Caring from the cradle
Inna Vadimovna, at what age should a girl be shown to the gynecologist for the first time?
Inna Lavrentyeva: If parents have doubts about their daughter’s health, they can consult a doctor at any time. One of the common problems in girls in the first years of life is vulvitis, inflammation of the external genitalia. Even if the disease is not noticed, it will manifest itself in a deterioration in urinalysis and the pediatrician may refer the patient to a gynecologist.
If we talk about mandatory preventive examinations, the first scheduled visit to the gynecologist should take place after three years. The doctor observes whether there are any abnormalities in the structure of the genital organs and, if necessary, registers the patient for further observation and assistance.
A physical examination is then performed at six years of age, when endocrine development begins. At this point, you can notice problems at an early stage and refer the girl for further examination by an endocrinologist.
And the most critical medical examination is carried out at age 13 and cannot be postponed, no matter how good the daughter’s well-being is, whether she is menstruating or whether her cycle has improved. Also, if a girl’s breasts have not begun to form, this is a very alarming sign. In these patients, we often identify fatal and insidious oncological pathologies. Every year we face a chromosomal disorder that leads to malignant neoplasms in the ovaries: gonadoblastoma or dysgerminoma. Happiness is if you manage to operate on a young patient in time and save her life, as well as her reproductive health. If it is not detected at an early stage, even after a successful operation, she will no longer be able to regain her health and shape her figure, because hormone therapy can cause a recurrence of cancer.
Another problem may hide behind menstrual irregularities, which is why it is necessary to mark the beginning and end of each menstruation on the calendar. If this period is more than seven days, if the bleeding is profuse and causes a deterioration in health, it is advisable to consult a doctor. As happens if a blood test shows low levels of hemoglobin and ferritin. The length of the cycle, from the first day of one menstruation to the first day of the next, is normally 24 to 32 days; If it is less or more, it is time to consult a doctor.
Generally, from the age of 14 and for the rest of life, check-ups by the gynecologist should be carried out at least once a year, and preferably every six months.
Should Teenage Girls Get Screened for Breast Cancer?
Inna Lavrentyeva: No, specifically for this cancer, but in general the doctor should examine the breasts for other formations. When it comes to breast cancer, it is extremely rare for it to appear so early. A hereditary factor causes only 3% of cases, and the rest may be due to various causes. And most often this cancer affects middle-aged and older women.
the family is responsible
How can a mother prepare her daughter for a visit to the chief women’s doctor?
Inna Lavrentieva: At a younger age we can discuss that each of our organs is examined by one or another doctor. At exactly the same age, children usually go through several specialists and the baby will not show surprise. With an older preschooler, it is important to discuss hygiene issues and explain to her that her body will change and that she needs to tell you if something bothers her or interests her. A little later, when the changes in the body become more noticeable, you can find out what else the girl can expect: swelling of the breasts, the appearance of hair in the groin and armpits, leucorrhoea and menstruation; Typically, this can begin at age 11. old.
And with a teenager it is worth talking about her first love and attraction, indicating that at this age communication with boys does not force her to have sexual relations, everything has its time. Trusted communication between parents and children does not arise out of nowhere; It is necessary to build it from the beginning to overcome the difficult transition stage together.
What else should parents do to maintain a girl’s reproductive health?
Inna Lavrentieva: For our body, procreation, oddly enough, is not the main concern. And in negative conditions, our brain can prevent the development of reproductive function. If this situation is not corrected before adulthood, it can lead to female infertility.
The girl’s diet should be regular and nutritious, including healthy fats, iron-rich meat products, vegetables, fruits and cereals.
Physical activity is important for good blood circulation in the pelvic organs. Daily exercise, walks, and physical education classes are usually enough. And playing sports should be assessed based on how the load affects your well-being, especially during menstruation. By the way, mental stress also requires a sense of proportion: if a girl goes to bed after midnight to have time to do her homework, this is already too much. Healthy sleep is also vitally important, and it is possible to do it before 11:00 p.m. when the lights go out. If you take care of your health in general, everything will be fine as a woman.
THERE ARE CONTRAINDICATIONS. SPECIALIZED CONSULTATION IS REQUIRED.
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