Davis Victoria Jane
Department of Obstetrics and Gynaecology, University of Toronto, Toronto, Ontario.
Paediatr Child Health. 2003 Oct;8(8):491-5. doi: 10.1093/pch/8.8.491.
Gynecological problems are common in children but training in this subject is rare during paediatric postgraduate education. Knowledge in this area is important for providing comprehensive health care to children. The article explores the gynecological examination of the child and common gynecological disorders in the paediatric and adolescent age groups. Routine examination of the external genitalia as part of a well-child physical normalizes the examination for the child and helps to inform the physician about the large variations in normal genitals. Many complaints can be dealt with by reassurance, while most others respond to medical therapy and can be dealt with easily by paediatricians. Both young children and adolescents respond positively when allowed to have control over the tempo of the interview and the examination. A positive experience associated with a genital examination will help to open lines of trust. This along with nonjudgmental, open communication, will create educational opportunities to enhance a responsible transition from child to young adult.
妇科问题在儿童中很常见，但在儿科研究生教育期间，该领域的培训却很少见。这方面的知识对于为儿童提供全面的医疗保健很重要。本文探讨了儿童的妇科检查以及儿科和青少年年龄组常见的妇科疾病。作为儿童健康体检的一部分，对外生殖器进行常规检查可使儿童的检查常态化，并有助于医生了解正常生殖器的巨大差异。许多主诉通过安抚即可处理，而大多数其他问题对药物治疗有反应，儿科医生可以轻松应对。当幼儿和青少年能够控制问诊和检查的节奏时，他们都会做出积极反应。与生殖器检查相关的积极体验将有助于建立信任。这与不加评判、开放的沟通一起，将创造教育机会，以促进从儿童到青年的负责任过渡。
