Unfortunately, gynecological diseases have recently become âyoungerâ. Therefore, there is already nothing surprising in the examination by a gynecologist for children. Such a procedure is necessary, first of all, for the girl herself, in order to timely identify "female" diseases and begin adequate treatment. Children's gynecologists today work at almost every clinic.
How do gynecologists check girls? How to prepare for the procedure? What should parents know? What questions and procedures are up to the child? Is it possible to refuse them? We will answer all these questions further.
Rights of the child and parents
How do gynecologists check girls? Important features of the procedure can be found in the Order of the Ministry of Health No. 1346n (2012) "On the procedure for minors to undergo medical examinations":
- The official document says that the appointment with a pediatric gynecologist is recommended at certain periods of life, but the girlâs parents have every right to refuse it.
- So, in the framework of preventive medical examinations, an appointment with an obstetrician-gynecologist at 3, 7, 12, 14 years and more annually is recommended. As for the registration of the child in a new educational institution, an examination by a gynecologist is always obligatory.
- But parents must remember that the examination of their child by a gynecologist is possible only with their consent, documented. It is impossible to refuse medical intervention only when the child suffers from diseases dangerous to society, or his life is in danger.
- Parents have the right to prohibit the examination of the child by a gynecologist as part of a preventive medical examination. However, this may be followed by a refusal to attend or enroll in an educational institution under the Federal Law "On Education".
- It is important to note that a child under 15 years old should be examined by a gynecologist only in the presence of parents or guardians.
- Only a pediatric gynecologist should examine the child. Referring a girl under 16 to an adult antenatal clinic is illegal.
When to plan your first visit?
Experts say that the first examination of a girl by a gynecologist should be carried out after the first menstruation begins. Since organisms are individual, it is impossible to name the general age here. Someone is 10 years old, and someone is 15. After the girl has started the menstrual cycle, she should get used to the fact that a prophylactic visit to the gynecologist needs to be planned at least once a year.
If the girl is concerned about problems from the genitourinary system, then, of course, you can make an appointment with a gynecologist at any age.
How is the reception?
Girls and their parents are concerned about how the virgin is examined by a gynecologist. As a rule, if the procedure is carried out by a competent specialist, it does not cause discomfort. But the girlâs psychological preparation is important: the mother must explain why it is important to honestly answer the doctor âuncomfortable questionsâ, why underwear should be removed, why these procedures are necessary for health.
Examination of the virgin by a gynecologist begins with a survey of the patient about her state of health. If the girl complained, then a visual examination of the genitals, mammary glands is carried out. The doctor can put a little pressure on the chest to make sure there are no tightness, on the lower abdomen to check the condition of the uterus and ovaries.
Are virgins examined?
How do gynecologists check girls? In some cases, you need to check the elasticity of the vagina. This is done through the anus. The procedure is unpleasant, even painful. Therefore, it is carried out in relation to children only if there is a suspicion of the development of the disease.
Examination of a virgin by a gynecologist often takes place as part of a medical commission. An additional procedure may be required here - taking a smear. For this, the specialist takes a long cotton swab, gently runs it along the vaginal mucosa. The collected material is sent for analysis to the laboratory.
How do gynecologists test girls at school? Often the procedure boils down to just a survey. The girl needs to answer whether she began menstruation, when there were last discharge, what is the frequency of menstruation, their intensity. The questions are simple, but so that they do not embarrass the child, you still need to prepare answers with your mother in advance.
Does a gynecologist check virginity or not?
How does a gynecologist test girls for virginity? Unfortunately, the fear of girls and even adult women in front of the gynecologistâs office is primarily due to the fact that an outsider must be devoted to the details of intimate life. Girls are embarrassed by the fact that they are virgins, and the fact that they live sexually. Here, again, a conversation with mom is very important.
It is necessary to convey to the child that the gynecologist does not check virginity, but the state of the reproductive system. Clarifying questions about sexuality are needed here to prevent health problems in time. For example, if a girl has a delay of menstruation, and she has a sex life, this may indicate the beginning of pregnancy. While the virgin may have a different cause.
On the state of the hymen
How to check hymen? No special procedures are performed. It is enough for a girl to say that she does not live sexually. According to the external condition of the genitals, the vagina, the specialist will not determine in any way whether the girl is a virgin. Unless, of course, there are bruises, bruises, scars, abrasions, which already indicates a violent sexual intercourse.
The hymen itself is a rather controversial confirmation of virginity. People far from gynecology have an idea that this is a continuous film that "blocks" the entrance to the vagina. In fact, the hymen can be porous, "perforated", visually be almost invisible. And all this is natural, and does not indicate the beginning of sexual activity.
Why is the inspection of virgins different?
The reception of the virgin by the gynecologist is more gentle and cautious not because the specialist is afraid to "tear" the hymen, but because the doctor understands how uncomfortable, painful the procedure for examining the vagina is for a girl who does not live sexually.
This very fold of fabric, called the hymen, is quite elastic. With a careful examination by the doctor of the vagina, it is quite difficult to âtearâ it. By the way, therefore, the hymen is not always damaged during sexual intercourse, because of which it can not be considered confirmation of virginity (that is, the fact that a person does not live sexually).
Mom needs to tell her daughter how the gynecologist checks the virgins. And, of course, choose a competent specialist to examine your child. Since the fear of the gynecologistâs office often arises due to the unprofessionalism of individual doctors, their careless attitude to the patient.
Should a girl have sex?
We have already noted that the integrity of the hymen is rather controversial evidence of a lack of sex life. Not always her presence proves that the girl did not have sexual partners. And not always damaged or absent pleura indicates the beginning of sexual activity. Therefore, the gynecologist primarily focuses on the words of the patient herself.
And here again, the assistance of parents is important. A girl should not be afraid to tell her mother or gynecologist about the beginning of sexual activity. And this is possible if she feels that they will support her, answer troubling questions, and will not scold, shame, frighten the consequences. It is important for parents that the child trust them: after all, the sooner you turn to a specialist about problems in the intimate sphere, the sooner the necessary help will be received.
It is important to choose a responsible specialist. It is no secret that there are incompetent gynecologists who condemn, and sometimes humiliate, young patients for their earlier onset of sexual activity. And this is fraught with the fact that in the future the girl will pull with an appeal to the gynecologist about an important problem, which will result in serious, and sometimes irreversible, consequences for her health. Therefore, parents should approach the choice of the first gynecologist for a teenager with a very very vulnerable psyche very responsibly.
Inspection of the Virgin Girl
If a teenage girl told her mother that she is having sex, then it is necessary to plan a visit to the gynecologist. It is important to correctly convey to your daughter that adulthood involves responsibility for oneâs actions. Sexual life requires close monitoring of your health. Therefore, visits to the gynecologist are necessary - in order to diagnose an abnormality, infection, pathology at an early stage.
Examination of a girl who lives sexually is not much different from an examination of a virgin. It also begins by interviewing the patient about her state of health. Additionally, the doctor will ask if the girl is living a sex life, whether she uses contraception.
Differences in inspection. If the inspection of virgins is visual, palpation of the abdomen and mammary glands, then here the examination will be instrumental. A small device with a mirror, slightly expanding it, is inserted into the girl's vagina by 2-3 cm. With it, the doctor can examine the walls of the vagina, cervix. In time to notice their pathological changes. The procedure is painless, but rather unpleasant.
Why are these questions?
It is important for parents to inform their daughter that questions about their intimate life and the number of sexual partners are not asked in order to make the patient feel awkward. If a girl has appeared, her sexual partner has changed, and contraceptives have not been used, there is a risk of not only an unwanted pregnancy, but also an infection. Therefore, she will be given directions for analysis.
These laboratory tests are important in helping to detect a sexually transmitted infection even at an early stage of development. When the disease can be cured at that stage, it will not cause significant harm to the body.
Gynecologist and parents
Many people know the concept of "medical secret." Is a gynecologist obliged to inform the girlâs parents that she is not a virgin? Yes, if the patient is less than 15 years old. If the girl is older, then at her request, the doctor should not divulge the secret. However, there is an exception: if the gynecologist suspects that the sexual act in relation to the patient was violent, he is obliged to tell her parents about it.
A child can visit a gynecologist without parental consent. The exception is only termination of pregnancy. If the girl is under 18 years old, written consent is required for the abortion of the parents. Otherwise, he will be considered criminal and prosecuted by law.
Now you know how gynecologists test girls. If this procedure is carried out by a competent specialist, it is not at all traumatic for the child. But it is important that the parents are able to properly prepare the girl for her psychologically.