Gynecological exam of the adolescent girl: clinical and methodological approach

The gynaecological approach with the adolescent is always complex, arduous and also stimulating. It is necessary to acquire specific knowledge, to understand that the adolescent is always searching for his identity and that the most important request is that the normality. The first impact is fundamental, understanding the non verbal language, giving importance to the words used during the consultation and imposing a correct anamnesis which must become a type of psychotherapy and must search not for the "defects" but for the "resources" which are available to the patient and on the basis of these build our therapeutic programme. It is essential to understand the menstrual problems which will be so important in the future maturing phase of the adolescent. Finally the instrumental approach must be as little invasive as possible and to be able to understand the adolescentís solitude better it is necessary to create a good relationship with the patient.