Visiting The Doctor / Question
Published: May 6, 2003
Dear TeenHealthFX,
I went to the gyno, and she hurt me very bad. That was my first time. I really do not want to go back but I haven't had a period in 5 months. I know I am not pregnant I have taken 3 tests. I'm 20 yrs old, and so scared, it hurt so bad. Plus I think that my vagina looks weird. Also what is the best way to keep clean down there. Please help.
Signed: Hurting & Scared Of Gynecologist
Dear Hurting & Scared Of Gynecologist,
FX is sorry to hear that you had a bad experience at your first gynecologist visit. It can unfortunately be an intimidating experience but most gynecologists want to create a relaxed, positive environment for their patients. Although it may be difficult for you to try again, it is important to return to a gynecologist for continued care. FX would recommend going to a different one though.
Annual pap smears and routine physical exams are important for women your age. Most gynecologists would like your first and repeat visits as comfortable and relaxed as possible so it may be helpful to know a little bit about what to expect. There are several parts to the visit: first he/she will ask you several questions regarding any medical problems you may have (like your lack of periods), some questions regarding your sexual history, your periods, eating habits and exercise, whether you use birth control and if you are interested in birth control, family history of medical problems and some additional social questions. The second part of the visit is the physical. The doctor will examine you, and this will include a breast exam and a pelvic exam. The pelvic exam consists of looking at the labia as well as the urethra (which drains your bladder) and vaginal openings. Then a speculum is inserted, so that a pap smear and additional tests for infections are done. This may be somewhat uncomfortable but should not be painful. The last part of the exam is the "bimanual" exam when the doctor will check your uterus and ovaries. Again, this may be uncomfortable, but you should not expect it to be painful. At the end of the visit, the doctor should let you know if there are any problems, and should answer any questions you have.
Regarding your specific health questions...
- Your period - There are many reasons why you may not have had your period for the past five months. An increase in exercise could cause this, or significant weight loss. Pregnancy is a possibility, which you have checked out already. Now a doctor needs to evaluate this.
- How To Keep Your Vagina Clean - FX has answered a question on this already, please check out Vagina Smelly - How To Clean?
FX knows that it is very difficult to get past a bad experience and try again, but not all physician encounters will be the same and it is important to continue with medical care. It may be helpful to talk to a friend or a relative to find out if they know of doctors that they like and trust. If you would like to meet with a doctor from the Adolescent/Young Adult Center For Health in Morristown, New Jersey, you can call 973.971.6475 for an appointment. Outside of New Jersey, please call your local Planned Parenthood.
Signed: TeenHealthFX
It is estimated that major depressive disorder (MDD) affects about 5% of adolescents, and that between 10 - 15% of adolescents have some symptoms of depression at any one time.
