Gynaecological Check-up in Zurich

The annual examination serves to detect diseases of the female reproductive organs at an early stage and to review overall health. It includes palpation of the breasts to detect lumps or changes, examination of the internal and external genital organs, and a cervical smear (Pap test) to identify cell changes early. If required, a colposcopy – an examination of the cervix with magnification – is performed. Vaccinations, such as HPV or hepatitis, are also discussed and provided if needed. We begin with a personal consultation to address your concerns, and after the examination, we discuss your results, agree on the next steps and set the interval for your next check-up.

Your first visit to a gynaecologist is an important step in looking after your health and well-being. Ideally, this visit should take place when you become sexually active, but no later than age 21, even if you have no symptoms. The first appointment is not only for medical examination, but also for open discussion about topics that may concern young women – including sexuality, contraception, the first period, or menstrual irregularities. You can also address concerns about your body or infections such as HPV.

Regular check-ups are a key part of preventive healthcare. They help to detect and treat potential issues such as cervical cancer or infections early, and provide an opportunity to discuss fertility planning, hormonal changes, and preventive measures such as HPV vaccination.

Yes. Even without symptoms, an annual check-up is an important part of preventive healthcare. Many gynaecological conditions, such as cervical cancer, ovarian cysts, ovarian cancer, or breast cancer, cause no noticeable symptoms in their early stages. Regular check-ups enable early detection, which greatly improves treatment outcomes and often requires less invasive measures.

The annual check-up is also about prevention. I review your general health, answer questions about contraception, menstrual issues, or hormonal changes, and provide vaccine recommendations such as the HPV vaccine. Topics like menopause, sexual health, and fertility planning can also be addressed.

A gynaecological check-up is generally recommended once a year. These regular appointments are important to detect changes early and ensure optimal care. Standard procedures include a Pap test, breast examination, and, if necessary, ultrasound. These measures aim to detect cervical cancer, breast cancer, ovarian cancer, and other gynaecological problems early.

In some situations, shorter intervals are advisable – for example, in the case of abnormal findings, ongoing symptoms, family history of breast or ovarian cancer, or specific risk factors such as HPV infection. During certain life stages, such as pregnancy or menopause, more frequent check-ups may also be recommended.

Most women find the examination uncomfortable but not painful. During the speculum examination, which gently opens the vagina to assess the cervix and take a smear, you may feel mild pressure, but this only lasts a few minutes and is performed as gently as possible.
Palpation of the uterus and ovaries is generally painless. If an ultrasound is performed, it is also pain-free and helps visualise internal organs more clearly.

My priority is to make the examination as gentle and comfortable as possible. Before starting, I explain each step, answer your questions, and take into account your needs or concerns. If you experience discomfort during the examination, please let me know so we can adjust.

Yes. Even after menopause, regular check-ups are essential. Hormonal changes at this stage of life can increase the risk of conditions such as uterine or ovarian cancer. Regular examinations help to detect changes early and take timely action.

Due to the drop in estrogen levels, menopause can also cause symptoms such as vaginal dryness, pain during intercourse, recurrent urinary tract infections, or unexplained bleeding. These issues can be discussed and treated during the annual check-up to improve quality of life.

Preventive measures remain important after menopause, including breast and cervical examinations. If you are considering or already using hormone replacement therapy, we can review and adjust it to your needs.

Certain symptoms require prompt evaluation, even between routine visits. These include irregular, unusually heavy, or missed periods, which may be linked to hormonal changes, fibroids, or other conditions. Sudden or persistent pelvic pain should also be investigated, as it may indicate endometriosis, cysts, or infections. While these symptoms may have benign causes, they should always be checked to rule out serious conditions.

Other reasons for an extra appointment:

• Unusual vaginal discharge (changes in colour, smell, or consistency)
• Burning, itching, or redness in the genital area
• Pain during intercourse
• Vaginal dryness or pelvic discomfort
• Changes in the breast (lumps or swelling)
• Skin dimpling or other changes in the breast and nipples

No elaborate preparation is necessary, but the following tips may help you feel more comfortable:

If possible, schedule your appointment outside your menstrual period, as this can make assessment easier – though it’s not a problem if it coincides.

For an optimal smear, avoid tampons, vaginal douching, creams, or other products in the vaginal area for 24 hours beforehand, as these may affect results. Gentle washing with plain water is sufficient. Bring relevant documents such as your vaccination record, results from previous examinations, or information on current medications or concerns. This helps me to get a complete picture of your health and tailor the examination to your needs.

Preparation tips at a glance:

• No tampons 24 hours before the appointment
• No vaginal douches or creams shortly before the appointment
• Gentle hygiene with plain water beforehand
• Wear comfortable clothing
• Share any concerns, anxieties, or questions in advance