Well-care GYN visits for young women

The relationship between a woman and her gynecologist (GYN) develops over time. Many young women schedule their first GYN visit when they go away to college or become sexually active. But scheduling a well-care GYN visit for younger teens helps gynecologists address issues that a teen’s primary care provider may not, such as, pelvic pain, irregular periods, sexually transmitted diseases, intercourse, contraception, and breast self-exams. "Building a relationship with a gynecologist is the best way for young women to learn to respect and take care of their bodies, and their future reproductive health," states Pearl Yee, M.D. OB/GYN at California Pacific Medical Center. The patient –GYN relationship helps ensure that teens have a safe place to turn for information and medical care relating to the female reproductive system.

The First GYN Visit

It is commonly recommended that young women have their first well-care GYN visit between the ages of 13 and 16, or earlier, if they are sexually active or having gynecological health concerns. Special concerns can include painful or heavy periods, vaginal discharge, lack of periods (amenorrhea), or contraception issues. Also young women should consider the vaccine recommended for all females between 9 – 27 years of age to prevent cervical cancer. Many teens also voice concerns about acne, weight issues, premenstrual syndrome, or the need for emotional support.

For teenagers, the thought of visiting a GYN may make them cringe. But, an annual visit with the GYN is not only a good habit to get into, but also a wonderful opportunity to ask questions and receive answers from a knowledgeable professional. Many young women are nervous and scared of the first-time pelvic examination, however, not every patient will need or receive a pelvic exam. Usually a pelvic examination is required only if there are health concerns or if a patient is sexually active. “I want my young patients to get to know me and feel comfortable with me and their reproductive health. I think over the years I have been an important support and resourceful person for many girls as they go on to become productive adults and mature parents,“ continues Yee. If girls are missing school or activities due to heavy or painful periods, a GYN can usually make their life a little easier.

Come Prepared

Teens should come prepared. Having a list of questions and a calendar of their menstrual history makes for a thorough examination and positive patient experience. As with any physician visit, this visit is confidential, it is important to be honest so the physician can provide appropriate care. Physicians will ask questions based on the patient’s concerns. Examples of some questions that may be asked include:
Current menstrual history:

Age at first menstrual period?

How regular are your periods?

How long do they last?

How heavy is the bleeding?

Do you have pain or cramps?

Do you have any vaginal pain, burning, swelling, itching or abnormal discharge?
Sexual history:

Have you had intercourse or any other sexual activity?

Do you have plans to begin having sexual intercourse soon?

Do you use condoms?

Have you ever been tested for sexually transmitted diseases (STDs)?
Any history of abuse or violence?

Physician Recommendations

During a well-care GYN visit, physicians may also discuss body image and recommendations concerning a healthy lifestyle. Patients may be recommended to:

Eat a well-balanced diet and exercise regularly

Avoid smoking, alcohol and illegal drugs

Learn to recognize emotional changes or depression and seek help

Use birth control if they choose to become or are currently sexually active and want to avoid becoming pregnancy

Practice safe sex to protect themselves from STDs and always use a latex condom, ask about partner’s STD history, limit partners, and avoid risky sex practices

Continue routine GYN examinations, testing, and immunizations

Helping to keep women of all ages healthy is the main concern of GYN doctors. Talk to your daughter’s primary care physician or your GYN about scheduling a well-care GYN visit for your teen. Prevention of unwanted pregnancy, STDs, inquiring about vaccinations, and answering questions or addressing reproductive issues is essential for any women. As parents, helping our daughters develop a lasting and positive relationship with a GYN can help build self-esteem and self-respect, empowering them to grow into adults with the potential to change the world.