When is a teenager’s first visit to a gynecologist necessary?
Publication date: 23.08.2021
WHEN IS A TEENAGER’S FIRST VISIT TO A GYNECOLOGIST NECESSARY?
Adolescence is a transitional period from childhood to adulthood. Adolescence includes the period of time from the beginning of puberty to the end of growth and development. This is a period of physical, psychological and social changes, medically called puberty or simply puberty.
Puberty begins physiologically at the age of 8 years, which implies the development of secondary sexual characteristics (enlargement of the mammary glands, pubic and axillary hair…) which is followed by menarche (first menstruation) approximately 2-2.5 years later. This period is characterized by a rapid pace of growth and development. Social relations also change, including with family members.
Disorders of the reproductive system often appear at this age. The changes taking place in the human body are individual and may not coincide exactly with certain years. Their onset and duration depend significantly on genetic, social, economic, and cultural factors.
The order in which the signs of puberty develop is very important. In girls, the first sign is swelling of the mammary glands, followed by thinning of the pubic area and armpits, changes in body shape, and menarche. Violation of this sequence may be caused by various pathologies.
Disorders that are characteristic of adolescence:
PROBLEMS RELATED TO THE MENSTRUAL CYCLE:
Menstrual cycle disorders associated with other chronic diseases
DISORDERS OF PUBERTY:
- Ovarian cysts
- Endocrine disorders:
Polycystic ovary syndrome
ANOMALIES OF GENITAL DEVELOPMENT
Absence of vagina/cervix/uterus
Obstruction of the hymen (vaginal wall, fibrotic stretch marks)
Malformations of external genitalia (clitoromegaly,
Ambisexual genitals, etc. Sh.)
Congenital developmental disorders of reproductive organs
GENITAL (VULVA OR VAGINA) INFECTIONS OR PAIN SYNDROME
Genital warts (condyloma)
A rash on the vulva
Vulvar swelling or lump
PAIN IN THE SMALL PELVIS
Menstrual pain (dysmenorrhea)
YOU SHOULD CONSULT A DOCTOR IF A TEENAGE GIRL:
- has an irregular menstrual cycle, which is accompanied by: acne, seborrhea, hirsutism, excess weight and others;
- has bleeding;
- complains of severe abdominal pain;
- has discharge from the vagina;
- It is very important for a teenager to visit a doctor with appropriate qualifications – a child and adolescent reproductive specialist for the purpose of evaluating puberty, which serves to prevent further complications.
Support from family members, the community, and health care professionals is critical for adolescents to safely transition to adulthood.
Most teenagers do not have enough knowledge and experience to correctly assess their situation, to distinguish between a problem that can be solved by itself and a problem that definitely requires treatment. They do not fully understand the meaning of their symptoms and do not realize what danger they may be facing. They do not know what kind of medical services are available to them and how to use these services, so parents should be careful not to miss their children’s health problems and consult a doctor in time.
The doctor’s special approach to adolescent girls and gaining trust plays a very important role in gathering a full-fledged anamnesis, which is the first and most important stage of making a correct diagnosis.
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