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A girl's guide to visit her Gynecologist for the first time

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This may include unusual vaginal discharge, bad odor, itching in your vaginal area, unusual pain or discomfort in your abdomen or vaginal area, pain during sex, and any changes, pain, or problems with your breasts.

There is no harm in undergoing STI testing if you have any concern at all, as there are effective treatments available if you do have an infection, and treating it sooner rather than later can help to avoid long-term complications.

Your health care provider can test for trichomonas, gonorrhea, and chlamydia using a urine sample. Tell the doctor if you think you are pregnant.

Urine or lab work will be done to confirm the pregnancy. If your pregnancy is confirmed, your appointment will include additional steps and your doctor will help to arrange for your obstetrical care all the way through delivery.

Part 3 of Ask your doctor to explain the procedures. Parts of the exam can feel awkward. Talking to your doctor during the exam can help you to feel more relaxed.

Ask the doctor to explain what he or she is doing as they are doing it. If one is not present in the room, ask for a nurse to be with you. The external areas will be examined, then an internal exam will be done.

The external areas examined include the clitoris, labia, vaginal opening, and rectum. The internal exam includes the use of a speculum to check the vaginal canal, cervix, perform the Pap smear, and take other tissue samples if needed.

A digital exam is performed to feel the uterus and ovaries. Make sure to let your doctor know if you are uncomfortable with the internal exam.

If you have been sexually abused, then it may take several visits before you will feel comfortable with this type of exam.

Be sure to communicate your concerns with your doctor. The entire exam takes only a few minutes. Remove your clothes. After the routine tests and medical questions are completed, you will be given a gown and asked to undress.

Remove everything, including your panties and your bra, unless the nurse tells you otherwise. Put on the gown.

Gowns used for gynecological exams have openings in the front. This allows your doctor to examine your breasts. An additional paper cover may be provided that goes over your lap.

Have the breast exam. The breast exam comes first. The doctor will touch your breasts and move his or her hands in a circular and linear motion.

The doctor will check the breast tissue that extends up into your armpit area. Your doctor will also check your nipples for any abnormalities.

The breast exam is done to check for any lumps or abnormalities. If you feel any discomfort during this procedure you should tell the doctor.

Slide to the end of the table. You will need to position yourself so your feet can fit into holders, called stirrups.

Relax your legs and let them fall open. Have the external exam. The external exams allows the doctor to examine the area for any signs of irritation, infection, or abnormalities in the tissues surrounding your vagina and urethra, which is the duct that allows you to pass urine from your bladder.

For example, if your labia is red or inflamed, the doctor may spread the labia to examine for any abnormalities. Expect some pressure from the speculum.

Next, the doctor will insert an instrument called a speculum. The speculum may be plastic or metal. A metal speculum may feel cold as it is inserted.

This will slide into your vagina, then will be gradually opened to allow the doctor to examine the vaginal canal and cervix.

If you feel pain, tell the doctor. Speculums come in different sizes, so another one can be tried if the first one is causing you pain.

Know what the Pap test is. After the doctor has examined your cervix and vaginal canal, he or she will insert a small swab or brush, through the opening in the speculum, to remove some of the cells from your cervix.

This is called a Pap test and is not recommended before the age of Most girls have perfectly normal Pap tests.

If you are having any problems, the doctor may take additional samples to be reviewed by a laboratory. Understand the digital exam. The next part of the exam will involve the doctor sliding one or two fingers into your vagina, and applying pressure to your abdomen.

Talk with your doctor before you leave. Once the exam is complete, you will remove the gown and get dressed.

The doctor will review your exam results with you, and answer any remaining questions you may have. He or she will also provide you with any written prescriptions that are needed, such as a prescription for birth control pills.

Part 4 of Ask your doctor when to book your next appointment. Tests such as the Pap smear are generally done once every two years; however, for women just starting out, it is recommended to undergo Pap testing yearly to establish a healthy baseline.

Ask your doctor when you should return for your next routine exam. Note that, if there are any abnormal results on your Pap test or in other parts of the breast or reproductive exam , your doctor may ask you to return sooner for follow-up care or additional tests.

See you doctor sooner if you have problems. Problems like abdominal pain, vaginal discharge or wetness, burning sensations, an unusual or strong odor, severe menstrual cramps, or spotting between periods, warrant making an appointment.

Once you become sexually active, your doctor can guide you in selecting the best type of birth control for you.

This may include prescription products that your doctor can prescribe for you. But for the remaining 15 percent, menses will stay irregular for the rest of their reproductive lives.

Periods that are irregular, heavy and painful can lead to missed days of school and missed sports activities and social events.

Heavy vaginal bleeding can lead to anemia. Pelvic pain is common in adolescent girls. Usually, it is related to menstrual cramps, though many other conditions can cause it, including endometriosis , a painful disease in which uterine tissue grows outside the uterus.

Constipation or bladder problems can present as pelvic pain, so I also ask patients about bowel habits and urinary symptoms.

The uterus and ovaries are positioned next to the bowel, the bladder, pelvic muscles and joints. If needed, I will suggest they see a pediatric urologist or pediatric gastroenterologist.

We treat a variety of issues from vaginal itching to unique conditions like Mayer-Rokitansky-Küster-Hauser Syndrome, in which the uterus is underdeveloped or absent at birth.

It occurs in about 1 in 5, girls. Many challenges come with this diagnosis, which must be managed for life. We have ways to help girls and women cope.

We also talk about how to maintain personal perineal hygiene. If irritation is an issue, I provide tips like wearing only cotton underwear and not wearing underwear to bed.

For bathing, I advise using just water, no soap. Applying Vaseline also prevents irritation. My colleagues and I call ourselves the HPV human papilloma virus vaccine police.

We are making efforts to ensure our patients receive the vaccine, which is approved for girls and boys ages 11 through Our target age for vaccination is between 11 and But if you wait until you are 16, you will need three.

We also screen for STIs, including chlamydia and gonorrhea. Additionally, we discuss general physical health, including BMI body mass index and involvement in sports, and emotional and social health.

I ask what they do after school and about their interests. As a pediatric gynecologist, I strive to provide comprehensive health care—from the physical to the emotional—to young girls as they grow older.

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2 Comments

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