Some women choose to have an annual 'well woman check'. This can involve a number of things including;

Menstrual review

If applicable, discussion of menstrual symptoms occur. This includes frequency and duration of periods along with the amount of blood lost at menstruation. Other symptoms that are discussed include pain during periods and premenstrual symptoms. If appropriate, treatment and investigations occur related to menstrual symptoms.

Contraception and fertility review

If applicable, a review of current contraceptive needs are discussed and modified. If fertility issues are present these are also discussed.

Sexual health

Sexual health issues are discussed including abnormal symptoms such as painful intercourse, loss of libido, and vaginal discharge. If any of the above are present they are appropriately investigated. Sexually transmitted diseases can be screened and tested for such as chlamydia, gonorrhoea, syphilis, trichomonas, hepatitic C & B, and HIV.

Menopause review

If applicable, a review of current menopausal problems occurs such as the management of menopausal symptoms and osteoporosis. Hormone replacement therapy and non-hormonal management of the menopause is also available.

Review or urinary symptoms

Many women suffer from urinary symptoms such as dribbling when they cough or sneeze; stinging on urination; or needing to pass urine frequently, urgently, or at night. These symtoms can be discussed and investigated.

Examination

Royal College guidelines is that all gynaecological examinations should take place with a chaperone present (for both male and female gynaecologists). This might include a breast, abdominal, pelvic, and speculum examination.

Tests

These might include hormone tests, a smear test, a mammogram, a bone scan, or a number of other gynaecological investigations.