For most moms, the thought of bringing their little girl for a visit to the gynecologist has probably not crossed their minds.  We’ve taught them to keep their “private parts” private.  But a parent’s responsibility includes making sure they are healthy.  When a young girl complains of pelvic pain, itching or burning, seeking the right type of medical attention is wise.  Reasons behind the problems can be as simple as irritating bath bubbles, scented lotions, new toilet paper, or more serious issues such as a hormonal imbalance, or rarely, a tumor. 
 
Adolescent gynecology is a relatively new alternative for young girls’ health.  It combines the expertise of a gynecologist with the appropriate atmosphere and sensitivity of catering to a much younger patient. 
 
Going from a playground to the gynecologist is a huge step.  However, if a female of any age is experiencing problems that are breast or vaginal related, such as irritation, discharge, or pain and it does not seem to be related to any other cause, then she should be examined by a gynecologist.  It’s important that the doctor has both the training and the medical equipment to properly examine and treat a young girl, such as a small speculum and more slender instruments.
 
Bedside manner is another important consideration.  The physician must be sensitive to the situation.  If the young girl would like to have her mother present during the examination, then her request should be honored.  If she’d rather not, that’s okay, too. Sometimes young girls may be intimidated or embarrassed by her mother’s presence.  Recognizing her feelings is important.  Both the patient and the mother should be made to feel comfortable.  Reassurance and sensitivity will go a long way to making the experience as stress-free as possible.

Among the most common gynecological problems with young girls are menstrual and puberty-related issues.  Some of them occur as early as age 10 or 11.  “Some girls are dealing with severe cramping every month, heavy bleeding or highly irregular periods.

Periods usually begin between the ages of 12 and 14.  The American College of Gynecology recommends a visit with a physician if menstruation has not started by the age of 16.
 
The menstrual cycle is often irregular for the first one to two years.  During this time, it is not uncommon for young girls to go three or four months without menstruating. 

However, over time, the cycle becomes more regular and occurs every 28 days on average (although some women will have shorter or longer cycles).
Another common complaint seen in young girls is inflammation of the vulva, which usually occurs between the ages of 3 –10. 

Here are a few ways to prevent irritation:

• Limit lotions, bubbles, etc.  The fragrances and ingredients in these products can cause burning, itching and inflammation.  Sometimes laundry detergents, fragrant soaps and fabric softeners are also to blame.  Try unscented soaps, and gentle detergents to help eliminate the problem.

• Keep the area dry and allow air exposure.  After a bath, teach your little girl to dry thoroughly and wait a few minutes before putting on clothes. 

• Bath vs. shower.  A bath can be more effective than a shower at cleaning private parts.  No soap is necessary, and definitely no scrubbing.  Just soaking in warm water is enough. 

There are no set rules or guidelines as to what age a young woman should have her first gynecological exam.  However, most doctors agree that once a young woman becomes sexually active or reaches the age of 18, it is important she receive a checkup at least once a year.