According to ACOG (American College of Obstetrics and Gynecology), breast and pelvic exams as a part of the yearly well woman exam should be included starting at age 19. However, our recommendations are to initiate a tailored well woman exam at ages 15-18, as many young women have concerns at this time about what is normal vs. abnormal, may be shy to disclose concerns to the adults in their family, and may be at risk for exposure to STIs.