Pediatricians caring for adolescent girls should know how to screen for high-risk behaviors and sexually transmitted infections and how to diagnose and treat vaginal discharge, vulvar ulcers, pelvic pain, and simple ovarian cysts.

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The pediatrician plays an important role in the transition of female patients through puberty and will frequently be the first health care professional an adolescent turns to for gynecologic care and guidance. This review focuses on the evaluation and management of gynecologic issues seen by pediatricians. It addresses the following common gynecologic symptoms: vulvovaginal concerns, sexually transmitted infections (STIs), pelvic pain, and adnexal masses. Abnormal bleeding, a common reason for a teen to seek health care, and screening adolescent gynecology have been addressed in previous articles in Pediatrics in Review. (1)(2)

Adolescence is a transition time from childhood to adulthood and can be...

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