Reply to What to expect at pediatrician visit for birth control?

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[quote=Anonymous][quote=Anonymous][b][quote=Anonymous]A girl who is mature enough to be having intercourse is mature enough for a pelvic exam.[/b]

OP I think 14 is too young.  Can’t you keep her away from unsupervised contact with boyfriend? Until 16[/quote]

+1 to bolder. To the rest, that ship has sailed.

Follow her lead. And prep her for the pelvic exam

[/quote]

I’m a CNM and see teens regularly who have recently become sexually active. First, it’s a really good and important thing that she chose to share this with you. So many young people don’t because they’re afraid of the reaction and this just leaves them at much greater risk. And yes, 14 IS very young but it’s not as far outside the norm as some people in would like to think. As far as birth control options go, the conversation and what to expect is going to really depend on her ped. Some know a lot about birth control and are a great resource, others just don’t know very much (this is directly from one of my closest friends who is a pediatrician and asks me for advice because outside of giving pills she’s not great at counseling on the various options, just wasn’t part of her training.) some pediatricians are pretty uncomfortable prescribing birth control at all, and may send messages to your DD that she shouldn’t be having sex. I certainly have plenty of patients whose pediatrician just want deal with this one in the office which Calleva young person trying to take their health into their own hands feeling lost and afraid. So if there’s a way to check in with them in advance on what you’re looking for is recommend. There are a lot of great resources out there on birth control options for her to think about, you can look at the Planned Parenthood website, bedsider.org is also useful. And please don’t force the pelvic exam, it’s not a punishment for becoming sexually active and it’s not necessary if she’s not having symptoms. STD testing IS definitely an important thing to do (this could be done using urine.) Good luck![/quote]

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