Since the national ACOG guidelines recommend that a teen first visit a gynecologist between the ages of 13-15, it is important for this first gyn appointment to establish a foundation for lifelong wellbeing.
Most young adolescents do NOT require an internal pelvic examination at this first visit, nor do they require a Pap smear of the cervix. At the first visit, a comprehensive history is obtained with special attention to relevant family history, emotional / psychological issues, nutritional and social factors. Extensive and open dialogue about risks of premature sexual activity is reviewed and preventative health measures are discussed. Counseling surrounding the administration of the HPV/cervical cancer vaccine is addressed and the optimal timing of this vaccine recommended.
Note: please allow 1 hour for an initial adolescent gyn appointment.