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A young woman's first visit to a gynecologist can be an informative, productive experience or, if not handled properly by the physician or parental figure, one that can result in a discouraging and uncomfortable situation. Properly undertaken, the experience will be a positive, team effort between the young woman, her parents and the physician. A first-time visit to a gynecologist is a rite of passage that can either set the stage for a fruitful and healthy relationship between a woman and her doctor, or it can plant the seeds for distrust and result in one avoiding future visits to a physician. The invasive nature of a gynecological exam can be, in itself, a traumatic experience unless the young patient is properly prepared and understands the importance of regular visits to maintain her own health. The young woman needs to understand that undergoing regular gynecologic exams is key to her total health and well-being. From the start of menstruation through menopause and beyond, any number of problems involving the reproductive organs can occur, thus affecting sexual satisfaction, fertility, gestation and the health of offspring. By undergoing regular exams, the risk of such problems can be reduced. It is recommended that a woman's first gynecological exam should be conducted no later than her 18th birthday or if she is having vaginal discharge or irritation, experiencing menstrual problems (e.g., pain, bleeding), is not having a menstrual period but has developed breasts and pubic hair, engaging in sexual activity or planning to become pregnant. Both the patient and her parents should heed the following advice before that first visit: -Parents should arrange an initial consult that does not involve a pelvic exam and make sure the doctor uses that time to explain exactly what will occur during the next visit. Also, the patient should be encouraged to discuss such topics as birth control alternatives, sexually transmitted diseases, family medical history, infertility, various forms of cancer, breast self-exams, drug use, importance of proper diet and exercise, sexuality and other related topics. - When ready to make an appointment, it should be scheduled between menstrual periods because a Pap smear is best obtained during this time. Also, patients should avoid using douches or vaginal creams 72 hours prior to the appointment. - Patients should be encouraged to ask questions about issues that may seem embarrassing. If the patient does not feel comfortable with her physician, immediately seek the services of another. - Patients should be encouraged to take notes prior to and during the session to make sure that all topics are discussed. -Before undergoing the exam, the patient should ask her physician what to expect and, if helpful, diagrams may be used to illustrate the procedure. - Following the exam, the patient should review the results with her healthcare provider. She should ask questions and obtain a report of the test results for her own personal medical file. Dr. Norene Norris-Walsh is a board certified OB/Gyn and principal member of Orange Coast Women's Medical Group in Laguna Hills. For more information: www.ocwmg.com or call 949.829.5500. |
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