Adolescent Gynecology Exam

There are three parts of the adolescent gynecology exam:

• external genital exam
• internal (bimanual) pelvic exam
• internal speculum exam

Depending on which part of the gynecological exam is done, the purpose of the exam is to make sure that your vulva, cervix, vagina, uterus and ovaries appear normal in size and position and that there are no signs of an infection. Your doctor will ask you about any pain and check for pain and lumps or other abnormalities.

What can I expect before an Adolescent Gynecology Exam?

Before your exam begins, the nurse and doctor will talk to you about your health and any possible problems you might have. Depending on your age and level of sexual development, the doctor might discuss sexual development, pregnancy prevention, and sexually transmitted infections (STI) with you.

Our adolescent medicine specialists take great care to examine and treat you in a way that is sensitive to your needs and age.

What can I expect during an Adolescent Gynecology Exam?

If you have had problems with pain or periods, irregular menstrual bleeding, or other issues related to sexual health or reproduction, your doctor will look for causes and may need to perform an interval pelvic exam. One or more parts of the exam may be performed during your visit.

There are three parts to the gynecological exam:

1. External genital exam – Your doctor will examine the vulva or the outside of your genital area to identify any issues and determine if you are developing properly.
2. Internal (bimanual) pelvic exam – Your doctor will feel inside your vagina buy inserting one or two lubricated, gloved fingers from one hand, while the other hand presses gently on the outside of your lower abdomen to check the size and shape of your uterus and ovaries.
3. Internal speculum exam – Your doctor will use a device called a speculum to open and widen your genital area so your vagina and cervix can be seen. This may be used to do a pap smear or to assess other health concerns.

A female nurse or assistant may be present in the room during the examination. You can decide who you want or don't want in the room when the gynecological exam is performed. You may request your parent to be in the room for support. If any part of the gynecological exam makes you uncomfortable, discuss it with your doctor.

What can I expect after an Adolescent Gynecology Exam?

Your doctor will let you know the results of your exam, specifically your pap test, as soon as it is available. If needed, laboratory tests and radiologic exams may be ordered to evaluate menstrual or pelvic pain disorders or any problems you might have. We are here to answer any of your questions and to keep it confidential.

Talk with your daughter and your physician before the exam to get answers to any questions you may have. Discuss why the exam is important and what it will entail, including your external exam, and possibly an internal pelvic exam.

What are the prep instructions before an Adolescent Gynecology Exam?

Follow these instructions to prepare for an Adolescent Gynecology Exam:

• Schedule your exam for a date when you will not be on your period
• Avoid vaginal intercourse for 24 hours before your exam
• Do not use a douche or insert anything into your vagina for 24 hours before your exam