The midwife is entitled to ensure the gynecological follow-up of women who do not have gynecological pathologies. As soon as a pathology is detected by your midwife or your doctor (treating or gynecologist) it is the gynecologist who will take over your follow-up if necessary.

The major times of your gynecological follow-up are:
– From 11 years: as soon as the need to exchange on contraception, STI/ STD screening, sexuality... is present
– Between 20 and 25 years: for STI screening, discussion/ prescription and follow-up of contraception if necessary
– From 25 years: for cervical cancer screening
– From 35 years: clinical breast monitoring
– From 50 years: mammographic screening, prevention and screening of cardiovascular risk factors and osteoporosis

The gynecological examination is not mandatory but can be offered to you especially from 25 years for the realization of the smear. Before age 25, the gynecological examination is carried out if you wish, with your consent.
The midwife is authorized to prescribe and apply contraceptives such as IUD and subcutaneous implant if you wish.

Additional tests may also be prescribed by your midwife: pelvic ultrasound, endometriosis screening, mammography, breast ultrasound, vaginal samples, blood test... and drug treatments can be offered if needed.

For more information on midwifery skills:
https://www.ordre-sages-femmes.fr/votre-sage-femme/competences/suivi-gynecologique-et-contraception/