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Adolescent Pelvic and Gynecology Exams

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Overview

Pelvic and gynecologic exams help make sure that your reproductive organs and system are healthy. These are the organs related to your monthly menstrual cycles, to sexual activity and to pregnancy and childbirth. If indicated, we are able to perform gynecological exams on girls and young women from birth to age 21, and often as they go through puberty and the development of sexual organs, with shifts in hormones.

The purpose of pelvic and gynecological exams is to make sure that your cervix, vagina, uterus and ovaries appear normal in size and position and that there are no signs of disease. The doctor asks you about pain and presses on areas of your stomach and pelvis to check for pain and lumps or other abnormalities.

At Children’s Health℠, a pediatric-adolescent gynecologist understands that children and teenagers bring an entirely different set of gynecologic issues to a doctor’s office than do adult patients. That’s why we take great care to examine and treat girls in a manner that is sensitive to their special needs.

Why should teens see a gynecologist?

Gynecologists are doctors who specialize in reproductive organs and health. They are trained to observe changes or problems in sexual organs and to treat diseases related to these organs, such as menstrual disorders or disorders that require surgery for the vagina,uterus, ovaries and fallopian tubes.

It may be helpful for teen girls to see a gynecologist if they are having any problems with menstruation, concerns about sexual development and sexual activity or birth control, if necessary.

What to Expect

At a gynecological exam, the nurse and doctor usually begin by talking to you about your health and any possible problems you might have. If indicated, the doctor might examine your vulva, or external parts of your female organs, and checks your overall health. Depending on your age and level of sexual development, the doctor might discuss with you the topics of sexual development and prevention of pregnancy and sexually transmitted infections (STI).

If you have had problems with pain or menstruation, abnormal bleeding, or certain other problems related to sexual health or reproduction, your doctor will look for causes and may need to perform an interval pelvic exam. In this exam, the physician may look and feel inside the vagina. The exam checks to make sure the ovaries and uterus are normal. If your physician is a man, a female nurse or assistant will be present in the room during the examination.

We understand problems specific to girls and young women of all ages, and have access to laboratory tests and radiologic exams, if needed, to evaluate menstrual or pelvic pain disorders or any problems you might have. We are ready to answer any of your questions and to keep it confidential.

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