I had my first annual exam today and I just wanted to write something informative for all the young girls who are on the forums. In case you don't know, I'm 19.
I'm sexually active and I decided it was time for birth control, so even though I was afraid, I needed to go!
The nurse and doctor were both very nice to me. They talked to me about self-breast exams, different types of OTC birth control, and the different tests/examinations they were going to do.
The doctor showed me how to perform a breast exam. That was sort of uncomfortable emotionally because, well, those are my boobs O.o I can't see what you're doing underneath that sheet, but I can see what you're doing to my boobs and it's just strange. Haha.
The speculum (metal thing they put inside you so they can see in) didn't hurt very much, but it was uncomfortable. Lots of deep breaths. I barely felt the swab for the Pap smear.
My doctor gave me a gonorrhea test because it's fairly routine for girls my age; you can have it and have no idea you do, so it's a good idea to get, but you don't have to. That's another swab I barely felt.
Then she felt the shape/size of my uterus and I have to admit this was VERY uncomfortable. It's a manual exam, meaning that the doctor puts her fingers in your vagina and her hand on the outside of your lower stomach to feel. As I've mentioned in other posts, my vagina is on the small side and two fingers hurts. It didn't take long at all, so I guess it wasn't so bad.
After the exam, I talked to the doctor about birth control and Gardasil, the HPV vaccine. I chose not to get the vaccine, but I'm going to read about it. I got a 2-month sample of Yaz. I've seen some bad posts about it in the birth control forums, but I'll let you know how it goes for me. I like to keep an open mind.
Also, the doctor said you don't have to have a Pap smear until
3 years after you become sexually active or age 21. However, I had a regular doctor that I saw for an illness tell me that a Pap smear is necessary as soon as you become sexually active. I figure better safe than sorry.
I hope that if you're thinking of going to a gyno for the first time this helps you

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