Eight questions about children's gynecology

Typically, a young patient first meets a children's gynecologist if sick or feel the birth of a new life. Does it make sense to get acquainted with a children's gynecologist in gentle age, long before adult problems? It turns out that it is better to do it as early as possible!

Why do you need a children's gynecologist

Any girl regardless of age has the same genitals as an adult woman. In the village of the tiny creature of the female, there are no teeth, no hair, but already eating uterus, and uterine pipes, and ovaries. And once there is an organ, it is possible that some painful processes can develop in it.

According to the observations of specialists, from 15 to 25 percent of preschool girls and adolescent girls who have not yet reached the age of adulthood, suffer from various gynecological pathologies. These are inflammatory diseases of the genital organs, both cysts, and misa, and impaired menstrual function. They must be identified and treated. Otherwise, they can not only undermine the health of the girls, but also to call in a later, degenerate age of reproductive function.

At what age it is desirable to seem like a children's gynecologist

The first inspection of the external genital organs is carried out in the hospital shortly after the birth of the child. Its main goal is to identify the floor of the newborn. In addition, the planned postpartum inspection of the Ministry of Health of the Russian Federation has established two more compulsory vaguerymary with the participation of children's and adolescent gynecologist. Both units are conducted centrally. First - when entering a child to school, in 6-7 years. The second is during a puberty period, in 11-12 years, when menstruation already starts at most girls.

At the age of 14 years old, girls are advised to visit the gynecologist independently or together with parents 1 time per year. Additional, unscheduled visits, which can be caused by both the complaints of the girl and all sorts of external deviations from the norm.

When a visit to the children's gynecologist is necessary

So it turned out that the main reason for the conversion of adolescent girls and 17-18-year-old girls to the gynecologist is the delay of menstruation. Indeed this «bell» It is impossible to leave without attention, as he can serve as a warning that the girl is pregnant. However, it is much wiser to come to the gynecologist not after, but before the start of sexual life, so that the doctor helped the girl to pick up the most suitable method of contraception.

No less actively react to such alarming signals as the appearance of discharge from the vagina of yellowish, greenish or brownish color with an unpleasant smell, as well as itching and burning in the field of external genital organs and when urination. Such dangerous symptoms are characteristic of girls of any age - from babies to adolescents.

If the girl in the girl in 6-7 years old is celebrated the growth of the mammary glands and the exhaust or, on the contrary, it does not have any other, parents should find out with a children's and teenage gynecologist, to find out what matter. Premature sexual maturation, as well as its delay, are often associated with serious, requiring urgent treatment with endocrine diseases.

It is especially important to keep all sorts of deviations under control, indicating the disorder of the menstrual function. Menstruation is considered normally, regularly repeated after 21, 24, 28 or 32 days (for each body this interval is established individually). The duration of each menstruation should not exceed 7 days. With more prolonged, irregular, painful or too abundant menstruation with large blood loss, you must be consulted with a specialist. To clarify the rhythm of menstruation, each girl should lead the calendar, noting in it the first and last day of each menstruation and making special marks about whether bleeding was abundant, as menstruation passed - with pain or without pain. All this information will allow, if necessary, more accurately establish the cause of the disorder of the menstrual function when applying to the gynecologist.

Painful menstruation - whether to worry

Each third girl on the first day of menstruation feels the severity in the bottom of the abdomen, pulling or grabbing pain due to the immaturity of the uterus. Over time, they really disappear or significantly weaken. But, you see, at the moment, the girl from this is not easier. If menstruation takes place so painful that these days she cannot rise from bed, it should not be indifferent «wait by the sea» or experiment with different painful means: the consequences of such self-medication can be absolutely unpredictable.

It has been established that painful menstruation in most cases are a symptom of a number of gynecological diseases, in particular the improper development of genital organs, chronic inflammation of the appendages, tuberculosis and endometriosis of the genital organs. Therefore, a girl who has menstruation is accompanied by strong pains, must inspect a children's or teenage gynecologist.

Perhaps to eliminate painful phenomena, it will be enough to limit oneself to the reception of special antibacterial drugs. However, it is possible that another intervention will be required. In any case, preliminary laboratory diagnostics are needed.

How to influence fasting and diets on sexual development of the girl

The standard of a modern girl is a thin figure with a thin waist, flat belly and almost absent hips. To get closer to him, girls go to all. They almost cease to eat, artificially cause vomiting after meals, take the laxatives, are engaged in special gymnastics. In many cases, they manage to get the desired result: they lose weight. And suddenly they unexpectedly stop menstruation.

Typically, the weight of such fashionnits does not exceed 45 kilograms. Some scientists call it menstrual, or critical body weight. With body weight below the critical reproductive system (T. E. Body bodies involved in the process of conception, tooling and childbirth) returns to functioning at a lower, immature level, slows down the formation and allocation of hormones by hypophysome and ovaries, dimensions of the uterine and the mammary glands decrease. The longer there are no menstruation, the harder again «Run» Reproductive system. Far from always ending well. The cessation of menstruation caused by a sharp weight loss can contribute to the future development of infertility.

Is there an independent visit to the gynecologist by a child

Can a girl contact a gynecologist independently, not to be informed of the parents? Of course, maybe, but such independence is not always justified. Suppose a doctor when holding a planned vulture discovered some kind of gynecological disease in a girl. To clarify the diagnosis, it needs to ask a lot of questions: about the diseases transferred to the girl in childhood, about generic injuries, the adverse effects on the fetus during pregnancy. Will the child be able to answer them? Hardly.

Therefore, if the girl has not yet been 15 years old, it is better for her if necessary to come to the gynecologist together with mom. At the same time, the doctor in no case should «crush» to your young patient: call parents, notifying them about the upcoming visit, or find out why the girl did not appear on the reception, for example, through the director of the school and t.NS.

What caused the fear of the gynecologist

Apparently, girls living in sex life are afraid that parents will know about it. Their concerns are in vain: the doctor does not have the right to transfer to someone information obtained during the reception from his patient without its consent.

Another reason is the fear of the gynecological chair, but this is also not a reason in order to risk your health. First, a visit to the gynecologist is not always accompanied by a patient examination on the chair. For example, when selecting the contraception method, there is a sufficiently detailed confidence conversation. Secondly, the girl should know that, say, during a vulture, she may well answer a refusal to a doctor's request to undress and take a place in «scary» Chair.

Some girls do not go to the gynecologist because they are afraid to lose virginity. I want to calm them: this will not happen, because the gynecologist examines the girl at all as a woman. As a rule, with a gynecological examination, a manual study is applied, which is carried out not through the vagina, but through the rectum. If you need to examine the neck of the uterus and the vagina, the children's and adolescent gynecologist uses the special subtlety children's mirrors and vaginoskopy, which are carefully introduced through the holes in the virgin spray without damage.

What is the difference between children's and adult gynecology

The diagnosis of any gynecological disease in children requires special vocational training. As a rule, gynecological diseases in the children's body are developing hidden, they have very weak symptoms, so it is quite difficult to identify them. The art of a children's gynecologist is to choose such a complex of diagnostic research, which will allow for barely noticeable signs to detect, for example, in a small child a small tumor or determine the cause of juvenile bleeding in a teenage girl.

In addition, a children's gynecologist should be not only a professional in his field, but also to a certain degree psychologist. After all, if an adult woman frankly tells a gynecologist about the problems that led her to him, and the extremely accurately answers the questions set, then the girl pulls a lot from the doctor - whether he is shy, whether he believes that he believes that the doctor has nothing to talk about any trifles. She does not even suspect how important these «little things» When diagnosing and choosing a treatment regimen.

To get a maximum of useful information, a children's gynecologist must find an individual approach to each of his patients, to establish psychological contact with it. Only in this case can be hoped for success.