Gynecological problems of girls of preschool and adolescence stand alone in general gynecology. The fact is that it is very difficult to put a sufficiently accurate diagnosis for such young patients, and this requires a different approach, specialized knowledge and skill. Intimate diseases in girls always develop secretly, they are difficult to detect, which explains the problems of diagnosis.
A pediatric gynecologist should have extensive knowledge not only in the field of gynecology, but also in the field of psychology. Since it is rare to conduct a complete examination of a girl, a very important role in the diagnosis of the disease can be played by an ordinary conversation with her. The doctor should be able to ask the right questions, and so that the child completely trusted him, did not hesitate, accurately and completely told about his health, about the symptoms, which he is afraid to tell, for example, to his mother. In other words, an experienced doctor should be able to "draw" from the patient a maximum of small things, each of which can be decisive in developing a treatment plan.
The most common gynecological problem in adolescent girls is the delay in menstruation. This is more than a weighty reason to call a gynecologist, since the absence of a period may be a consequence of either an unplanned pregnancy or a symptom of a serious illness in the genital area. Of course, it is much easier to prevent this problem, especially since it is quite simple: a girl should only visit a gynecologist on a regular basis, and before starting a sexual life consult with him on contraception.
On the second place in the number of complaints are "strange" discharge from the vagina. As a rule, they are yellowish, brownish or greenish in color, have a sharp unpleasant smell, are accompanied by itching or burning of the external genital organs. In some cases, burning or pain with urination may occur. It should be noted that such discharges are found not only in adolescent girls, but also in newborns and in younger schoolgirls. If a girl at the age of 15-17 is fully capable of understanding that the presence of such secretions is abnormal, then the younger children should be watched by their mothers - regularly check underwear, ask directly if the daughter is not worried about something strange. At the first signs of the disease, you should immediately contact a pediatric gynecologist.
Often the reason for going to a specialist is too fast or, on the contrary, too slow a manifestation of signs of puberty. There have been cases when girls of 6-7 years suddenly started to grow quickly breast, there was abundant hairiness of intimate places. This is completely abnormal for a child of this age, as well as for a 14-15-year-old girl, the absence of such symptoms is unnatural. Whatever puberty - delayed or premature, there is cause for concern, as this may indicate the presence of serious endocrine diseases in the body.
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