Pediatricians who provide primary care to adolescent girls will often address gynecologic issues, including questions related to puberty, menstrual disorders, contraception, sexually-transmitted infections and other infections.
The American Academy of Pediatrics (AAP) promotes the inclusion of the gynecologic exam in the primary care setting. A new AAP clinical report, "Gynecologic Examination for Adolescents in the Pediatric Office Setting," published in the September 2010 print issue of Pediatrics (published online Aug. 30,) reviews the gynecologic examination, including when a pelvic exam is indicated.
Most adolescents do not need an internal examination, but when they do, the best setting is often in the primary care office with a pediatrician who has established a trust and rapport with the patient. The report also covers when a referral to a gynecologist is indicated.