals may feel uncomfortable undergoing certain procedures, such as pelvic exams, during menstruation. It’s essential to communicate your concerns with your gynecologist.
• Effectiveness of Tests : Menstrual blood may interfere with certain tests or screenings, potentially affecting their accuracy. Your gynecologist can advise on whether to proceed with scheduled tests or reschedule your appointment.
• Symptom Severity : If you experience severe symptoms during your period, such as excessive bleeding or debilitating pain, it’s crucial to seek medical attention promptly, regardless of the timing of your appointment.

What to Expect During Your Visit

During your visit to the gynecologist while menstruating , you can expect:

• Routine Examinations : Your gynecologist will likely conduct routine examinations to assess your overall reproductive health.
• Discussion of Symptoms : Be prepared to discuss any menstrual symptoms or concerns you may be experiencing.
• Treatment Recommendations : Depending on your symptoms and medical history, your gynecologist may recommend further tests, treatments, or lifestyle adjustments.

FAQs (Frequently Asked Questions)

Is it Embarrassing to Go to the Gynecologist During Your Period?

Visiting the gynecologist during your period is a common occurrence and is not embarrassing. Healthcare professionals are accustomed to dealing with such situations sensitively and professionally.

Can I Still Get a Pap Smear While on My Period?

Yes, you can still undergo a Pap smear while menstruating. However, your gynecologist may advise against it if the menstrual flow is heavy, as it may affect the accuracy of the results.

Will My Gynecologist Mind if I’m on My Period During the Appointment?

Gynecologists are trained professionals who understand that menstruation is a natural bodily process. They will not judge or mind if you’re on your period during the appointment.

Should I Cancel My Appointment if I’m on My Period?

Unless you’re experiencing severe symptoms that hinder your ability to undergo examinations comfortably, there’s usually no need to cancel your appointment due to menstruation.

Can I Receive Treatment for Menstrual Symptoms During My Appointment?

Yes, your gynecologist can provide treatment recommendations or prescribe medication to alleviate menstrual symptoms, depending on the severity and underlying cause.

What Should I Do if I Experience Severe Symptoms During My Period?

If you experience severe symptoms such as excessive bleeding, intense pain, or fainting spells during your period, seek medical attention immediately.

In conclusion, visiting the gynecologist during your period can be both appropriate and beneficial, provided that you communicate any concerns or discomfort with your healthcare provider. By understanding the benefits, considerations, and what to expect during your visit, you can make informed decisions about your reproductive health.

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If You Get Your Period Before an Ob-Gyn Appointment, Here's What a Doctor Says to Do

Updated on 11/7/2019 at 2:10 PM

If you got your period right before an ob-gyn appointment (it always has the best timing!), you wouldn't be the first to wonder if it's an issue.

Annual check-ups, pap smears, and appointments for issues like yeast infections and bacterial vaginosis typically require pelvic exams. Your doctor will have you put your feet in the stirrups, insert a speculum to widen your vagina, and visually inspect your vagina and cervix. For some appointments, they'll need to gather cell samples from your vaginal fluid, and it's only logical to wonder whether period blood can get in the way of that.

"If you're going for your annual exam, yes, 100 percent, it is fine to go during your period," said Leah Millheiser, MD, ob-gyn and director of the Female Sexual Medicine Program at Stanford Health Care. That can even include getting a pap smear done. Traditional guidelines typically asked for patients to wait until after their period was over for this exam, but according to Dr. Millheiser, newer pap smears (also called pap tests) can assess your cells even in the presence of blood. You can always check with your provider if you're unsure, but "if your appointment is already scheduled and you have your period, there's no reason to cancel it," Dr. Millheiser said.

For yeast infections and bacterial vaginosis examinations, Dr. Millheiser said, your doctor will need gather a sample of your vaginal discharge. They'll place the fluid on a slide and examine the cells under a microscope to reach a diagnosis, and "sometimes, if there's blood present, that can interfere in the doctor's ability to read that slide," Dr. Millheiser explained. Unless your symptoms are severe, it may be best to wait until after your period is over to have those tests done, so you can ensure the results are readable and accurate. That said, if the symptoms are uncomfortable or difficult to deal with, Dr. Millheiser advised seeing your doctor sooner rather than later, even if you're still on your period.

If you are going to the ob-gyn on your period, Dr. Millheiser said you can leave your tampon or menstrual cup in until right before the exam. Other than that, though, there are no special procedures or things to do before heading into the office, and you definitely shouldn't feel embarrassed or awkward in front of your healthcare provider. After all, they're an ob-gyn; they know what to expect from a women's menstrual cycle. Unless you yourself don't feel comfortable with it (or would rather stay home nursing your cramps in peace — understandable!), it's OK to keep your appointment on the schedule. "In general, having your period and going to the gynecologist is not a big deal at all," Dr. Millheiser said. "It's perfectly fine, and you should go."

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Should I Visit My Gynecologist When I Am On My Period?

Your Doctor’s Preference

Whether or not you should visit your gynecologist when you are on your period truly depends on the preference of your doctor. If you know you will have your period on the day of your appointment, the first thing you should do is call your doctor’s office and explain your situation. They will likely ask you how heavy your flow is and decide on a case-by-case basis.

Generally speaking, if you are visiting your doctor for a health concern related to your period , then it is highly likely that you will be told to keep that appointment. On the other hand, if your appointment with your gynecologist is for your yearly check-up and Pap Smear , they may decide to postpone your appointment until your period is over.

Many times, doctors recommend patients keep their scheduled appointment unless a period is heavy and saturates a tampon or pad within an hour. This is because a large amount of blood can interfere with the results of the Pap Smear and cause inaccurate results. This important test is performed by collecting a swab of cervical cells to inspect for cancer or other abnormalities. Depending on the type of test your doctor uses, the blood from your period could obstruct the view of your cervical cells during a pathological examination. But with the advancements in technology, a small amount of blood is often not an issue, so be sure to call your doctor to see if you can keep your appointment and do not just assume you should reschedule. And remember, don’t be shy ! “TMI” is not an issue with Dr. Evans—she understands!

Advantages to Seeing Your Gynecologist While Aunt Flo is in Town

While there are some times when it is best to reschedule your appointment with your gynecologist during your period, there are actually other occasions when being on your period makes for an advantageous appointment.

Specifically, if you plan to have an IUD inserted as your preferred method of birth control, your period will make for a much easier procedure. During your menstrual cycle, the cervix is more open than any other time of the month, which means this quick procedure will be much more comfortable.

Additionally, your doctor may be able to more accurately diagnose period-related issues when you visit during this time of the month. Be sure to fully communicate all of your symptoms with your doctor when you call so they can collaborate with you to make informed decisions about your care.

Call Your Doctor if You Have Questions

As long as you are not uncomfortable doing so, you should always try to keep your scheduled appointment with your gynecologist. Remember, they are all used to seeing blood and know how to properly examine women even if they are on their period.

If you are in the Houston area, consider reaching out to Sugar Land Medical Spa’s board-certified OBGYN, Dr. Evans. She has nearly 20 years of experience providing female health support for women of all ages .

You can reach a member of her friendly team today by calling (281) 277-7721.

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Can I go to the gynecologist during my period?

Going to the gynecologist is essential for maintaining good reproductive health. However, many women wonder if it is appropriate to visit their gynecologist during their period. This article aims to provide factual information and advice about scheduling gynecological appointments during menstruation. We’ll discuss common concerns women may have, as well as the benefits of visiting the gynecologist regularly regardless of the menstrual cycle. So, can you go to the gynecologist during your period? Let’s find out.

Table of Contents

Understanding the basics

What happens during your period.

Women go through a menstrual cycle every month. The menstrual cycle is a process in which the body prepares itself for a possible pregnancy. The female body gets ready to ovulate, which is the process of releasing an egg from the ovaries. If the egg is not fertilized by sperm, the uterus sheds its lining, resulting in menstrual bleeding. This is what happens during a woman’s period. Menstrual bleeding can last from 2-8 days, and the menstrual cycle can range from 21-35 days.

Why visiting a gynecologist is important

Visiting a gynecologist is important for every woman’s overall health. Gynecologists specialize in the female reproductive system and can detect and treat any issues that may arise. They can also provide guidance on family planning, birth control options, and sexual health. Regular visits to the gynecologist can help detect early signs of cervical cancer and other gynecological issues. It is recommended that women start visiting a gynecologist at the age of 21 or sooner if they become sexually active before then.

Risks involved in visiting during your period

Visiting a gynecologist during your period does not pose any significant risks. However, as mentioned earlier, a pap smear may be less clear during menstruation. It is also important to note that some women experience discomfort or cramping during their period, which can make pelvic exams uncomfortable. If a woman is scheduled for a pelvic exam during her period, it is recommended to communicate any discomfort with the gynecologist. Overall, visiting a gynecologist during your period does not pose any significant risks or hinder the overall health assessment.

In conclusion, proper menstrual health is important for every woman, and regular visits to the gynecologist can help ensure overall reproductive health. Seeing a gynecologist during your period is not an issue, and it is important to communicate any discomfort or concerns with the gynecologist during the visit. Remember to prioritize your health and well-being by scheduling regular appointments with your gynecologist.

Preparing for your appointment

If you have a scheduled appointment with your gynecologist and realize that you will be on your period, you can proceed with your appointment as planned. Your menstrual bleeding will not interfere with the typical exams performed during a gynecological visit. In fact, in some cases, it may be beneficial to be on your period, such as during a Pap test.

It is valid to reschedule your appointment if you feel uncomfortable, but this should not be done if the reason for the appointment is related to changes in your menstrual cycle. If the attending physician does not ask about your period, you can simply mention it.

During your visit, if a pelvic exam is necessary, you will be asked to remove any menstrual products (tampons, discs, cups) beforehand. If you have heavy bleeding, the doctor may use a swab to remove excess blood before the exam.

If you suspect you have a vaginal infection, it may be advisable to reschedule your appointment until your period ends, as it may make visibility difficult.

What to bring to ensure your comfort

To ensure your comfort during your appointment, it is essential to wear comfortable, loose clothing. You may also want to bring a sanitary pad or liner in case you need to change during your visit.

It is also helpful to bring a list of any medications or supplements you are taking, and any questions or concerns you may have for your gynecologist.

Tips for managing your period during your visit

If you are on your period during your appointment, you may want to bring extra sanitary products, such as pads or liners, in case you need to change. You can also bring some over-the-counter pain relief medication if you usually experience menstrual cramps.

It is important to remember that your gynecologist is used to working with patients who are on their periods, and it is not something to feel embarrassed or ashamed about. Focus on your health and well-being, and trust in your doctor’s professionalism and expertise.

In conclusion, having your period should not prevent you from attending a gynecological appointment. It is essential to wear comfortable clothing, bring any necessary sanitary products, and communicate any concerns or questions you may have with your gynecologist. Trust in your doctor’s non-judgmental approach and professional expertise, and focus on your health and well-being.

What to expect during your visit

If you have an upcoming gynecologist appointment and happen to be menstruating, you may wonder if it’s still safe to go . The answer is yes, it’s perfectly normal , and your doctor can still perform most exams during your period.

It’s recommended that you keep your appointment because gynecologists are used to seeing patients who are on their period. From a medical perspective, it’s not a big deal to perform a pelvic exam or a Pap smear while you’re menstruating. While Pap smears may be less conclusive during your period, this shouldn’t be a reason to cancel your appointment.

As for common concerns, there’s no need to worry about what you’re wearing or if you’ve shaved or not . The focus of the exam is your health , so those aspects are largely irrelevant.

The typical gynecologist appointment during your period

During your visit, your gynecologist will likely conduct a pelvic exam . During the exam, you will remove anything that’s inside your vagina, such as tampons, menstrual cups, or disks. In some cases, your doctor may use a swab to remove excess blood before conducting the exam.

It’s essential to remember that there’s no shame in being on your period during your appointment. Your gynecologist is already aware and prepared to perform the necessary procedures. Just be sure to inform them of any symptoms or concerns you may have .

Tests and procedures that may need to be rescheduled

While most exams can be performed during menstruation, some tests and procedures may have to be rescheduled. For example, if you’re experiencing heavy bleeding, your doctor may postpone a Pap smear to ensure that the results aren’t inconclusive.

If you suspect you have a vaginal infection, it may be better to reschedule your appointment. Menstruation can affect the appearance of the cervix, making it more difficult for your doctor to diagnose potential issues.

Handling unexpected issues during your visit

If any unexpected issues arise during your visit, don’t be afraid to ask your gynecologist . They are there to help and can answer any questions you may have. If you experience severe pain, heavy bleeding, or unusual discharge, be sure to inform your doctor promptly.

In summary , if you have a gynecologist appointment scheduled and happen to be on your period, it’s still safe to attend . Your doctor can still perform most exams, and you shouldn’t feel ashamed or embarrassed. Just let your doctor know if you have any concerns, and they will ensure that you have a comfortable, informative, and safe visit.In conclusion, the answer to the question “Can I go to the gynecologist during my period?” is yes. However, it’s important to know what to expect and how to prepare for your appointment. Understanding the basics of your period and the importance of visiting a gynecologist is key. There are also risks involved in visiting during your period, but preparing properly can help manage these risks. Bring necessary items to ensure your comfort and speak up if you experience any unexpected issues during your visit. For more helpful tips like these, be sure to check out other articles on my blog, I Can Find It Out.

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I’m Ethan Query, a seasoned problem-solver with an endless curiosity. With years of experience in various fields, my mission is to help you navigate through life’s ‘Can I?’ questions, no matter how big or small

When to Visit Your Doctor About Your Period

August 08, 2022

Ann Peters, M.D., MS , is an experienced gynecologist and surgeon in The Gynecology Center  at Mercy. Dr. Peters recently responded to questions from Motherly.com , a women's wellness site focusing on pregnancy and parenting, on the topic of when a woman's period may be of medical concern. The following are Dr. Peters' responses:

1. What are the unusual signs of a period flow that can be considered a medical concern?

Period flow can vary from woman to woman. Some women start off with spotting for 1 to 3 days followed by heavier bleeding (aka an actual flow generally 2 to 4 days) which is usually then followed by another 2 to 3 days of lighter bleeding before it stops. Other women will start immediately with heavier bleeding and then have more days of light bleeding or spotting towards the end and nothing in the beginning of their period. Women can vary vastly on the combination of these patterns which can be normal as long as the overall bleeding of one's period stays under 7 days. If the overall flow length is persistently longer than this or women experience bleeding in between periods they should be evaluated. Generally, doctors would recommend evaluation if this is something that has occurred with more than 3 periods in a row. It is not unusual for women to have a "one off' period once in a while, but if there is a persistent abnormal pattern they should be seen. Women should also be seen if their cycle is exceedingly heavy. Generally changing a pad every 2 to 3 hours on the heaviest day of one's cycle is considered normal. If women are requiring more frequent changes or using a pad in combination with tampons, there is generally an underlying cause that should be evaluated.

2. When should someone go to the doctor about their period?

Patients should be seen if their periods last more than 7 days, their bleeding is excessive indicated either by the frequency of pad/tampon or menstrual cup changes or size of clots. They should also visit the doctor if their periods are irregular for more than 3 months.

3. Are blood clots OK? How many/how big would be a concern?

Small blood clots can sometimes occur (dime to quarter sized) on the heavier days and can sometimes be normal, however, presence of blood clots during one's cycle can often be an indication of women having abnormally heavy periods and hence should be evaluated. Clotting is generally the body's response to heavier bleeding as it means the body is trying to activate extra factors and proteins in the blood to help slow down excess bleeding which then manifests in clots. The clots are generally a good thing as it means that the body is trying to counteract extra or dangerous bleeding. It can however signal that their periods are heavier than they should be which is more commonly a sign of an underlying problem with a woman's period (i.e. fibroids, adenomyosis, endometriosis, or uterine polyps being the most common etiologies).

4. How many days does a typical flow last?

Typically less than 7 days.

5. Is it normal to have an irregular cycle?

Irregular periods are not normal. An irregular cycle is anything from the start of one's period to the next period starting less than 21 days or more than 35 days. Periods can vary from person to person and month to month between women but should be within this range. It would not be unusual to fluctuate within a couple of days in this time range (i.e. a woman may have a 26-day cycle one month and then a 30-day cycle the next). However large fluctuations should be investigated (i.e. one month, 21 days, the next 35 days, the next 28 days) as this is more unusual. Skipping periods or cycle length more than 35 days usually indicates that a woman is not ovulating and should be investigated, as it could be an underlying issue such as menopause, premature ovarian failure (i.e. early menopause), polycystic ovarian syndrome (PCOS), or an early pregnancy even with abnormal bleeding.

6. Is it normal to have extreme pain/cramping during a period, or is this a sign you should see a doctor?

It is okay to experience some degree of cramping with one's period and need an occasional ibuprofen, Aleve, or Motrin for pain relief when the flow is the heaviest. However, cramping to the point where you have to constantly use these medications around the clock for multiple days, take time off work/school, or use many ancillary management options like heating pads is generally a sign of abnormal periods and underlying health conditions such as endometriosis, fibroids, or adenomyosis should require an appointment with their physician.

7. Is nausea normal during your period?

Sometimes. However, it can also be a response to pain that women are experiencing and hence a sign of something abnormal. Generally other gastrointestinal symptoms such as painful bowel movements, bloating, nausea, vomiting are signs of more severe conditions with the most common one being endometriosis.

8. Is there anything else you want women to know?

Unfortunately, women are often led to believe that painful periods are normal and "part of being a woman" and often not provide much relief other than being told that they should use over the counter pain medications. When this becomes the norm rather than the exception women should be referred to their gynecologists for treatment options such as medical management with hormonal options and investigation for other more serious conditions such as fibroids, endometriosis and adenomyosis. An ultrasound or MRI may be indicated to investigate further. If surgery is indicated based on the etiologies found, women should be referred to minimally invasive gynecologic surgeons as management of these very common conditions often require more advanced surgical training for more successful management with better treatment outcomes.

Dr. Peters focuses on the evaluation and treatment of a wide range of gynecologic conditions including endometriosis , chronic pelvic pain , uterine bleeding  and fibroids . She has specialized training in minimally invasive gynecologic surgery. Her research accomplishments include publications in several major gynecology journals, including the American Journal of Obstetrics and Gynecology and the Journal of Minimally Invasive Gynecology .

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About Mercy

Founded in 1874 in Downtown Baltimore by the Sisters of Mercy, Mercy Medical Center is a 183-licensed bed, acute care, university-affiliated teaching hospital. Mercy has been recognized as a high-performing Maryland hospital (U.S. News & World Report); has achieved an overall 5-Star quality, safety, and patient experience rating (Centers for Medicare and Medicaid Services); is A-rated for Hospital Safety (Leapfrog Hospital Safety Grade); and is certified by the American Nurses Credentialing Center as a Magnet™ hospital. Mercy Health Services is a not-for-profit health system and the parent company of Mercy Medical Center and Mercy Personal Physicians.

Media Contact   Dan Collins, Senior Director of Media Relations Office: 410-332-9714 Cell: 410-375-7342 Email: [email protected]

Can you get a Pap smear or pelvic exam on your period?

If you’ve scheduled an appointment with your gynecologist and you’re on your period, there is no need to cancel the appointment.

Story by: Norton Healthcare on November 4, 2022

The answer is yes!

If you’ve scheduled an appointment with your gynecologist and you’re on your period, there is no need to cancel the appointment. Normal vaginal bleeding should not get in the way of a Pap smear or pelvic exam. “An OB/GYN still can perform an exam when you’re on your period, but it’s also OK to reschedule the appointment if you are feeling uncomfortable,” said Rosemary C. Sousa, M.D. , OB/GYN with Norton Women’s Care. “Menstrual bleeding shouldn’t impact important tests we do during an exam, such as a Pap smear, pelvic exam or STI [sexually transmitted infection] testing.”

What should you do on the day of the appointment?

First of all, there is no need to feel embarrassed. After you check in for your appointment and a medical assistant takes you to the exam room, let them know that you are on your period. You can remove your tampon, pad or menstrual cup in the restroom. Inside the exam room, pads are available to lay underneath you if needed. A swab may be used to remove remaining menstrual blood inside the vaginal canal so the provider can check that everything looks healthy. Otherwise, the exam should proceed completely as normal. The most important aspect of a gynecological visit is that you, the patient, feels comfortable. If you have heavy bleeding or cramps, it’s OK to cancel the appointment — however, your provider should be made aware that you are experiencing any painful or abnormal symptoms.

The bottom line

It’s totally normal to talk about your menstrual health with your gynecologist; and if you are on your period, you should feel comfortable enough to attend the appointment without feeling embarrassed. If you decide to cancel the appointment, be sure to reschedule it. A Pap smear and pelvic exam can be lifesaving screenings that can impact your overall health and fertility.

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Irregular Periods and Your Annual Exam: Can You Have Your Annual Checkup While on Your Period?

Chapel Hill Obstetrics & Gynecology Abnormal Periods , Fibroids , Hormones & Menopause , Pap Smear Testing , Vagina: What's Normal, What's Not

Ideally, your annual exam and Pap smear should be conducted when you are not on your period. While heavy menses may possibly interfere with Pap smear interpretation, we generally can see someone when they are on their period, including a pelvic exam and successfully collect their Pap. Understandably, many patients are more comfortable to be examined when they are not on their period, and we are happy to reschedule if they request.

Annual Checkup While on Period

Even if you’ve taken care to schedule your annual exam for when you aren’t menstruating, we understand that if you have irregular periods, it may be difficult to accurately determine when they will start.  If you prefer, we can usually reschedule your appointment for when you are no longer on your period. If more convenient, you may also keep your original appointment as your period will typically not interfere with your examination.

”Irregular periods are very common. We always put the comfort of our patients first,” said Dr. Sonya Williams .

While the Pap smear and pelvic exam are an important part of your yearly exam, we also believe this is an ideal time to discuss your general wellness and sexual health. We care for the whole patient, and that’s why we want to know if you have any other health issues such as high blood pressure or high cholesterol. It is also a chance to review and discuss your lab work and conduct a clinical breast exam.

If your period came unexpectedly, we’d like to talk to you about that too. Painful, heavy or irregular menses can be indicative of another health problem. If you have an irregular period, you should keep a record of when it occurs, for how long and how heavy the flow is. This will be a useful tool that will help us determine the root of the problem.  

What constitutes an irregular period?

It’s very frustrating not knowing when you are going to have your period. It can cause problems planning vacations or other activities and can cause stress, worrying about what outfit to wear or if you could be pregnant. Your period should occur every 21 to 35 days and last up to seven days.  An irregular period comprises anything that is outside of this norm.

The following are also signs that you have an abnormal period:

• Periods that cause you to feel nauseated to the point of vomiting
• Flow that is heavier than usual
• Bleeding between periods
• Passing blood clots during your period
• Extremely painful periods with severe cramping — this is known as dysmenorrhea.

If your period has stopped completely, or you are a young woman who hasn’t had your first period by the age of 16, then you may be diagnosed with amenorrhea . This means you have gone 90 days or more without a period and you are not using contraception known to stop periods, pregnant, breastfeeding, or menopausal. If you have infrequent periods (those consistently greater than 35 days apart), then you may have oligomenorrhea. ( Cleveland Clinic )

You should speak with us if:

• You have skipped two periods and you are not pregnant
• You have recently had a heavier menstrual flow than what is normal for you
• Your periods last longer than seven days

What causes irregular periods?

Irregular menstrual cycles are most common around the time your first period starts and just before you begin menopause. However, there are many causes of irregular periods such as:

• Ovarian cysts
• Certain medications for anxiety or depression
• Certain birth control methods like IUDs
• Ovulation disorders
• Eating disorders
• Hormonal irregularities
• Thyroid problems

How are irregular periods treated?

First, we’ll review your medical history and perform a pelvic exam. Then, we’ll order blood tests to rule out other medical disorders such as thyroid problems or hormonal deficiencies.

Because fibroids, polyps and ovarian cysts can cause irregular periods, we may need to perform a pelvic ultrasound to check for them. If needed, we’ll perform an endometrial biopsy, removing sample tissue from your uterine lining. This helps us diagnose precancerous changes or even certain types of cancer.

Depending upon the diagnosis, treatment may include:

• Prescribing hormones such as progestin or estrogen. These can control heavy bleeding and also induce a period if you have not had one for several months.
• Taking low-dose birth control pills
• Using gonadotropin drugs, which can reduce the size of fibroids and also control heavy bleeding

We’ll work with you to create a treatment plan that addresses your concerns.

If you have your checkup scheduled and you’ve started your period, please contact us . Usually, we can easily reschedule you for another appointment within a week.  If that isn’t possible, we urge you to keep your appointment so we can discuss why you’re having an irregular menstrual cycle. Together, we’ll tailor a treatment plan that will enable us to treat the problem.

For more than 40 years, Chapel Hill OBGYN has served women in the Triangle area, sharing the joy of little miracles and supporting them during challenges. Our board-certified physicians and certified nurse midwives bring together the personal experience and convenience of a private practice with the state-of-the-art resources found at larger organizations. To schedule an appointment , please contact us for more information.

Cleveland Clinic. “Abnormal Menstruation (Periods)” Online.

https://my.clevelandclinic.org/health/diseases/14633-abnormal-menstruation-periods

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Important Guidelines for Intimacy After an Endometrial Ablation 

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How to Prepare to See a Gynecologist for the First Time

Last Updated: April 3, 2023 Fact Checked

wikiHow is a “wiki,” similar to Wikipedia, which means that many of our articles are co-written by multiple authors. To create this article, 9 people, some anonymous, worked to edit and improve it over time. There are 7 references cited in this article, which can be found at the bottom of the page. This article has been fact-checked, ensuring the accuracy of any cited facts and confirming the authority of its sources. This article has been viewed 47,057 times. Learn more...

A person's first gynecological exam is usually done between the ages of 13 and 15, but some people wait until after they become sexually active. Others will wait until they have a problem or a symptom that suggests that they may need to see a gynecologist. It's better to see a gynecologist sooner rather than later, so try to find one that you feel comfortable with and do some research so you know what to expect for your first exam.

Preparing for Your First Appointment

• The first visit will include a lot of talking and you will be asked many questions about your health as the gynecologist gets to know you. The doctor will also ask about your family's medical history and whether you are sexually active or not.
• You may feel a little uncomfortable answering these questions but it is important that you are honest because this will allow the gynecologist to help you.

• Your questions can include any issues to do with menstruation, offensive vaginal discharge, bleeding after intercourse, spotting in between periods, a lighter flow than normal, a heavy flow than normal, pelvic pain or any other unusual pain.
• Don't be embarrassed about any questions you want to ask - the gynecologist has heard it all before.

Knowing What to Expect

• When was your last period?
• How long do you bleed for?
• Are your periods regular?
• Do you feel pain during your periods? If so, how would you describe the pain?
• Do you experience any pain after sexual intercourse?
• Do you suffer from any discharge, itching or genital pain?
• Do you have any other medical issues?
• Is there a history of any medical conditions in your family?
• Do you have a specific method of birth control that you are using?
• When was your last pregnancy?
• Do you think that you are pregnant?
• Are you trying to have a baby?
• What method do you use to prevent sexually transmitted diseases?
• Do you have more than one sexual partner?

• This includes whether you have been admitted to hospital before, have has any surgery in the past, any miscarriages, how many children you have, whether you smoke and whether you a have a problem holding your urine.
• The doctor may also want to review the contraceptive that you are currently using and will ask you if you're happy with it and whether it's causing any side effects.

• Usually, you will be provided with a hospital gown and a drape sheet to cover yourself while the exam is being carried out. The gynecologist will ask you to lie down on the bed so that the examination can be performed.
• If it makes you feel more comfortable, you can ask to have a family member or friend in the exam room with you.

• You will be encouraged to spread your knees wide apart and to breathe deeply in and out to try to relax. This may be difficult for the first visit but it becomes easier with subsequent ones.
• Try to relax your vaginal and abdominal muscles, as this will make the exam more comfortable. Don't worry about feeling too exposed as you will usually be provided with a drape sheet to keep you covered throughout the examination.
• Don't hesitate to ask the doctor if you have any questions about what they're doing.

• The doctor will then perform a speculum examination where a sterile plastic or metal speculum is inserted into the internal part of the vagina. The speculum is then opened by the doctor and this helps to separate the walls of the vagina to allow the doctor to see the cervix.
• You may feel some discomfort when the speculum is inserted, however most doctors will warm the speculum and lubricate it to make it more comfortable for you.
• The gynecologist will then inspect the cervix to look for any abnormalities like irritation, abnormal discharge, or any growths.
• The doctor may also do a pap smear by using a tiny brush or spatula to collect some cells from the cervix. The cells are then taken to the laboratory where they are tested for cancerous or precancerous cells. [10] X Trustworthy Source Cleveland Clinic Educational website from one of the world's leading hospitals Go to source
• When the doctor removes the speculum, the walls of the vagina are checked for irritation and redness.

• This is because the different instruments that are inserted into the vagina during the examination may cause bruising or bleeding.
• Therefore, it is advisable to bring a pad or a panty liner to the exam to prevent staining your clothes.

• After the exam, you may need to set up an appointment to discuss the results of any tests. Most laboratory tests take between 3 to 14 days before there are any results.
• The one exception is a pregnancy test, the result of which are usually available by the end of the visit.
• You doctor will be happy to walk you through your test results and answer any questions.

Expert Q&A

You Might Also Like

• ↑ https://settlement.org/ontario/health/sexual-and-reproductive-health/reproductive-and-sexual-health/what-can-i-expect-from-my-gynecology-appointment/
• ↑ https://www.acog.org/womens-health/faqs/your-first-gynecologic-visit
• ↑ https://medlineplus.gov/ency/article/001993.htm
• ↑ https://www.plannedparenthood.org/learn/health-and-wellness/wellness-visit/what-pelvic-exam
• ↑ https://my.clevelandclinic.org/health/diagnostics/4267-pap-smear
• Thornton, R. S., & Schramm, K. (1998). Everything you always wanted to ask your gynecologist: Answers to over 200 questions commonly asked by women. Boston, Mass: Houghton Mifflin.
• Schneider, K. M., & Patrick, S. K. (2009). PreTest obstetrics and gynecology: PreTest self-assessment and review. New York: McGraw-Hill Medical.

About This Article

Medical Disclaimer

The content of this article is not intended to be a substitute for professional medical advice, examination, diagnosis, or treatment. You should always contact your doctor or other qualified healthcare professional before starting, changing, or stopping any kind of health treatment.

Read More...

It’s natural to feel nervous before your first appointment with a gynecologist, but preparing in advance will help put your mind at ease. Before you go in, be ready to answer questions about your health, family history, and any sexual activity you’ve experienced. It can feel a little awkward to answer these questions, but do your best to be honest and open. This is also a good opportunity for you to ask any questions you might have, so write out a list in advance. If possible, try to schedule the appointment for a time when you won’t be having your period, since that could make it harder for the doctor to examine you. It’s a good idea to wash up before your appointment, but use mild soap and don’t put any rinses, douches, or vaginal creams inside your vagina since these could cause irritation. Read on for tips about what to expect during your exam! Did this summary help you? Yes No

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When to See a Gynecologist for the First Time and What to Expect

Knowing when to see a gynecologist for the first time can be puzzling, but for young women, meeting with an OB-GYN earlier on can set you up for a strong foundation of reproductive health, well-being and open communication.

This article is based on reporting that features expert sources.

When to See an OB-GYN for the First Time

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Usually, parents take their child to a health care specialist due to an existing health concern. A pulmonologist follows their asthma, a psychiatrist manages ADHD or diabetes is overseen by their endocrinologist.

When it comes to a first gynecologist visit, it's crucial for women and young girls to proactively receive care as an integral part of their overall health and well-being.

What Age Should Girls First See an OB-GYN?

The American College of Obstetrics and Gynecology recommends that girls establish care with an obstetrician-gynecologist, or OB-GYN, between the ages of 13 and 15.

Most girls get their first period between the ages of 10 to 16, and up to 42% of teenage girls become sexually active between ages 15 to 19. ACOG adds that adolescent girls may have a first gynecologist visit for any of the following reasons at any time:

• Have not had their period by 15 years of age.
• Heavy, irregular or painful periods.
• Puberty concerns, like acne or unwanted hair growth. 
• Sexually active.
• Questioning their gender identity.

Dr. Anne Smith, a pediatric and adolescent OB-GYN at Yale Medicine and assistant professor of obstetrics, gynecology and reproductive sciences at Yale School of Medicine, says, “The primary goal for seeing patients early is to provide preventative care.” Knowing what is normal and what is abnormal can also empower teenage girls, especially regarding puberty and menstruation.

“OB-GYNs can also have a focused discussion with teens about reproductive health, as well as healthy relationships, bone health and other lifestyle factors,” she adds.

Why See an OB-GYN Instead of a Primary Care Provider?

A primary care provider , or PCP, is a medical provider well-versed in typical health care conditions prevalent in the general population. PCPs are excellent at treating common health conditions, helping to coordinate care or recommending specialists.

So, if a teenage girl has a common concern, like a painful period, why should they see an OB-GYN rather than their PCP ? It is in the scope of a PCP to listen to these concerns and recommend a treatment plan. However, Smith suggests some adolescents could be more comfortable discussing their concerns with an OB-GYN.

“They have specialized training in these sensitive topics,” she explains.

Most teens are nervous about seeing an OB-GYN for the first time. Still, Smith explains that an OB-GYN can listen to the teen’s concerns, and they shouldn’t worry about invasive exams or procedures during their first visit.

What Happens at an Initial OB-GYN Visit?

During a first visit with an OB-GYN , the primary goal is to get to know the teenager and establish a trusting relationship.

A first gynecologist visit will often follow this structure:

• Gathering initial information.
• Checking on overall health.
• Discussing concerns.
• Conducting an assessment.

Gathering initial information 

This includes race and ethnicity, religious background, age and family structure, so the OB-GYN can be sensitive to any personal needs and preferences.

Checking on overall health 

A nurse or medical assistant will take vital signs, height, weight and last menstrual period. They will also ask if the purpose of the visit is to establish care, or if there are other health concerns.

Dr. Ashanda Saint Jean, the chair of obstetrics and gynecology at Health Alliance Hospitals Westchester Medical Center and a member of WMCHealth in Valhalla, New York, says, “At the first visit, a detailed history is obtained. Often, parents are quite useful in filling in the blanks of many early childhood medical conditions, hospitalizations, medical allergies and adverse reactions and past surgeries.“

Discussing concerns 

The provider will introduce themselves and spend some time understanding any prevalent concerns.

“Creating a safe space and opportunity to ground that experience in trust will strengthen a bond of trust and temper nerves,” Saint Jean explains.

Conducting an assessment

An assessment could be looking at acne, asking more in-depth questions about pelvic pain or discussing what to expect with physical development during puberty.

Dr. Andrea Braden, breastfeeding medicine specialist at Lybbie, a lactation innovation company, says, “Depending on the age and risk factors of the patient, bloodwork may also be drawn at a first visit as part of a preventive care workup. These blood tests can check for illnesses that require further treatment but may not be apparent on physical exam alone.”

Are you concerned about an unwanted pap smear or a pelvic exam? Pap smears are only recommended for women over age 21, regardless of when they become sexually active. Pelvic exams are only done on teenagers if it is medically necessary to address a specific concern, and only after their OB-GYN establishes trust and receives informed consent from their patient. Saint Jean adds that “patient-centered care is the bedrock of trust-promoting and fear, anxiety and stress reduction. This holds true for young teenage patients, as well.”

Patient Confidentiality at Teenage Gynecology Visits

Both parents and their teenage girls may have questions or concerns about their privacy and confidentiality. Parents want to ensure they are privy to their children’s health status, and teenagers may not want their parents to know about their sexual activity or gynecological concerns.

Rules on patient confidentiality in regard to sexual health differ in each state. The American Academy of Pediatrics says that these laws are highly variable and do not reflect any pediatric standards of care.

To check what the laws are in your state, visit your public health department website. There are differences in regulations with each of the following types of care:

• General medical care. 
• Immunizations, including the HPV vaccine.
• Sexual assault evaluations. 
• STI/ HIV testing and treatment. 
• Contraceptive care . 
• Prenatal care . 

“Given the sensitive nature of reproductive care, many young teenage patients rely on privacy and confidentiality when accessing these care pathways,” Saint Jeans says. “Honoring this patient/physician relationship contributes to building a bridge of trust with our young teenage patients, thus allowing an avenue to exist where care can be sought and delivered without the fear of divulgence and breach of confidentiality.”

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The U.S. News Health team delivers accurate information about health, nutrition and fitness, as well as in-depth medical condition guides. All of our stories rely on multiple, independent sources and experts in the field, such as medical doctors and licensed nutritionists. To learn more about how we keep our content accurate and trustworthy, read our  editorial guidelines .

Braden is a board-certified OB-GYN based in Atlanta and a breastfeeding medicine specialist at Lybbie, a lactation innovation company.

Saint Jean is the chair of obstetrics and gynecology at Health Alliance Hospitals Westchester Medical Center, a member of WMCHealth in New York.

Smith is a pediatric and adolescent obstetrician-gynecologist at Yale Medicine and assistant professor of obstetrics, gynecology and reproductive sciences at Yale School of Medicine in Connecticut.

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Can You Get a Pap Smear on Your Period?

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Periods don't always come on schedule, and sometimes a person who menstruates might not track their cycle as far out when booking a Pap smear. Pap tests, or Pap smears, are cervical cancer screening tests done every three years for individuals aged 21 to 65 with a cervix—the lowest part of the uterus.

Menstruation can affect the results of these tests, which may leave you wondering if you can get a Pap smear on your period. The immediate answer is that you can, but it depends on factors like your comfort level and healthcare provider guidance. Here's what you need to know about getting a Pap smear while menstruating.

What Is a Pap Smear?

A Pap test involves taking cell samples from your cervix to look for signs of cervical cancer. The test is also a way to look for cellular changes like precancers caused by the human papillomavirus (HPV) that indicate the potential development of cancer.

During the Pap test , a healthcare provider inserts a plastic or metal speculum into your vagina to open it up. Using a soft brush, the provider will take cell samples from your cervix.

Sometimes, the healthcare provider will do co-testing, where they complete an HPV test at the same time as the Pap test. The HPV test involves taking samples from outside the cervix. The samples are then sent to a lab for testing.

When Should You Get a Pap Smear?

Individuals with a cervix are recommended to start cervical cancer screening at 25 and continue through age 65, with HPV testing every five years as the preferred method of testing. If you get an abnormal Pap result or have risk factors like a history of cervical cancer, you might need to get a Pap smear more often.

Pap tests, HPV tests, or both are sometimes done during a pelvic exam, which is a typical part of your annual OB-GYN visit. Of course, if you're experiencing unusual vaginal discharge or pelvic pain , you can make an appointment for a pelvic exam at any time.

Pap Smear on Your Period?

As for getting a Pap test on your period, there's no reason you can't have one. It may not be ideal if you're experiencing a particularly heavy flow . It could potentially affect the Pap test outcome.

You should also consider your comfort level. It's best to reschedule and go back on a period-free day if you're not comfortable getting a Pap test, HPV test, or even your annual exam while you have your period.

How It's Done

The Pap test procedure doesn't change if you happen to be on your period. Instead, the changes occur with the sample analysis. Rebecca C. Brightman, MD , a gynecologist in private practice in NYC and an assistant clinical professor of obstetrics, gynecology, and reproductive medicine at the Icahn School of Medicine at Mount Sinai, told  Health more about the analysis.

"Pap tests are typically liquid-based cytology [cell biology] evaluations with the cervical cells placed in solution, and cervical cells can then be separated from the blood in the lab to allow for proper analysis," explained Dr. Brightman. Too much blood in that sample can still obscure results.

How Heavy Is Too Heavy?

There's no right answer to the question of "how heavy is too heavy?" for menstrual flow if you plan to have a Pap test completed. Neither you nor a healthcare provider can determine how much flow will affect the results. With that in mind, it's worth calling ahead of time to get the provider's guidance about coming to your appointment during your period .

A Quick Review

In general, you may be able to get a Pap smear while on your period. To be sure, call the office where you'll be having your appointment to see what they'd prefer you to do and then go from there.

Depending on the timing of your period, your comfort level, and a healthcare professional's opinion, some may suggest you still come in for your appointment, and others may suggest you try another day.

MedlinePlus. Pap test .

Office on Women's Health. Pap and HPV tests .

MedlinePlus. Pap smear .

American College of Obstetricians and Gynecologists. FAQs - cervical cancer screening .

Office of Disease Prevention and Health Promotion. Get your well-woman visit every year .

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