pre-teen health

When Should Teens Go to the Gynecologist?

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When should girls start going to the gynecologist? The general consensus from the medical community and public health education is that a girl need not see a gynecologist until she becomes sexually active..I disagree.

Reproductive Care Should Begin with the First Period

Consider this; the average age of menarche in the United States is a little above 12 years of age. The average age a woman loses her virginity in the United States is 17. Based on what is taught in health class, that leaves 5 years of no reproductive care for the average American female. Although the average teenager may not need annual visits to the gynecologist, reproductive care should not be ignored. This means pediatricians must be better informed about gynecological care.

Just because a young girl is not sexually active does not mean her reproductive system does not exist. Amenorrhea, dysmenorrhea, endometriosis, polycystic ovarian syndrome and menorrhagia are all terms (or concepts) that young girls of reproductive age should be familiar with; and yet a majority of girls of reproductive age would not be able to identify any of these terms.

Abnormal Periods are a Sign of Trouble

Young girls should be taught that abnormal periods, painful periods (dysmenorrhea), an absence of periods (amenorrhea), or extremely heavy periods (menorrhagia) are not normal and should be evaluated by a doctor. In many cases, finding the causes of abnormalities in menstruation early on, could prevent further complications down the road.

Most women who have uterine or menstrual abnormalities do not get a diagnosis or proper treatment until they discover they cannot conceive. That is because by the time these women go to the gynecologist for the first time they have been lead to believe that abnormal is their normal.

My Story

When I was twelve I was getting my period every other week and I was told that was normal and that every girls’ period takes some time to regulate – which is true.  However, it wasn’t true for me. I had endometriosis and uterine didelphys (two uteri) which required surgery, but because I was young, it was two and a half years before my painful periods were taken seriously. This is an all-too-common experience. Many women report suffering for decades.

In the case where a young girl’s menstrual problems are impacting her daily life – isn’t it better to be safe, rather than sorry? Read my full health story here.

The Need for Pediatric Gynecologists

Pediatricians and family doctors alike need to sit down with their female patients and have a detailed discussion about menstruation. No one should assume that health education in secondary schools is adequate to teach a young girl to stand up for her own reproductive care. The stigma of being too young (or not yet sexually active) to go see the gynecologist should be disregarded. Regardless of age, if any other part of the body wasn’t working one would go to the doctor to get it looked at; the same should go for the reproductive system.

How old were you at your first gynecologist appointment? When did your menstrual problems begin?

Gardasil: The Controversy Continues

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You have an 11 year old son or daughter. You go to the doctor for a physical or broken bone and he/she recommends a shot for the human papillomavirus or HPV. The name alone sounds horrifying, but then they tell you that this virus causes genital warts and [gasp] cervical cancer. You immediately want to surrender to whatever it is that the doctor is suggesting in order to protect your child. While HPV is the virus that causes these two medical problems, they leave out the fact that there have been many serious side effects, including death, linked to the vaccine. Here are some more interesting facts that I previously reported in Gardasil, Miracle or Deadly Virus?:

  • Researchers have identified 100 different strands of the virus, the Gardasil vaccine only protects against 4.
  • Sexually active individuals have an 80-85% chance of being infected with one of the identified 100 strands of the virus in their lifetime.
  • A healthy body can fight off the infection 80% of the time.
  • With early detection, thanks to the annual pap smear test, cervical cancer can be detected and successfully treated. In 2008, the CDC reported that 12,410 women in the US were diagnosed with cervical cancer. Only 4,008 women in the US died from cervical cancer.

We all want the best for our children. Most parents here the words cancer, genital warts and immediately jump to the conclusion that this vaccine was approved so it must be safe. However, according to the Vaccine Adverse Event Reporting System (VAERS) on the Center for Disease Control (CDC), where parents and patients can report adverse effects of any vaccine, “over 25 million doses of Gardasil and there was an average of 53.9 VAERS reports per 100,000 vaccine doses. Of these, 40 percent occurred on the day of vaccination, and 6.2 percent were serious, including 32 reports of death.” The ongoing controversy of how much of these reported side effects are mere coincidence or a direct correlation can’t be measured on the self-reporting site, but consider this:

As a parent or young adult does the risk of a 6.2 percent chance of a serious side effect to protect your child or yourself from 4 out of 100 strands of a virus that the body can fight 80 percent of the time worth it? What’s more, for the 20 percent of patients that will not be able to fight it off on their own, it is usually caught during an annual pap smear test and treated before causing any major threat to the individual’s health.

Why the controversy? Mainstream media touts that the benefits outweigh the good, while alternative news sites and blogs tell of the horrific side effects that ruined or took or ruined their daughters’ lives (and now it is recommended for boys as a preventative measure as they carry the virus). How do you decide what is best? The important thing to remember is that it is your decision. Look into all the research and decide the risk factors of both getting it and not getting it. Here are some important things to look into as you investigate.

Follow The Money

The US is one of the few countries that allow pharmaceutical companies to advertise on television. The broadcasting company that is paid by advertising revenues is probably not going to disapprove of a product that one of their advertising clients is selling in between news segments. Furthermore, Merck paid doctors to promote the vaccine. Health Impact News Daily estimates that Merck legally paid approximately $2,313,942.81 to doctors to promote Gardasil. How can we trust the doctors on the news to be trustworthy and not one of Merck’s paid advertisers? Talk to doctors you trust and ask them if they were paid to promote the vaccine. Get a second opinion, or even a third.

Furthermore, the following medical associations that promote the vaccine also received funds from the vaccine makers according to the Journal of the American Medical Association:

  • The American College Health Association
  • The American Society for Colposcopy and Cervical Pathology
  • The Society of Gynecologic Oncologists

Why Is It A Law?

Some states tried to mandate the vaccine as a law. Personally, I don’t believe any vaccines should be mandated by law, but especially one that is under as much scrutiny as Gardasil. Taking a closer look at the politicians who did, let’s again follow the money trail. Texas Governor Perry passed the law to mandate the HPV shot shortly after Merck contributed $6000 dollars to his campaign (amongst other ties to Merck); in California, Merck donated $39, 500 to legislators voting yea on AB 499 according to Cal Watch Dog. For more information on whether or not it is mandated in your state, please read Is Gardasil Mandated in Your State? for more information. You can get exemptions forms for mandated vaccines here.

The Billion Dollar Question – Does It Work?

In 2011, Dr. Diane Harper, lead developer of the Gardasil vaccine came out in a press release stating,

“The best way to prevent cervical cancer is with routine Pap screening starting at age 21 years. Vaccination cannot prevent as many cervical cancers as can Pap screening. Pap screening with vaccination does NOT lower your chances of cervical cancer – Pap screening and vaccination lowers your chances of an abnormal Pap test. Gardasil® is associated with GBS [Guillian-Barre Syndrome] that has resulted in deaths. Pap screening using a speculum and taking cells from the cervix is not a procedure that results in death. Gardasil® can be offered along with Cervarix® as an option to prevent abnormal Pap test results in those women who can make an informed decision about how much they value this benefit compared to the rare risk of GBS. If a woman has no access to Pap screening, receiving HPV vaccines may help reduce cervical cancer IF the vaccines last long enough. At this time, Gardasil® is proven to last for at least 5 years, and Cervarix® for at least 8.5 years. Health policy analyses show that there will be no reduction in cervical cancer unless the vaccine lasts at least 15 years.”

Not good press for either Merck or GlaxoKlineSmith, the maker of the HPV vaccine Cervarix. Currently, there are not booster shots of either vaccine, and the shot is highly recommended for children 9-12 because they are less likely to already have been exposed to the virus. Doing a little math, that means the vaccine will wear off around the ages of 14-20.5 (depending on which brand was administered) very likely prior to sexual activity! What’s worse is that prior to approval Merck informed the FDA that  if a person has already been exposed to HPV 16 or 18 prior to injection, then Gardasil increases the risk of precancerous lesions, or worse, by 44.6 percent.

The War Wages On

Conventional media and Merck sponsored doctors continue to promote this vaccine, while individuals and alternative news sites continue to warn the public against it. For mothers like Tracy Andrews, the war will never end. Her daughter is one of the unfortunate victims of the Gardasil shot who is permanently disabled because of it. Tracy and her daughter, Alexis, passionately advocate to parents and young adults not to get this vaccine. Together, they also fight to have this vaccine banned. Their story was featured on Lucine and they will also be featured in the upcoming documentary “One More Girl.” This documentary by ThinkExist Productions, plays on Gardasil’s advertising slogan “One less.” The documentary title means “one more girl affected by Gardasil,” while the Gardasil campaign means “one less person affected by HPV.”  The documentary is scheduled to be released in the spring 2013. A preview can be viewed here.

To Vaccinate Or Not To Vaccinate, That Is The Question

In the end, you should discuss the pros and cons with your medical professional and decide for yourself and your family what is best. Arm yourself with as much information as you can so you won’t be intimidated by scary words like “cancer” and “genital warts” and can make an informed decision.

Hormones Matter is conducting research on the side effects and adverse events associated with Gardasil and its counterpart Cervarix. If you or your daughter has had either HPV vaccine, please take this important survey. The Gardasil Cervarix HPV Vaccine Survey. 

 

By Jan Christian @ www.ambrotosphotography.com  Gardasil_vaccine_and_box.jpg: Jan Christian @ www.ambrotosphotography.com derivative work: Photohound [CC-BY-SA-2.0 (http://creativecommons.org/licenses/by-sa/2.0), CC-BY-SA-2.0 (http://creativecommons.org/licenses/by-sa/2.0) or CC-BY-SA-2.0 (http://creativecommons.org/licenses/by-sa/2.0)], via Wikimedia Commons

Relating to Teens with Chronic Illness

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A hallmark of being a teenager is rebellion. Puberty turns a once nice kid, into a hormonal, rebellious nightmare. No one enjoys puberty – one morning you wake up and the body you have been living with your whole per-pubescent life is no longer yours; it’s hairy, it smells, it’s awkward, your skin is constantly breaking out and half of everything you once loved is now uncool (your doll collection, your old friends, your parents, wearing matching outfits with your siblings, etc). Now add to this mix of hormonal hell, a chronic illness. Teens by nature want to rebel; but how do you rebel from a body that has rebelled against you.

It’s hard to treat teens, especially teenagers that have been dealing with illness the majority of their lives. Along with waking up one morning and hating everything, when dealing with a chronic illness that body hatred is one thousand times magnified. I have worked with young people with chronic illness before, and the overwhelming response is

“I want to be normal. I’ve had x condition my whole life and I’m going to have it for the remainder of my life. It’s not fair and I don’t want it.”

Just like any other teen, teens with chronic illnesses don’t want to be told what to do. Personally, when I was a teenager and in the hospital, I would disregard the advice of any doctor who tried to parent me. Chronically ill teenagers want to be treated like adults. If you are a doctor working with an ill young adult, talk to the patient – don’t direct the conversation towards the parents. At the end of the day it is the patient taking the pills and maintaining their care. All younger patients want is respect. They know their bodies better than you think and they just want to establish control in a relatively control free time of their lives. Treat the teen patient with respect and you’ll have much better results.