One-third of women in Czechia 'neglect' gynecological checkups: How to get help

About one in three women in the Czech Republic neglect regular gynecological check-ups, with older women particularly likely to avoid preventive care, according to gynecologist Elena Sudarikova of the Venova clinic.

In a recent press release, Sudarikova emphasized that consistent gynecological visits are essential for early detection of health issues, especially as many serious conditions may not present symptoms in their early stages.

“The first visit to a pediatric gynecologist is recommended after the first menstrual period, usually around age 13,” she said. “Often, it’s simply an informational session—no internal examination is necessary unless there are specific problems. But it’s important not only for prevention, but also for education, including guidance on contraception and vaccinations like the one for cervical cancer.”

Preventive gynecological examinations in the Czech Republic are covered annually by public health insurance. Additionally, children aged 11 to 14 are eligible for vaccinations that can reduce the risk of tumors caused by the human papillomavirus (HPV), which is linked to cervical cancer.

Sudarikova noted that young women should schedule a gynecological appointment upon becoming sexually active or earlier if they experience irregular periods, severe pain, unusual discharge, or other concerning symptoms.

“Young women most often experience vaginal dysbiosis—an imbalance in the natural bacteria found in the vagina,” she explained. “Infections, painful menstruation, and itching are also common. Statistics show that 75 percent of women will experience it at least once in their lifetime, and about 5 percent suffer from chronic inflammation.”

More severe symptoms, such as intense menstrual pain, pain during intercourse, or chronic pelvic discomfort, may signal the onset of endometriosis. This condition, which affects approximately one in 10 women of reproductive age, occurs when tissue similar to the uterine lining grows outside the uterus, potentially causing infertility.

Sudarikova also highlighted the increasing risk of gynecological cancers with age. “Roughly 75 to 80 percent of uterine cancer cases occur after age 50,” she said. “Cervical cancer remains one of the most common cancers among women here, with about 400 deaths annually in the Czech Republic.”

Despite the risks, many women stop visiting a gynecologist after menopause. “This is dangerous because most early-stage cancers are symptomless,” she warned. “Routine exams help catch problems early, often before cancer even develops.”

There are about 1,400 gynecology clinics across the country, all offering preventive check-ups fully covered by health insurance. The practice of doctors charging non-Czech-speaking patients additional fees just for speaking English (or using other services) has also made it harder for international women in Czechia to access gynecologists.