When Should Teens Have Their First OB/GYN Visit?

The first OB/GYN visit is a significant milestone that marks the beginning of a new chapter in caring for her body. Dr. Alana Hicks with Carolina Women's Physicians shares what young women should know to feel more confident and prepared for this important step.

When should a young woman see an OB/GYN for the first time?
A young woman should see an OB/GYN for the first time for a reproductive health visit between the ages of 13 and 15, as the American College of Obstetricians and Gynecologists (ACOG) recommends. It is especially important to schedule a visit if a woman has problems with her periods or has become sexually active. At the latest, a young woman should see an OB/GYN at 21 years old, when cervical cancer screening, or pap smears, are recommended to begin. 

How do you put them at ease at the beginning of their exam?
Feeling nervous about the first visit is normal, and I reassure patients about this when we first meet. Many young women under the age of 21 clinically do not need to have a pelvic exam, which I share at the beginning of the visit to reduce the anxiety that they may have when coming to the office.

If the patient is with their parent, caregiver, or significant other, I set aside time during the visit to speak with them privately so they can discuss specific parts of their health they may not feel comfortable sharing in front of others.

What should they expect at the exam?
During our visit, I give an overview of what we will talk about and any exam or testing they may need. A young woman should expect to discuss their medical history, as well as their menstrual cycles, sexual health, and preventative measures regarding sexually transmitted infections (STIs) and pregnancy.

How frequently should a young woman see an OB/GYN afterward?
After the initial visit, young women should continue seeing their OB/GYN annually. During annual visits, their provider can stay up-to-date on any changes to their health, discuss preventative measures such as vaccinations or testing, and guide them to reach or maintain their health goals. 

What else would you like young women or their parents to know about the first exam?
It is entirely normal to be nervous or even feel anxious about your first visit. Be reassured that your provider wants to get to know you, listen to your questions and concerns, and help you achieve your health goals. There is no judgment during these visits. We are here to help make you feel comfortable as you begin your reproductive healthcare journey. 


Alana Hicks, MD, Carolina Women's Physicians