Medical History: The gynecologist will ask about your medical history, menstrual cycle, sexual activity, and any symptoms or concerns. Physical Exam: This can include a pelvic exam, where the gynecologist examines the reproductive organs, and a breast exam to check for any lumps or abnormalities. Pap Smear: A test to screen for cervical cancer by collecting cells from the cervix. STI Testing: If indicated, the gynecologist may recommend tests for sexually transmitted infections. Discussion: An opportunity to discuss topics such as birth control, fertility, and overall sexual health.