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Tweens and Teens
Reply to "Prepare for first period"
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[quote=Anonymous] I'm an adolescent medicine doctor who takes care of teens. I recommend pads for the first few periods so that the vagina is well estrogenized and there is a decreased risk of toxic shock (and yes, still a concern. I had a patient in the ICU with toxic shock). Some teens are totally fine placing tampons on their own and others are terrified. I've "helped" a few with first insertion (and removal). Some teens will have a septate hymen making placement (and removal) very difficult. Don't force it! On average I refer 1-2 girls a year to my pediatric gynecology colleague for surgical management. Www.youngwomenshealth.org has a great section in first periods, using pads and tampons and types of hymens. [/quote]
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