Make Time for Your Health. Health Check Ups for Women in Their 20S and 30S

March 31, 2023
Young women drinking coffee

There is more to an annual checkup than just “the female parts.” Even if you feel well and don’t need birth control, you should still check in with your medical provider once yearly.

Get the conversation started with your gynecologist or family medicine provider, and you will be well on your way to a healthier life.

At your well-woman visit, the following may be discussed:

Basic Health History

  • You’ll be asked to step on a scale, have your height measured, discuss your family health history and inquire about your health habits. Depending on your risk factors, you may be screened for health issues such as diabetes.

Menstrual cycle

  • Are you regular? Too crampy to function? Heavy bleeding? What is normal? Get the answers, help, or reassurance you need.

Cancer screening

  • Pap smears screen for cervical cancer and should be started at age 21, and every 3 years from ages 21-29.
    • The cervix is the opening to the uterus and is at the back of the vaginal canal. The Pap test is easily done by lightly brushing off some cells from the cervix which are then examined under a microscope for signs of irregularity. 
  • Mammograms are not recommended for most women under age 40. If you have specific risk factors, such as a mother or sister with breast cancer or a known high-risk genetic marker, your provider will address when to start screening for breast cancer.
  • Your provider may either do a full skin exam to look for signs of skin cancer or recommend an exam by a dermatologist, especially if you are at risk due to a personal or family history of melanoma.

Sexually transmitted infections (STIs)

  • Are you at risk? Some STIs have few to no symptoms and can lead to issues like infertility, pregnancy problems, and cervical cancer. Your provider will discuss the need to screen with a vaginal swab or a urine test, along with possible blood tests. Chlamydia and gonorrhea testing is recommended yearly in sexually active women under age 25 or in women who are at higher risk, such as women with new or multiple partners.

Contraception

  • Do you need birth control? Your provider can talk about the risks and benefits of your options. If you are ready to start a family, you can learn about the steps you should take now.

Mental health

  • You will likely be asked to answer questions that screen for depression and anxiety. Life can be difficult, and your provider is there to help.

Cardiovascular risk assessment

  • This includes blood pressure and stepping on the scale. Your provider may ask about your habits, including smoking and exercise. If your cholesterol has never been checked, this may be done.

Healthy habits

  • These are other things you can do to assure your longest, healthiest life, such as wearing a seat belt, using a bike helmet, wearing sunscreen, and practicing safe sex.
  • Many providers also routinely question patients about things like alcohol, vaping and tobacco usage and will screen for personal safety by inquiring about intimate partner violence. Don’t feel ashamed or singled out, the questions are a standard part of the visit, and your health professional can facilitate any help needed.
  • Diet and exercise are also part of all routine questions. Just be honest. Again, your provider wants what is best for you.

Immunizations

  • If you have missed any childhood vaccines, this is a good time to get caught up. Also, the need for any ongoing vaccines, such as influenza, Covid, or travel vaccines can be provided.
  • If you haven’t been immunized for Human Papilloma Virus (HPV), your health care team will recommend this. This vaccine is used to help prevent cervical cancer by preventing infection with this virus, as certain strains of HPV are linked to cervical cancer.

Finally, remember that your health is a life-long journey. Your health care needs will change as you age, but routine checkups along the way are just part of your ongoing self-care.

If you haven't had a check up in a while, make an appointment with one of our women's health providers by calling 507-646-1478.

Our doctors, midwives and advance practice providers offer appointments in Farmington, Lakeville, and Northfield. Learn more about Women's Health.