Problemi speciali
La visita ginecologica in età pediatrica: quando, come e perché
Gynaecological examination in paediatric age: when, how and why
Maria Chiara Lucchetti1, Lorna Spagnol2
1Chirurgo pediatra, Responsabile Alta Specializzazione in Ginecologia Pediatrica, 2Chirurgo pediatra, UOS Andrologica
Ospedale Pediatrico “Bambino Gesù” IRCCS, Roma
Febbraio 2023 - pagg. 97 -102 | DOI: 10.53126/MEB42097
Abstract
Gynaecological examination in paediatric and adolescent age is a fundamental tool for the diagnosis, treatment and prevention of many pathologies with potential consequences for adult life and future fertility. It also provides an opportunity to intercept previously unknown underlying pathologies. It is also a chance to offer information, education and in-depth discussion on issues that are fundamental to the full physical and psychological wellbeing of the patient. The paediatrician plays a decisive role in the selection and referral of patients requiring such an assessment and in choosing the right time for a visit that is, and must remain, a fundamental stage in the life and medical history of every woman.
Riassunto
La visita ginecologica in età pediatrica e adolescenziale costituisce uno strumento fondamentale per la diagnosi, il trattamento e la prevenzione di molte patologie con potenziali conseguenze per la vita adulta e la fertilità futura. Rappresenta inoltre una possibilità di intercettare patologie di base ignote fino a quel momento. Ma è anche l’occasione per offrire informazioni, educazione e approfondimento su tematiche fondamentali per il pieno benessere fisico e psicologico della paziente. Il pediatra svolge un ruolo determinante nella selezione e invio delle pazienti che necessitino di tale valutazione e nella scelta del momento opportuno per una visita che è e deve rimanere una tappa fondamentale nella vita e nella storia clinica di ogni donna.
Parole chiave
Suggerite dall'AI
Classificazione MeSH
Contenuto riservato
Per leggere l'articolo completo è necessario effettuare il login.
Non sei ancora registrato? Registrati
Bibliografia
1. The American College of Obstetricians and Gynecologists. ACOG adolescent visit record and ACOG adolescent visit and parent questionnaire 2010. In: Tool Kit for Teen Care, 2nd edition.
2. Hagen J, Shaw J, Duncan P (eds). Bright futures: guidelines for health supervision of infants, children, and adolescents, 3rd edition. Elk Grove Village, IL: American Academy of Pediatrics, 2008.
3. Balk SJ, Dreyfus NG, Harris P. Examination of genitalia in children: “the remaining taboo”. Pediatrics 1982;70:751-3.
4. Young J, Rodrigues KK, Imam B, Johnson-Agbakwu C. Female Genital Mutilation/Cutting-Pediatric Physician Knowledge, Training, and General Practice Approach. J Immigr Minor Health. 2020;22(4):668-74. doi: 10.1007/s10903-019-00938-x.
5. Millstein SG, Adler NE, Irwin CE Jr. Sources of anxiety about pelvic examinations among adolescent females. J Adolesc Health Care. 1984;5(2):105-11. doi: 10.1016/s0197-0070(84)80008-x.
6. Bodden-Heidrich R, Walter S, Teutenberger S, Küppers V, Pelzer V, Rechenberger I, Bender HG. What does a young girl experience in her first gynecological examination? Study on the relationship between anxiety and pain. J Pediatr Adolesc Gynecol. 2000;13(3):139-42. doi: 10.1016/s1083-3188(00)00056-5.
7. Robbins CL, Fortenberry JD, Roth AM, Ott MA. Premenarchal girls’ genital examination experiences. J Adolesc Health 2012;51(2): 179-83. doi: 10.1016/j.jadohealth.2011.11.009.
8. Gupta S, Hogan R, Kirkman RJ. Experience of the first pelvic examination. Eur J Contracept Reprod Health Care 2001;6(1):34-8.
9. ACOG Committee Opinion No. 651: Menstruation in Girls and Adolescents: Using the Menstrual Cycle as a Vital Sign. Obstet Gynecol 2015;126(6):e143-e146. doi: 10.1097/ AOG.0000000000001215.
10. American Academy of Pediatrics Committee on Adolescence; American College of Obstetricians and Gynecologists Committee on Adolescent Health Care; Diaz A, Laufer MR, Breech LL. Menstruation in girls and adolescents: using the menstrual cycle as a vital sign. Pediatrics 2006;118(5):2245-50. doi: 10.1542/peds.2006-2481.
11. Silver MI, Anderson ML, Beaber EF, et al. De-implementation of cervical cancer screening before age 21. Prev Med 2021;153: 106815. doi: 10.1016/j.ypmed.2021.106815.
12. Adams JA. Sexual Abuse in Children: What the General Practice Ob/Gyn Needs to Know. Clin Obstet Gynecol 2020;63(3):486-90. doi: 10.1097/GRF.0000000000000539.
13. Seravalli V, Linari S, Peruzzi E, Dei M, Paladino E, Bruni V. Prevalence of hemostatic disorders in adolescents with abnormal uterine bleeding. J Pediatr Adolesc Gynecol 2013;26(5):285-9. doi: 10.1016/j.jpag.2013.06. 003.
14. Gutman G, Nunez AT, Fisher M. Dysmenorrhea in adolescents. Curr Probl Pediatr Adolesc Health Care 2022;52(5):101186. doi: 10.1016/j.cppeds.2022.101186.
Corrispondenza: mchiara.lucchetti@opbg.net