When should a girl start seeing a gynecologist?

The American Congress of Obstetricians and Gynecologists (ACOG) recommends that females start getting Pap tests (a screening test for abnormal cervical cells) at the age of 21. Usually, a girl does not need to have a pelvic (internal) exam until then, unless she is experiencing some symptoms that may warrant an examination earlier than age 21.

However, it may be beneficial for a parent to schedule an appointment with a gynecologist or Nurse Practitioner to discuss things that may be difficult to talk about with your teens. Puberty, sexuality, contraception, sexually transmitted infections (STIs), drugs and alcohol are just a few of these! Providers that specialize in the field of gynecology are very comfortable talking to teens about these issues. And don't be surprised if the provider speaks to you and your adolescent together at first, and then asks to speak to the teen by themselves. This is not to conceal information from the parents; it is to provide information to the teen and answer questions that she may be uncomfortable asking in front of mom or dad.

She doesn't need to see a gynecologist unless she is having problems that her primary care doctor doesn't feel comfortable handling. This might include vaginal discharge, irregular bleeding, or pelvic pain. Your daughter's regular doctors can also prescribe birth control, if that is something your daughter needs. (It's important to discuss this!)

Your daughter should get her first Pap smear at age 21, no matter when sexual activity starts.