{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,26]],"date-time":"2026-04-26T22:43:59Z","timestamp":1777243439179,"version":"3.51.4"},"reference-count":13,"publisher":"American Academy of Pediatrics (AAP)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2010,9,1]]},"abstract":"<jats:p>The American Academy of Pediatrics promotes the inclusion of the gynecologic examination in the primary care setting within the medical home. Gynecologic issues are commonly seen by clinicians who provide primary care to adolescents. Some of the most common concerns include questions related to pubertal development; menstrual disorders such as dysmenorrhea, amenorrhea, oligomenorrhea, and abnormal uterine bleeding; contraception; and sexually transmitted and non\u2013sexually transmitted infections. The gynecologic examination is a key element in assessing pubertal status and documenting physical findings. Most adolescents do not need an internal examination involving a speculum or bimanual examination. However, for cases in which more extensive examination is needed, the primary care office with the primary care clinician who has established rapport and trust with the patient is often the best setting for pelvic examination. This report reviews the gynecologic examination, including indications for the pelvic examination in adolescents and the approach to this examination in the office setting. Indications for referral to a gynecologist are included. The pelvic examination may be successfully completed when conducted without pressure and approached as a normal part of routine young women's health care.<\/jats:p>","DOI":"10.1542\/peds.2010-1564","type":"journal-article","created":{"date-parts":[[2010,8,31]],"date-time":"2010-08-31T00:26:34Z","timestamp":1283214394000},"page":"583-590","source":"Crossref","is-referenced-by-count":75,"title":["Gynecologic Examination for Adolescents in the Pediatric Office Setting"],"prefix":"10.1542","volume":"126","author":[{"given":"Paula K.","family":"Braverman","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lesley","family":"Breech","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"The Committee on Adolescence","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"417","published-online":{"date-parts":[[2010,9,1]]},"reference":[{"issue":"4","key":"2021121009454677300_B1","first-page":"1","article-title":"Youth risk behavior surveillance: United States, 2007","volume":"57","author":"Eaton","year":"2008","journal-title":"MMWR Surveill Summ"},{"issue":"RR-15","key":"2021121009454677300_B2","first-page":"1","article-title":"Screening tests to detect Chlamydia trachomatis and Neisseria gonorrhoeae infections: 2002","volume":"51","author":"Johnson","year":"2002","journal-title":"MMWR Recomm Rep"},{"issue":"2","key":"2021121009454677300_B3","doi-asserted-by":"crossref","first-page":"684","DOI":"10.1128\/JCM.43.2.684-687.2005","article-title":"Use of an immunochromatographic assay for rapid detection of Trichomonas vaginalis in vaginal specimens","volume":"43","author":"Huppert","year":"2005","journal-title":"J Clin Microbiol"},{"issue":"4 pt 1","key":"2021121009454677300_B4","doi-asserted-by":"crossref","first-page":"939","DOI":"10.1542\/peds.102.4.939","article-title":"Evaluation of vaginal infections in adolescent women: can it be done without a speculum?","volume":"102","author":"Blake","year":"1998","journal-title":"Pediatrics"},{"issue":"2","key":"2021121009454677300_B5","doi-asserted-by":"crossref","first-page":"387","DOI":"10.1016\/j.idc.2005.03.001","article-title":"What's new in bacterial vaginosis and trichomoniasis?","volume":"19","author":"Sobel","year":"2005","journal-title":"Infect Dis Clin North Am"},{"issue":"2","key":"2021121009454677300_B6","doi-asserted-by":"crossref","first-page":"469","DOI":"10.1097\/AOG.0b013e3181eeb30f","article-title":"Cervical cancer in adolescents: screening evaluation, and management","volume":"116","author":"American College of Obstetricians and Gynecologists","year":"2010","journal-title":"Obstet Gynecol"},{"issue":"1","key":"2021121009454677300_B7","doi-asserted-by":"crossref","first-page":"398","DOI":"10.1542\/peds.2006-1115","article-title":"Sexuality of children and adolescents with developmental disabilities","volume":"118","author":"Murphy","year":"2006","journal-title":"Pediatrics"},{"issue":"11","key":"2021121009454677300_B8","first-page":"1","article-title":"Sexually transmitted diseases treatment guidelines, 2006 [published correction appears in MMWR Recomm Rep. 2006;55(36):997]","volume":"55","author":"Centers for Disease Control and Prevention","year":"2006","journal-title":"MMWR Recomm Rep"},{"issue":"3","key":"2021121009454677300_B9","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1016\/j.jpag.2006.02.006","article-title":"Vulvar ulcers in young females: a manifestation of aphthosis","volume":"19","author":"Huppert","year":"2006","journal-title":"J Pediatr Adolesc Gynecol"},{"issue":"5","key":"2021121009454677300_B10","doi-asserted-by":"crossref","first-page":"1135","DOI":"10.1542\/peds.2007-2535","article-title":"Contraception and adolescents","volume":"120","author":"Blythe","year":"2007","journal-title":"Pediatrics"},{"issue":"4","key":"2021121009454677300_B11","doi-asserted-by":"crossref","first-page":"1026","DOI":"10.1542\/peds.2005-1877","volume":"116","author":"American Academy of Pediatrics, Committee on Adolescence. 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