Annual Physical Exam Checklist for Female: What to Expect

Medically Reviewed by Dr. Oluwakemi Balogun (Kemi), MD — Medhaven Health

Last updated: September 2025

When women hear the term annual physical exam, many wonder: What does it really involve? Whether you’re in your 20s, approaching 50, or beyond, knowing what happens at a physical for a woman can help you feel more confident and prepared. A physical exam isn’t just a box to check—it’s an important way to protect your long-term health and detect issues early.

In this guide, we’ll walk through what a female physical consists of, what to expect at each stage of life, and how to prepare for your appointment. You’ll also get a practical annual physical exam checklist for females that you can take with you.

What Happens at a Physical for a Woman?

A women’s physical is a head-to-toe evaluation of your health, often done once a year. While each doctor may tailor it slightly, most physical exams include:

• Medical history review – discussing past illnesses, family history, medications, and lifestyle.

• Vital signs – blood pressure, heart rate, temperature, and weight.

• General physical check – listening to your heart and lungs, checking reflexes, examining skin and abdomen.

• Laboratory tests – depending on age and risk factors (blood sugar, cholesterol, thyroid, etc.).

• Preventive screenings – Pap smear, mammogram, or bone density tests as appropriate.

This isn’t just a once-over—it’s your chance to talk openly about any health concerns, from fatigue to reproductive health to mental well-being.

What Does a Female Physical Consist Of?

For women, the exam also includes gender-specific screenings and discussions:

• Breast exam – to check for lumps or changes.

• Pelvic exam & Pap smear – to screen for cervical cancer and HPV.

• Reproductive health – birth control options, fertility concerns, or menopause support.

• Sexual health – STI testing if indicated.

In short, a female physical exam isn’t just about your body; it’s about your overall quality of life.

Annual Physical Exam Checklist for Females by Age

Women’s health needs evolve with age. Here’s a breakdown:

In Your 20s and 30s

• Vitals and BMI check.

• Pap smear every 3 years (or HPV testing every 5 years if normal).

• STI screenings for sexually active.

• Breast health awareness (self-exams, clinical breast exam if recommended).

• Mental health screening – stress, anxiety, depression.

In Your 40s

• Continue Pap smears as needed.

• Mammogram may begin, depending on risk factors.

• Cholesterol and diabetes screening.

• Skin checks for moles or changes.

• Discussion of perimenopause symptoms.

Annual Physical Exam Checklist for Females Over 50

• Mammogram (usually every 1–2 years).

• Bone density scan for osteoporosis.

• Colorectal cancer screening (colonoscopy or other tests).

• Thyroid and metabolic screenings.

• Heart health check – blood pressure, cholesterol, and diabetes tests.

• Fall risk and mobility assessment.

60s and Beyond

• All of the above, plus monitoring for cognitive health, arthritis, and vision/hearing loss.

• Review of medications to minimize side effects.

What Happens During a Physical for a Woman – Step by Step

If you’re nervous about your appointment, here’s what typically happens:

1. Check-in – You’ll update personal and family medical history.

2. Vitals taken – Height, weight, blood pressure, and pulse.

3. Physical exam – Heart, lungs, reflexes, abdomen, skin.

4. Lab work – Blood and urine tests if needed.

5. Screenings – Pap smear, breast exam, or other age-specific tests.

6. Discussion with doctor – Talk about lifestyle, fertility, contraception, menopause, or mental health.

7. Preventive care plan – Your doctor creates a health roadmap for the next year.

Well Woman Exam Checklist

A well woman exam checklist makes it easier to prepare:

• List of current medications and supplements.

• Record of menstrual cycles or menopausal symptoms.

• Family history of breast, ovarian, or colon cancer.

• Questions about fertility, birth control, or pregnancy planning.

• Concerns about weight, diet, sleep, or mood.

Bringing this information helps your doctor personalize care.

How to Prepare for a Female Physical Exam

• Avoid douching or using vaginal products before a Pap smear.

• Wear comfortable clothing for easy checks.

• Schedule exams mid-cycle if possible for more accurate cervical results.

• Bring past medical records if you’re seeing a new provider.

• Write down questions so you don’t forget during the visit.

Common Questions About Women’s Physicals

Q: What does a physical entail for women compared to men?
A: Women’s physicals include reproductive and breast health screenings in addition to standard checks.

Q: How often should women get a physical?
A: At least once a year, though certain tests (like Pap smears or mammograms) follow different timelines.

Q: What if I feel fine—do I still need one?
A: Yes! Many conditions (like high blood pressure or cervical changes) have no early symptoms but can be detected with preventive care.

Key Takeaways

• A female physical exam covers overall health plus reproductive and preventive screenings.

• What happens during a physical for a woman depends on age, risk factors, and personal health history.

• A personalized annual physical exam checklist by age females ensures nothing important is overlooked.

• Preparing in advance helps you get the most from your women’s physical exam.

Many women in Glen Burnie and surrounding areas share that scheduling a yearly physical feels like “pressing the reset button” on their health. Having open conversations with your provider builds confidence and creates a plan that actually works for your lifestyle.