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Adolescent Gynecology

Reproductive health care for teenage girls

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Kadın Hastalıkları ve Doğum department. Book Appointment →

What is Adolescent Gynecology?

Adolescent gynecology focuses on physical and developmental changes during puberty and the management of menstrual, sexual, and reproductive health concerns in young women.

Common concerns include menstrual irregularities, dysmenorrhea, abnormal bleeding, contraception counseling, vaginal infections, and HPV vaccination.

Care emphasizes confidentiality, age-appropriate education, parental involvement balance, and screening for sexual abuse, eating disorders, and mental health.

Pelvic examinations are deferred unless clinically indicated; vaginal ultrasound and laboratory testing usually suffice for evaluation.

Symptoms

Irregular periods within the first 2-3 years of menarche (often physiological)
Severe dysmenorrhea limiting school attendance or activities
Heavy menstrual bleeding causing anemia
Acne, hirsutism, and weight gain suggesting PCOS
Missed periods (amenorrhea) requiring evaluation
Vaginal discharge, itching, or sexually transmitted infection symptoms

Risk Factors

Sexual activity without barrier contraception
Family history of PCOS, endometriosis, bleeding disorders
Eating disorders affecting menstrual function
Body mass index extremes (low or obesity)
Athletic training causing functional hypothalamic amenorrhea
History of abuse or trauma affecting reproductive health

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • No menarche by age 15 or no breast development by age 13
  • Severe dysmenorrhea unresponsive to NSAIDs or oral contraceptives
  • Heavy bleeding causing anemia or limiting activities
  • Suspected pregnancy or need for emergency contraception
  • Symptoms of sexually transmitted infection
  • Concerns about sexual abuse or relationship violence

Treatment Methods

01
Education about menstrual physiology, hygiene, and tracking
02
NSAIDs for dysmenorrhea and combined oral contraceptives for menstrual regulation
03
PCOS management with lifestyle changes, metformin, and hormonal therapy
04
HPV vaccination, contraception counseling, and STI screening per guidelines
05
Confidential counseling and psychological support when needed
06
Multidisciplinary care for eating disorders, abuse, or complex gynecologic conditions

Which Department to Visit?

You can visit our Kadın Hastalıkları ve Doğum department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Kadın Hastalıkları ve Doğum Department

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You can make an appointment with our specialists or contact us for your concerns.

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Regular Gynecological Check-up

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Regular gynecological check-ups enable early diagnosis of many women's diseases and increase treatment success. It is recommended that every sexually active woman or woman over 21 see a gynecologist at least once a year.

Cervical Cancer

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Cervical cancer develops from uncontrolled growth of cells in the cervix and is among the most common women's cancers worldwide. Precancerous lesions can be recognized with regular Pap smear and HPV testing.

HPV and Vaccination

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HPV is a common virus transmitted sexually that can lead to certain types of cancer. Vaccination provides over 90% protection against high-risk HPV strains.

Ovarian Cyst

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Ovarian cysts are fluid-filled sacs that form in or on the ovarian tissue. Most are asymptomatic and disappear spontaneously; however, large or complex cysts can cause pain and complications.

Endometriosis

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Endometriosis affects about 10% of women of reproductive age, causing cyclic pelvic pain, dysmenorrhea, dyspareunia, and infertility; combined medical and laparoscopic treatment improves quality of life.

Uterine Fibroids

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Uterine fibroids are benign tumors developing from the uterine muscle layer. They affect 20-50% of women of reproductive age; most are asymptomatic, but can cause bleeding and pain.

Polycystic Ovary Syndrome (PCOS)

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PCOS is the most common endocrine disease affecting approximately 10% of women of reproductive age, characterized by androgen excess, ovulation disorder, and polycystic ovarian appearance.

Menopause

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Menopause is the life stage defined by not having a period for 12 consecutive months and the natural cessation of ovarian function. The average age is 51, but it can vary between 45-55 years.

Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.