Most healthy women can expect to live beyond 80 years. To promote good health we recommend a well-balanced diet, regular exercies and age appropriate routine screening tests.

Not smoking and limiting alcohol consumption is beneficial for all ages.


Teenagers should visit a gynecologist when it seems they may be deciding to become sexually active, preferably before. If the teen is not yet contemplating sexual activity, an appropriate first visit would be during her junior or senior year in high school.

Other reasons for a teen visit would be evaluation of gynecological problems, such as menstrual irregularities, severe menstrual pain, or vaginal irritations.

The first visit may or may not include a complete physical exam depending on the reason for the visit. Informational brochures and handouts are provided that are age appropriate such as Birth Control Options, Menstruation, How to Prevent Sexually Transmitted Infections, and Your First Visit.

20s and 30s

Recommended annual visits include:

  • Breast exam, breast self exam instruction
  • Pap smear screens for cancer of the cervix every 2 years in 20s, every 3 years in 30s
  • Bimanual exam evaluates uterus and ovaries
  • Review of contraceptive needs and prevention of sexually transmitted diseases (STDs)
  • Address any problems and answer questions
  • Encourage healthy diet and exercise
  • Discourage smoking
  • Alcohol in moderation

40s and 50s

In addition to the annual evaluation and issues:

  • Annual rectal exams
  • Annual mammogram referrals
  • Counseling for osteoporosis prevention and Bone Density Testing (Dexa Scan) if indicated
  • First colonoscopy at age 50
  • Remind patients to see their Primary Care Providers for routine health care and screening for cholesterol, glucose, thyroid and EKGs, etc
  • Discuss possible peri-menopausal or age related changes to expect such as: menstrual cycle changes, hot flashes, mood swings, breast tenderness
  • Long term contraceptive needs and continued sexually transmitted disease (STD) prevention

imageMenopausal Years Onward

The prefix "peri" means "around" in latin. The perimenopause encompasses the time period around menopause when reduced estrogen levels may result in menopause-related symptoms. One full year after the last menses women are considered to be in menopause. The transition into menopause can be troublesome for some women secondary to hot flashes, night sweats, vaginal dryness, insomnia, and mood disturbances. The goal is to promote health by monitoring wellness screenings and optimize well being by considering all available therapies including conventional HRT, alternative therapies, as well as bioidentical hormones. This can be accomplished by individualizing care, taking into account the woman's risk/benefit profile, her treatment goals and symptoms that may affect quality of life. The menopause is an optimal time to encourage health and make informed decisions about life-style changes that may reduce chronic diseases and help reduce menopause-related symptoms.

In addition to the annual evaluation and issues:

  • Encourage Calcium intake 600 mg twice daily and exercise to decrease bone loss
  • Repeat Bone Density (Dexa Scan) approximately every other year if bone loss is present
  • Colonoscopy approximately every five years
  • Follow up with primary care for medical screening
  • Address issues such as vaginal dryness, urinary frequency or incontinence, sexual function problems
  • Counsel Hormone Replacement Therapy (HRT) if indicated