What is done at the first gynecologic visit depends on the reason for the visit and whether the girl is or isn't sexually active. In a routine visit with no complaints or problems under the age of 21, no pelvic exam is performed if a girl is not yet sexually active.

We would discuss Gardasil (the HPV vaccination), which is recommended for all boys and girls between the ages of 9 and 26, and we would recommend administering the series if she has not already done so with her pediatrician. We would discuss safe sex and condom use along with STD protection and prevention and all contraceptive methods.

We would also address any concerns or issues about menstrual cycles, breast self examination and any concerns or questions about female anatomy. Young girls often have many questions that they are not comfortable addressing with their mother or their peers, and this is an optimal opportunity to have those questions addressed and answered and concerns alleviated.

If they are sexually active we will do a pelvic examination and culture the cervix for gonorrhea and chlamydia, offer blood testing for STDs such as HIV, hepatitis B and C and syphillis. We would discuss condom use and all contraceptive methods. If over the age of 21 we would initiate pap smear screening.

**Have Questions About Your 1st Gyn Visit or Planning to Schedule Your Daughter's 1st GYN Visit? **

Schedule an in-office appointment to chat with us. Call us at 516-365-6100 to set up a convenient appointment. We're located right off the Northern State Parkway here in North Hills, Long Island, just a few minutes away from North Shore University Hospital & Northwell Health.

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