Mayo Clinic Q and A: When your teenager needs to see a gynecologist

DEAR MAYO CLINIC: My daughter is 13, and her pediatrician not too long ago reminded us that she ought to get the HPV vaccine as a result of it could forestall cervical most cancers. That obtained me serious about gynecologic well being for my daughter. She started her menstrual cycle at age 12, however I am not sure if there are situations and points that I ought to speak to my daughter about or when to have her go to a gynecologist.

ANSWER: Taking time to debate gynecologic points together with your daughter is an excellent step to teach her about sustaining good well being and wellness as she grows. I applaud you for being proactive.

As you could already know, most cervical cancers are related to HPV, a sexually transmitted an infection. As much as 80% of sexually energetic adults shall be uncovered to the virus.

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The immune system usually clears HPV by itself. However often, the an infection can persist and trigger precancerous modifications on the cervix.

The HPV vaccine, which was accepted by the Meals and Drug Administration in 2006, can forestall cervical most cancers, in addition to vaginal, vulvar, penile and anal cancers. As well as, the vaccine covers the HPV strains that trigger genital warts.

Use of the vaccine has decreased most cancers charges. The vaccine is most helpful when given earlier than the affected person is uncovered to the virus, so it is suggested for women and boys to be vaccinated between ages 9 and 14.

Analysis exhibits that sustaining a nutritious diet and exercising can cut back one’s danger for most cancers later in life, in addition to lower danger of growing diabetes and coronary heart illness. Be certain she is energetic, spends time outdoors and eats a diverse eating regimen with acceptable portion sizes. A each day multivitamin additionally will help.

Though your daughter continues to be younger, spending time to instill good habits is a vital step to assist her stay wholesome as she grows. It is also necessary to remain on prime of yearly well-child visits together with your pediatrician or main care supplier.

It’s simply as precious for her to know that she will be able to speak with you about any considerations or points. This consists of temper modifications and bother sleeping, which can be frequent at her age.

Though she has already begun to have her interval, remember to converse to your daughter about menstruation. Additionally, remind her that till her cycle is regulated — which might take a few years — breakthrough bleeding might happen, however she mustn’t panic.

Bloating or cramping additionally might happen, as it’s common for adolescents. However it’s not normally a purpose for concern at her younger age.

In case your daughter begins to develop any points, reminiscent of painful or worsening cramping, or considerably elevated bleeding, additional analysis could also be wanted.

If there isn’t any sexual exercise, having your daughter go to along with her pediatrician or normal practitioner throughout annual well-child visits ought to suffice for just a few extra years. Chances are you’ll need to think about transitioning your daughter to a gynecologist when she’s 15 or 16. The profit is to offer instructional data and steering about reproductive well being, in addition to alleviate fears of the gynecology workplace.

The gynecologist will evaluation menstrual historical past, pubertal growth and contraception choices, and talk about secure intercourse. Many instances at an preliminary go to, a pelvic examination is just not obligatory, until a selected concern must be addressed.

Screening tips are up to date incessantly, so whether or not you go to a gynecologist or one other well being care skilled together with your daughter, it’s precious to debate what exams could also be well timed, reminiscent of HPV exams and Pap smears for cervical most cancers.

By the point your daughter reaches 21, she ought to have her first Pap take a look at, which is a vital screening examination that is used to verify for irregular cells on the cervix. This take a look at may point out early stage cervical most cancers or precancerous cells. — Dr. Aakriti Carrubba, Obstetrics and Gynecology, Mayo Clinic, Jacksonville, Florida


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