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.