Health & Fitness

Two annual checkups proposed for teen girls

LOS ANGELES — Most kids have a well-child medical check-up once a year. That's what the experts recommend for school-age children and teenagers. But one medical group suggests that teenage girls should have two annual preventive health visits: one a general checkup with a primary care doctor and a second "dedicated" reproductive health visit.

The idea is proposed in the July issue of the journal Obstetrics & Gynecology by an American College of Obstetricians and Gynecologists committee. The group recommends a girl have her first visit with an ob-gyn between the ages of 13 and 15.

The visit should be primarily educational and a chance to establish a relationship with the doctor, according to the paper. Topics of discussion could include puberty, menstruation, healthy eating habits, sexually transmitted disease and pregnancy prevention, sexual orientation and gender identity. A pelvic exam would be performed only if warranted.

The visit should include a discussion involving the teenager, a parent and the doctor about patient confidentiality.

Such a visit would "assist an adolescent in negotiating entry into the health care system when she has a specific reproductive health care need," the authors wrote.