PEDIATRIC AND ADOLESCENT GYNECOLOGY

Performing diagnostics of diseases in children requires special professionalism from the gynecologist, as some disorders occur in a latent form. Pediatric and adolescent gynecology at our Genesis Dnepr clinic conducts examinations and treatment of girls from their birth up to and including the adolescent period.
Routine visits to a pediatric gynecologist
It is important for parents to recognize the need for their child to periodically visit a pediatric gynecologist. It is recommended to accustom your daughter to preventive check-ups from childhood, as natural visits to an otolaryngologist or ophthalmologist. Periods when it is necessary to visit a gynecologist for a girl's examination:
1. 1 year old. May detect developmental defects of the genital organs. It is necessary to diagnose pathology in time, listening carefully to it.
2. 5-6 years old. The doctor monitors for any premature sexual maturation related to endocrine system diseases. Sometimes detects infectious diseases of her external genital organs.
3. 10-11 years old. A pediatric gynecologist examines the degree of development of secondary sexual characteristics, evaluates the structure of her external genitalia – whether they correspond to age norms. If she has started menstruating – an examination is necessary.
4. 13-14 years. They consult a specialist necessarily, if the child has not developed secondary sexual characteristics. He will find out the reasons for the delay - hereditary factors, heavy physical exertion, poor nutrition, hormonal disorders.
5. From the age of 14-15, it is recommended to undergo an annual gynecological examination.
Specialists pay close attention to the pubertal period, because there can be irregular or prolonged menstruations, and dysmenorrhea (accompanied by pain in the lower abdomen, dizziness, and vomiting).
Reasons for an urgent visit to a pediatric gynecologist
It is important to know when it is necessary to immediately visit a pediatric gynecologist, as treatment needs to be prescribed as soon as possible. Seek urgent medical attention if a girl complains of:
· itching or pain in the area of the external genital organs;
· frequent urination;
· new growths on the genital organs;
· injury in the area of the vulva or perineum;
· change in shape or abdominal pain;
· occurrence of bloody or other discharges from the vagina;
· negative urine test results;
· sexually transmitted diseases in family members.
This is necessary for the timely elimination of identified problems, to avoid serious consequences of the disease. You should do this in a timely manner, as one of the causes of female infertility is diseases of their genitourinary system, which they suffered from in childhood, without seeking medical attention in time.
Consultation with a pediatric gynecologist
A highly qualified specialist from our clinic will establish a psychological connection with the girl, as he has experience. For a more calm reaction from the child, mothers need to calmly, tactfully hold conversations with their daughter about sexual maturation, to establish full trust between them. If pain occurs, the child will not hesitate to timely inform his mother about what bothers him. The doctor will conduct a consultation, which consists of: · visual examination of the girl; · determining the degree of her sexual maturity, according to standards; · examination using special devices designed for children, preventing any damage. Then, it may be necessary to prescribe an ultrasound of the pelvic organs or hormone testing, as well as swab collection for microflora analysis. It is important, that we take a comprehensive approach to diagnosis and treatment, because highly effective correction of most gynecological pathologies may require collaboration with a pediatrician, endocrinologist, surgeon.
Girls' fears of visiting a pediatric gynecologist
The most common fears among girls are:
1. Sometimes they are afraid to visit a pediatric gynecologist because they have started having sexual relationships and are hiding it from their parents.
2. Some are scared by the sight of the chair.
3. Be afraid of losing virginity during a doctor's examination.
There is no need to fear the third point – a pediatric gynecologist conducts the examination differently than they do for adults. The doctor performs manual research through the anal opening. If it's necessary to examine the cervix and the vagina, then pediatric mirrors and vaginoscopes are used, inserting the instruments very carefully through the openings, without damaging the hymen.
20-25% of children suffer from inflammatory and other diseases. We recommend that parents timely contact the clinic to preserve the reproductive capacity of girls.