You may think gynecology is just for teens, but your young child could need expert care sooner than you realize. From early puberty to unexpected conditions like ovarian cysts or infections, some issues can be hard to detect without expert guidance. — A pediatric and adolescent gynecologist can provide this level of expertise.
What is pediatric gynecology?
The American College of Obstetricians and Gynecologists (ACOG) recommends teens have their first gynecologist visit between 13 and 15 — this is long before age 21. But if there is a concern or problem, your child may benefit from seeing a specialist who is skilled in working with patients much younger than age 13.
This is especially important if your child experiences a unique situation related to their reproductive organs, like the 11-year-old in this blog post from the University of Chicago Medicine.
At UChicago Medicine, the Pediatric and Adolescent Gynecologic Surgery (PAGS) program offers specialized care for young patients with complex reproductive health issues. The team, led by specialist pediatric and adolescent gynecologists, understands that gynecological care isn’t just for teens and adults.
According to UChicago Medicine pediatric and adolescent gynecologist Dr. Shashwati Pradhan, gynecology doesn’t start at age 18.
“There are a lot of providers who will say, ‘If you’re 16, I would do this. But at 12, I don’t know if that’s the right step.’ That’s valid — and that’s where we come in. We have experience with patients that age,” says Dr. Pradhan.
UChicago Medicine’s unique program addresses issues from early puberty to conditions like ovarian cysts, fallopian tube torsion and more, using a compassionate, multidisciplinary approach tailored to young patients.
Signs your child might need to see a pediatric and adolescent gynecologist
Knowing when to seek care can prevent long-term health problems and boost your child’s overall health.
Here’s what to watch for:
1. Early or delayed puberty
Signs of early puberty, such as breast development or pubic hair before age 8, or delayed onset of puberty past 15, could indicate hormonal imbalances that require a pediatric and adolescent gynecologist’s expertise.
2. Unexplained pain or discomfort
Chronic pelvic pain, stomach aches or difficulty using the bathroom can be signs of something more serious, like ovarian cysts or infections. Pediatric gynecologists are trained to investigate these signs early.
3. Irregular or heavy periods
While some cycle irregularity is normal during early menstruation, consistently heavy or irregular periods can signal underlying issues like hormonal imbalances, polycystic ovary syndrome (PCOS) or clotting disorders. A visit to the pediatric and adolescent gynecologist can be especially helpful if your child is missing school due to painful or heavy periods.
Why early care for your child matters
Addressing these issues early can prevent more serious health and reproductive system problems in the future, such as fertility complications or chronic pain.
Early gynecological visits can also help your child become familiar with their body and establish trust with healthcare providers, making future medical appointments less intimidating. ACOG also offers some additional compelling reasons to see a gynecologist early.
How to talk to your child about visiting the gynecologist
Many parents feel nervous about introducing their children to gynecological care. The key is making the conversation about their health and comfort. Let them know this isn’t about adult issues but ensuring they’re healthy now and in the future.
Not all initial visits require an exam, according to physicians at UChicago Medicine. This is important to remember if you or your child worry about a pelvic exam — and opt not to make an appointment because of this fear.
Being proactive about your child’s gynecological health can protect their well-being for years to come. If something feels off, or even just to establish care, don’t hesitate to consult a pediatric gynecologist early — it may be one of the best steps you can take for their long-term health.
Expertise from UChicago Medicine. Learn more at UChicagoMedicine.org.
