Dear deathzshad,

If a girl is sexually active, it's really important for her to get a gynecological exam. Don't let fear or embarrassment stand in the way of good health! Most sexually transmitted infections can be easily treated, but can cause serious health problems if left untreated.

It can be helpful to talk with your clinician or gynecologist ahead of time and let her or him know your concerns. That way, she or he can be extra sensitive and carefully explain all the procedures. Some of the procedures include taking your medical history (which means you'll have to answer some questions about your health), a urine test, a breast exam, and a pelvic exam. The pelvic exam is over in a couple of minutes. Though it may be a bit uncomfortable, it should not be painful.

You'll either wear an examination gown or be covered with a drape sheet. Some clinicians will provide both. During the pelvic exam, you can cover your lower abdomen and thighs with the drape sheet to feel less exposed and more comfortable during the procedure. Try these tips to help you relax during the exam:

• Breathe slowly and deeply with your mouth open.



• Let your stomach muscles go soft.



• Relax your shoulders.



• Relax the muscles between your legs.



• Ask the clinician to describe what's being done as it's happening.

If your clinician is a man, you can ask to have another woman in the room. Sometimes having a woman there with you can help you feel more relaxed. She can hold your hand or just talk to you to ease your tension.

The health care providers at Planned Parenthood clinics are used to having teen clients who might be nervous about having their first exam. To make an appointment, call 1-800-230-PLAN.

Hope this information helps!

Take care,

teenwire.com^® Editors

This column is for informational purposes only and is not intended to constitute medical advice, diagnosis, or treatment. If you have a medical problem, please call toll-free 1-800-230-PLAN for an appointment with the Planned Parenthood health center nearest you.