Check Up Annual Gynaecological Examinations

Annual examinations usually consist of screening, laboratory tests, evaluation, counselling and immunisation.

Ages 13 to 18 years

Establish doctor-patient relationship

Age appropriate education of anatomy, body image, weight management and prevention of sexually transmitted diseases

  • Screening checks for you and your family’s medical history, menstrual and reproductive health, sexual development and history of sexual activities

  • Pelvic examination (includes examining the external genitalia, cervix and vagina), is generally not included unless there is related medical history or presenting symptoms that require further evaluation

  • Regular laboratory tests for sexually transmitted diseases such as chlamydia, gonorrhoea, HIV (human immunodeficiency virus), and Hepatitis B and C virus

Dr Cook will advise you on your sexual health, sexual behaviour, preventing unintended pregnancies and contraceptive use.

You will be recommended immunisation for human papillomavirus (HPV).

Ages 19 to 39 years

Screening checks for your medical history, menstrual and reproductive health including sexual practices

  • Clinical breast examination every 1 to 3 years from the age of 20

  • Pelvic examination from 19 to 20 years if there is any related medical history and periodically if you are above the age of 21

  • Laboratory test such as cervical cytology ( to detect cancerous changes in the cervix) at age 18 -20 years or within 12 months of sexual activity, every 2 years.

  • Cervical cytology (Pap test) after 20 years of age, every 2 years

  • Laboratory test for sexually transmitted diseases such as chlamydia, gonorrhoea and HIV if you are 25 years of age or younger and sexually active

  • Colorectal cancer screening and mammography tests in high-risk groups

Dr Cook may discuss sexuality, sexual behaviour, reproductive planning and contraceptives. Your visit will also include genetic counselling, preconception and protection against sexually transmitted infections.

Dr Cook will also inform you about the importance of breast self-examination. 

Ages 40 to 64 years

Screening checks for your medical history, menstrual, and reproductive history, sexual practices and menopausal symptoms.

  • Annual examination for pelvic prolapse (internal pelvic organ presses against the vagina), clinical breast examination and pelvic examination

  • Cervical cytology, every 2 years

  • Colonoscopy (colorectal cancer screening) from age 50, or earlier if strong family history

  • Thyroid stimulating hormone test, every year after the age of 45

  • Mammography, every two years

Dr Cook will advise you regarding sexually transmitted diseases, avoiding unwanted pregnancies, genetic counselling, preconception, hormone therapy, breast self-awareness and screening for breast cancer.

Ages 65 years and older

  • Screening checks for your medical history, reproductive health and menopausal symptoms.

  • Bone density scan especially with family history of osteoporosis

  • Annual examination for pelvic prolapse, breast examination and pelvic examination

  • Cervical cytology (can stop at 70y if prior tests have been negative)

  • Colonoscopy every 5 years or more frequently if family history.

  • Mammography, every two years

  • Thyroid stimulating hormone testing every year

You will be advised to perform self-breast examination tests.

Regardless of your age, Dr Cook will also examine your health with respect to nutrition, tobacco, alcohol and drug usage, physical activity and sexual practices.