Adolescent Gynecology

When should an adolescent first visit the gynecologist?

A teen benefits from a first visit to Lucina Women's Health and Midwifery when they’re between the ages of 13 and 15. This visit doesn’t always involve a pelvic exam; rather, it gives the teen a chance to discuss women’s health issues such as menstrual cycles, sexual habits, and any pelvic symptoms that seem unusual. 

Your teen is also able to start to connect to a gynecologist and understand how this visit is an important part of her long-term health care.

What topics does an adolescent gynecology visit include?

The team at Lucina Women's Health and Midwifery understand that visiting the gynecologist can be stressful and awkward for adolescents. They offer compassion and understanding when discussing sensitive and personal issues.

The adolescent gynecology team may ask questions about your teen’s menstrual cycle and its heaviness and regularity. They address any issues your teen is having or pelvic health concerns such as:

• Premenstrual syndrome (PMS), including irritability, severe cramping, and bloating
• Unusual vaginal discharge
• Genital sores
• Pelvic discomfort

Discrete questions about your teen’s sexual activity and questions are also usually part of the appointment. The team asks if your teen has participated in any sexual activity, including anal, oral, or vaginal intercourse, and whether she’s using birth control.

The appointment may also include education about sexually transmitted infections and how to protect against them.

What should an adolescent expect during a gynecological physical exam?

Adolescent gynecology visits don’t typically include a pelvic exam, but rather involve a comprehensive physical evaluation. A provider takes her vitals, including blood pressure and weight/height. The doctor checks her heart, lung clarity, and thyroid. The exam may include a clinical breast exam to look for any cysts and evaluate normal development.

If symptoms warrant, a doctor may do an outer exam of your teen’s vagina to look for swelling, sores, or other signs of infection. In rare cases, your teen may need an internal pelvic exam. This internal exam may include a collection of cells to look for a sexually transmitted infection.

Pap smears are usually reserved for women 21 years and older but may start sooner if needed.

Start your teen off with good gynecological health. Schedule an adolescent gynecology appointment at Lucina Women's Health and Midwifery by calling today or using the online tool.