When to have the first GYN exam?

iVillage Member
Registered: 05-27-1998
When to have the first GYN exam?
11
Wed, 05-08-2013 - 5:30pm

DD will be turning 18 soon and leaving for college. She is not, nor has she ever been, SA, so I'm thinking it would be a good idea to get a baseline Pap and exam sometime this summer. Is this when it's typically done for non-SA girls or should she wait? (Yes, she has been properly educated on safe sex, and was on the pill for a time to regulate her periods.)

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Avatar for turtletime
iVillage Member
Registered: 05-13-1998
Wed, 05-08-2013 - 6:02pm

I think going prior to college is a good idea. Some of our friends insisted on putting their young teens on the pill "just in case" but not what we wanted. Not only did we want to delay the use of hormones but seriously, I can't see DD being religious about taking the pill yet.... she doesn't even get up at the same time everyday and most nights, she forgets to wash her face or put cream on a random zit, she doesn't even like to take tylenol for a headache. Rather not have her on the pill with bad habits thinking it's going to protect her.

I'm not AGAINST it by any means. If a young teen is sexually active... if it helps with terrible periods or acne problems... that's fine! I just didn't see it being a benefit for my own girl when she was younger.

Anyway, I degress! Unless we have reason to take her earlier, I plan on taking our DD summer before college. I know I went at 18 after I'd started college and I really would have liked my mom to be in the waiting room that first time instead of calling her long distance before and after.

iVillage Member
Registered: 08-08-2009
Wed, 05-08-2013 - 10:59pm

I think it would be a good idea to take a girl going off to college to an OBgyn for just a general checkup. If you and your daughter feel comfortable with her going to your OBgyn, that’s where I would take her. If either does not, I would ask my OBgyn for a recommendation as they usually know who the best are and who the best are with young ladies.

As you’re well aware there is much more to OBgyn’s than birth control and babies.

Our daughters had early and irregular periods. The pediatrician recommended taking them to an OBgyn from then on as the pediatrician felt they were old enough for an OBgyn and felt that a OBgyn would be best at dispensing, regulating, and keeping tabs on them and the pill. I took them to my OBgyn and she has been marvelous over the years as a doctor, friend, VIP in our lives. She has been there for us when the girls became SA with guys they are now married to, when youngest oopsed and gave us our first grandson, when it became apparent that oldest has major infertility issues. Until that time I did not know that our doctor has NO bio children and has built her family via adoption—most above the toddler age. She has BTDT knowledge about the pains of infertility that many doc’s would not have. LUCKY US!!! I struck gold in so many ways when by chance I started going to this OBgyn many moons ago.

When I called to ask our doctor to make sure the girls were doing the pill correctly and to make an appointment for her to consult with the girls when I found that they were sexually active. The head nurse said, this is a PRO-LIFE office, so if that matters to you, we understand that you might want to find another office. Your daughters’ communications with this office will be covered by doctor-patient confidentiality rules, unless they choose to wave that and allow you to be included. And on the personal side, doctor and I share a 9 year old grandchild due to a failure of birth control on spring break at South Padre Island via her daughter and my son. So don’t be surprised if the stork visits your household before you plan. LOL She was a fortuneteller for sure. LOL

iVillage Member
Registered: 05-27-1998
Thu, 05-09-2013 - 7:47am

Thanks, Turtle and Kimmy. I think I'll take her to my GYN, who just happens to specialize in perimenopause as well as adolescent gynecology. Plus, she's the no-nonsense type of woman DD loves.

She was also very bad about taking her BCP at the same time everyday, which is why she is no longer on it. It can only regulate your periods if you take it correctly. So I'm sure there will need to be a lot of discussion about reliable birth control if DD does become sexually active.

Community Leader
Registered: 07-26-1999
Thu, 05-09-2013 - 11:54am

I took Jordyn in for her first appointment in January, partly because we had originally planned on me quitting work and didn't know how long we'd have medical insurance, but partly because she was familiar with my OB from meeting her at the two births and I would have rather she went for her first one to someone she knew and was comfortable.  They did not do a pap at all and said that UNLESS they are sexually active, or have a real health concern, it is not recommended that they have one until their early 20's according to whatever association the OBGYN's are part of.  In my OB's words, "there is no use traumatizing them any earlier than they need" with their first pap.  They discussed STD's, general period issues and health since her's are still not regulated, cramps and PMS.  For her they did end up giving her a prescription for a prescription stregnth pain reliever for heavy cramps for the first 2 days of her period, but that was it. 

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iVillage Member
Registered: 04-16-2009
Thu, 05-09-2013 - 12:20pm

Similar to my now adult  DD. Our family doctor saw her for a  medical before she went off to university at age 18. No pap smear was done as per the quidelines from the College of Physcians.

iVillage Member
Registered: 05-27-1998
Thu, 05-09-2013 - 4:26pm

This is good to hear, thank you! D was a little worried about the Pap, so it would be nice to avoid that for a while if the doctor thinks that makes sense. I had to have a pelvic exam when I was 16 because I got a horrible infection from swimming in a contaminated pool. (Other teammates got hepatitis, so I guess I was lucky!) It was a very traumatic experience

Avatar for mahopac
iVillage Member
Registered: 07-24-1997
Thu, 05-09-2013 - 5:05pm

Glad you asked.  I took my older one the summer before college but completely forgot to make an appointment for DD before she goes to college, so thanks for reminding me.  This is my child who has gone entire school years without a single absence due to illness so I expect nothing unusual. 

iVillage Member
Registered: 04-16-2009
Fri, 05-10-2013 - 10:05am

Good idea to ask the doctor to verify that all their vacs are up to date, especially if they are living in a dorm.

It is also a chance for the doctor to have a chat with them about nuturition, getting enough sleep, reviewing use of any meds they are on etc.. Mom can say these things but it can carry more weight if it comes from their doctor.

Avatar for sabrtooth
iVillage Member
Registered: 12-03-1999
Sat, 05-11-2013 - 2:59pm
Re vacs-- make sure she gets the Menomune. We just had a kid die here, from meningitis. Crowded dorms are the perfect breeding place. I also strongly recommend HPV vaccine. HPV is so common now, that NEARLY ALL sexually-active men and women will get at least one type of HPV at some point in their lives. Estimates are now that 30% of women get HPV from their FIRST AND ONLY partner.
iVillage Member
Registered: 05-27-1998
Wed, 05-15-2013 - 7:21pm

Good reminder about the meningitis vaccine. Both kids got it when they were 11 or 12, so I think D is due for a booster before she goes off to college.

Also wanted to point out that boys should have the HPV vaccine, too, for those who don't object. (We struggled with this for a long time, but finally chose to give it to both kids. Neither had a negative experience, and they've had all 3 shots.)

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