Scheduling your first gynecological exam is an important step in taking charge of your reproductive and overall health. It is recommended that you have your first exam: By the age of 21 or within three years of becoming sexually active, whichever comes first. Regularly thereafter, typically on an annual basis, to monitor and maintain your reproductive health. If you experience any unusual symptoms, such as pelvic pain, abnormal bleeding, or changes in vaginal discharge, regardless of your age or sexual activity.