It’s my first time seeing a gynae and I’m nervous...

Seeing a gynaecologist for the first time can be a huge step in a woman’s life, and it’s completely natural to feel intimidated or have questions and concerns if this is your virgin visit. Whether it’s for a routine check-up, a specific health issue, or even a pregnancy scare, understanding what to expect can ease some anxiety and set you up for a more comfortable overall experience.

Where do you find a reliable gynaecologist? How much will it cost? And is there anything you should be preparing? In this comprehensive FAQ guide, we’ll address some common questions and provide valuable insights into your first gynaecologist appointment.

Where do I look for a gynae?

Finding the right gynaecologist is the first step. Start by asking for recommendations from friends, family members, or your usual GP — word-of-mouth recommendations from people you trust are usually most reliable. Alternatively, you can also research online, check public reviews, and look for a gynae with experience in your specific area of concern (if any). You might also wish to consider the clinic’s location and hours of operation to ensure convenience.

There are a few types of specialisations to consider:

- A regular gynaecologist will be able to address general women’s health issues such as abnormal periods, endometriosis, birth control, and vaginal infections.
- An obstetrician gynaecologist, or OB-GYN, specialises in pregnancy. He or she will be able to address issues such as prenatal tests, miscarriage, and other pregnancy- or delivery-related issues.
- An IVF specialist goes one step further as they specialise in in-vitro fertilisation (IVF) and other fertility issues.
- A gynaecologic oncologist specialises in issues such as ovarian and cervical cancer.

If in doubt, seek out a GP first — he or she will be able to refer you to the right kind of specialist.

How much will it cost?

The cost of a gynaecologist visit can vary depending on factors like location, the reason for your visit, and insurance coverage. Certain conditions may be covered by insurance, but routine check-ups usually fall under your own expenses. When in doubt, contact your insurance provider to understand your coverage and inquire about any potential out-of-pocket costs.

Do prior research because some clinics may offer health screening packages at a discounted price, which include a pap smear, pelvic ultrasound and consultation, etc. If consulting for pregnancy, you might also find gynaecologists offering prenatal packages which offer cost-savings, some of which might be claimable under MediSave.

For a general ballpark figure, a consultation with a private OB-GYN starts at $100 – $150.

For maximum cost savings, get a referral via a polyclinic first.

Is it really necessary to see a gynae?

Regular gynaecological visits are essential for maintaining your reproductive and overall health, and addressing concerns like infections, irregular periods, pregnancy-related issues, or contraception. Even if you’re not experiencing specific problems, routine check-ups can help detect and manage issues early and ensure your well-being. Prevention and early detection are crucial in women’s healthcare. So yes, we’d say it’s necessary to see one and do regular checkups to prevent further issues down the road.

Does it matter if the gynae is male?

This is a matter of personal preference. Some women feel more comfortable with a female gynaecologist, while others genuinely have no preference. What matters more is the gynaecologist’s qualifications, experience, skill and ability to provide compassionate care. However, you should definitely choose a healthcare provider whom you feel comfortable openly discussing your health concerns with.

Will the check be painful?

During your first gynaecologist visit, you can expect a pelvic exam and a pap smear in most cases. While these procedures may be uncomfortable, they are not typically painful. Generally, the gynaecologist will insert a speculum, a metal device, to open up the vaginal walls for examination.

Communicate openly with your gynaecologist about any discomfort or pain you might feel as the examination is taking place, so they can adjust their approach to make the experience more tolerable. It really helps if you are as relaxed as possible — intentionally taking slow, deep breaths will help minimise the discomfort.

How do I prepare for the visit? Should I shave?

You do not need to shave or groom specifically before a gynaecological exam. Your gynae is a medical professional focused on your health, not your appearance. However, it’s advisable to schedule your appointment when you’re not menstruating, and you should avoid intercourse and using vaginal products like douches or tampons in the two days leading up to the visit. You might also wish to bathe or shower before your appointment, but there’s no need to go to any extra lengths in terms of grooming. If you have specific concerns about cleanliness or preparation, don’t hesitate to ask the clinic staff for guidance.

What should I bring to the appointment?

Bring your identification card, your insurance information if applicable, and any medical records or previous test results relevant to your visit. You may also find it helpful to prepare a list of questions or concerns to discuss with your gynaecologist, so that you don’t forget anything during the consultation.

How long will the appointment take?

Barring wait times, the duration of your actual consultation can vary but typically ranges from 15 to 30 minutes for a routine check-up. Should you require any additional tests or procedures, the appointment may take longer. It’s good practice to arrive at least 10 minutes before your first appointment to fill out any necessary paperwork.

Can I bring someone with me?

Bringing a trusted friend, family member, or partner with you to the appointment for emotional support is perfectly okay. It can be reassuring to have someone you trust by your side, especially if you’re feeling anxious about your first visit or if you’re discussing sensitive issues. Just inform the clinic in advance if you plan to bring someone along. 

What should I expect at my first visit?

During your first visit to the gynae, you can probably expect a thorough discussion of your medical history—including details about your your menstrual cycle, sexual history, contraception use, family planning, and any relevant medical conditions. A typical first visit may also include a pelvic exam and a Pap smear to screen for cervical cancer, and other tests if necessary. Your first visit is an excellent opportunity to discuss birth control options and whatever concerns or questions you may have.

How often should I be seeing a gynae?

The ACRM (Advanced Centre for Reproductive Medicine) recommends that girls start seeing a gynae from 15 years of age, and by the time they turn 21 (or whenever they become sexually active), to return for annual health screenings and regular PAP smears every three years.

In between your annual checks, you should also consult your gynae should you experience any unusual symptoms, e.g. heavy and irregular periods, unusual menstrual pain or pain during sexual intercourse.  

What if I’m pregnant or planning to get pregnant?

If you’re pregnant or planning to become pregnant, your gynaecologist will play an even more pivotal role in your well-being. During pregnancy, you will need regular prenatal care appointments to monitor your baby’s health and development.

Your gynaecologist will also provide the necessary guidance on prenatal vitamins, nutrition, exercise, and any other specific concerns that may arise. Finally, should you choose, they will also be the one to help deliver your baby when the time comes.

If you’re planning to try for a baby in the next three months, inform your gynae in advance so they’ll know to give you the right medication and/or advice. Some medication, such as antifungal medicine for yeast infections, should not be taken when trying to get pregnant.

What if I have an STD or specific concerns about my sexual health?

If you have concerns about sexually transmitted diseases (STDs) or other sexual health issues, your gynae is the best person to speak to. They can offer advice, testing, diagnosis, and treatment options, as well as provide specific guidance on safe sex practices, contraception, and how to prevent transmission.

Don’t be afraid to share about your sexual history — as a professional, a gynae will not judge. The more candid and transparent you are about your history and partners, the better the advice they will be able to give.

What if I’m not satisfied or comfortable with my gynae?

It is important that you have a trusting and comfortable relationship with your gynaecologist. If you ever feel dissatisfied or uncomfortable with your current gynae, whether it’s after the first or second or nth visit, don’t hesitate to seek a second opinion or switch to a different practitioner. Your health and comfort should always come first. Should you wish to file a complaint against your doctor, the Singapore Medical Council is where you would go.

What happens if they find something abnormal?

If your gynaecologist detects any abnormalities or concerns during your examination, they will discuss their findings with you. Depending on the issue, further tests and treatments may be required. You may sometimes also be referred to a different specialist. While this can be quite an upsetting experience, it helps to remember that early detection often leads to more manageable and successful treatment outcomes.

This article was originally published in Singapore Women’s Weekly.