A well woman exam (WWE) or annual gynecologic exam is a routine visit to a women’s health care provider, usually occurring every 1–2 years. The visit often includes a review of medical and GYN history, a breast and pelvic examination, and screening tests for cervical cancer (Pap smear) and sexually transmitted infections (STI’s).

WWEs should start by age 21 for most patients. According to the American College of Obstetricians and Gynecologists (ACOG), the WWE also provides an excellent opportunity for counseling regarding healthy lifestyle and ways to minimize health risks. Gynecologists are in a unique position to provide preventative health services and counseling to their patients, given that many GYNs have established a good rapport with their patients through multiple visits.

The key to providing the best possible care during a WWE lies in obtaining a comprehensive medical history, which then dictates the precise elements of the physical exam which will best benefit each individual patient. With current advances in genetic testing, a family history is also an important risk assessment tool to evaluate each patient’s personal risk factors for various conditions, including breast and ovarian cancer.

For reproductive-aged women, a discussion of reproductive life plans is often a part of the WWE.  By obtaining this information, appropriate medical testing and treatments can be discussed and provided. It is quite common, during a seemingly “routine” visit, for the provider to identify and then address multiple GYN concerns including irregular and/or heavy menstrual cycles, menstrual pain, and birth control options, among others. The importance of periodic well-woman care across a patient’s lifespan cannot be overstated.