In a busy gynecological practice, young girls may find it difficult to mix with a population of pregnant and menopausal women. They find it difficult to access reproductive healthcare and information simply because they are apprehensive about meeting older relatives in the same clinic. This is because the Indian ethos is such that a young girl normally does not visit a gynecologist unless she has a menstrual or other gynecological problem. And even if she does, she is usually accompanied by her mother. A young girl, especially if single, walking into a private clinic of a gynecologist often raises a doubt in the mind of her relative. There is always a doubt in the relatives mind as to why the girl may not afford the charges of a private clinic. On the other hand a gynecologist cannot afford to only run a clinic for the young. Hence it is advisable that in the private sector, a day of the week or an identified time should be kept purely at the disposable of the young at a discounted charge. Young people then could come in, feel free to interact with the staff, avail of whatever services they need and feel welcome to come back again.
The adolescent clinic should aim to provide services that respect young people, honor their privacy, allow adequate time for client-provider interactions, and are convenient in terms of hours and location. Gynecological problems in adolescents are common, and although serious pathology is rare, distress and discomfort can be significant.
The following complaints are routinely seen at an adolescent private clinic:
- Menstrual Complaints such as Menorrhagia, Dysmenorrhea and irregular menstrual cycles, disorders of puberty such as Amenorrhea, premature or delayed menarche, short stature.
- Polycystic Ovaries (PCOS) causing cosmetic effects such as hirsutism and acne, obesity, pigmentation
Adolescents must have adequate information about problems relating to them. They should be educated with the help of educational films and audio-visual aids. The internet is an excellent mode for educating these young girls. Therefore, having a website for the clinic enables them to read about and solve their queries with absolute privacy, proving to be extremely useful in updating their knowledge on reproductive and sexual health issues.
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