[sera300]

I prefer patients to have their first gyn exam at the onset of menses. Why? You are beginning with a good baseline of a routine exam [finding what is either normal or abnormal], getting the patient comfortable with their body, and with opening up for discussions in the future.

No parents are allowed in the room during any exams or during in my office while we discuss findings and cover basic information. This allows me to get an accurate assessment of their development, let them know our conversations are confidential, and they can call with questions as needed. I can also cover all basics of safety.

Later mom is brought in & I will discuss only what I found as all appears okay, the pap will be back in a week & you will have your results, and when I recommend a follow up appointment. None of the personal information is divulged to the parent if they asked about sex, birth control, etc. I do encourage Moms to talk with their daughters about what is happening with their bodies [if they appear knowledgeable and are open to communication with their daughters].

Often I will say; discussing topics are important since you may not approve of your daughters sexual behavior or body. However, lack of information can result in not just a unwanted pregnancy but can cost them their lives.

I do not do many gyn exams but will do them if I must.