As a Reproductive Endocrinologist and the father to three daughters, Dr Howe is very sensitive to and supportive of the gynecologic and hormonal issues of adolescent women.
Which young women should see a gynecologist?
It is important for young women to be assessed early if sexually active, to begin a relationship with a doctor who can help her through many important milestones in her life. Other teenagers who would benefit are girls with delayed or difficult menstruation, those with irregular menses, those with signs of Polycystic Ovaries or Insulin Resistance (irregular menses, obesity, abnormal facial hair growth) or those with pelvic pain.
Adolescent Gynecological Exam
Annual pelvic exams and pap smears are recommended for all sexually active women over the age of 18. Most adolescent women who are sexually active will tolerate an exam well. However, a complete gynecological exam may be traumatic to a virginal teenager. If the patient is virginal, a pelvic exam will be avoided if possible. Depending on the nature of the problem, a careful abdominal exam and ultrasound can provide excellent information.
If a pelvic exam is needed, Dr Howe will ask if the patient wants a friend or her mother or sister to be with her. He carefully and thoroughly explains the exam process. Patients have the opportunity to ask questions and voice concerns. Dr Howe is especially sensitive with younger patients.