Gynecological health and preventive care at every age play a key role in the normal functioning of the reproductive organs. They are also directly linked to the healthy progression of the natural stages of sexual development, which we'll look at in more detail in this article.
The topic of women's health and preventive care is always relevant – in the new episode of our podcast RealTalks we sat down with Dr. Marta Doncheva, an obstetrics and gynecology specialist with over 20 years of experience and co-owner of Mclinic. The conversation comes in two parts: in the first we cover prevention and preventive care, and in the second – aesthetic gynecology and the need for such procedures.
Teenage years (12-18)
The average age at which the first menstrual period occurs is 12 and a half. This moment comes with both numerous hormonal changes and excitement for the young girl. The process is new, unfamiliar and exciting, and this is also a good time for the first preventive check-up with a gynecologist.
The first gynecological exam
In the episode, Dr. Doncheva advises the mother to accompany the child to the doctor's office for the check-up. Especially if the child experiences increased discomfort or unusual symptoms, it's important for a specialist to confirm everything is proceeding normally. This way, besides the mother setting a good example, the child will more easily get used to the idea of preventive care and understand that there's nothing scary or wrong about visiting a gynecologist.
During the examination itself, if the girl has not yet had sexual intercourse, an abdominal ultrasound is used to examine the pelvic organs – the ovaries and the uterus. This is the only way to determine whether there is a problem and to start treatment if necessary.
Sexual maturity and reproductive age (18-40)
At this age, annual preventive gynecological check-ups are strongly recommended. Regular health monitoring is the foundation for early detection of various issues and can help prevent potential complications.
What do studies show?
In the 15-44 age range in the European Union, cervical cancer ranks second in prevalence after breast cancer. It can also be caused by certain strains of the human papillomavirus (HPV). A study found that 90% of people with cervical cancer are also HPV carriers. Vaccination against the virus can be given across a wide age range, but it's best to consult a specialist first.
Alongside other routine tests, such as thyroid hormone levels, sex hormones, ultrasound and a Pap smear, if the woman wants to become a mother, this is also the period with the most frequent check-ups and pregnancy monitoring, should pregnancy occur. The approach for each woman should be individual and tailored to her health condition, medical history and genetic background.
The first symptoms of menopause and going through it (40-55)
The onset of menopause brings with it a number of changes. Hormonal changes can also be linked to other health conditions, and can affect emotional state or perception of one's surroundings. The first symptoms can vary in timing and may include irregular periods, hot and cold flashes, weight gain, restless sleep, and more.
What does menopause bring with it?
The end of the menstrual cycle is also linked to the emergence of other conditions, including osteoporosis. The drop in estrogen levels around the onset of menopause can significantly reduce bone density, which increases the risk of fractures and breaks. For this reason, it's a good idea to monitor hormone levels at this age so the treating specialist can start the appropriate treatment.
A study shows that hormone therapy during menopause produces better results in women under 60, meaning timely treatment offers a higher chance of success. Separately, the loss of other valuable substances contributes to the unpleasant sensations. Collagen in the body starts to decline at a much earlier age, as early as 25. Additional intake of collagen can help improve bone density and restore joint cartilage.
After menopause (55+)
At this stage, the menopausal process has passed its peak and the body has adapted to the new phase. Good preventive care, however, still includes regular gynecological check-ups, and the treating physician will tailor the tests and the way exams are conducted to the patient's individual needs.
Every age has its own charm, as well as its own right approach to health care. To feel confident, gynecological prevention and preventive care are a necessity at every stage of a woman's life. If this topic interests you, hear Dr. Marta Doncheva's insights in the new episode of our podcast RealTalks.
Part 1 👇
Part 2 👇








