Gynecologic Care for Teens and Young Women — Where It Starts
The first gynecologic visit is not a Pap smear. It is a conversation — an opportunity for a young woman to establish a relationship with a physician who will be honest with her, answer her questions without judgment, and help her understand what is and is not normal about her body. ACOG recommends the first gynecologic visit between ages 13 and 15, regardless of sexual activity.
At Lapeer Women’s Health, Dr. Andrei sees adolescent and young adult patients for the full range of gynecologic concerns — irregular or painful periods, PCOS, contraception counseling, HPV vaccination, and the questions that do not always get answered anywhere else. The approach is direct, age-appropriate, and unhurried.
Parents are welcome at visits. Adolescent patients also have the right to confidential discussion of reproductive health topics with Dr. Andrei. Michigan law supports minors’ ability to consent to certain reproductive health services. Dr. Andrei navigates this with sensitivity to both the patient and the family relationship.
Five Topics Plus Contraception — All at Lapeer Women’s Health
Select any topic below for a full explanation of what the visit involves and what to expect. Birth control for teens links to our published clinical guide in the Conditions section — already live and comprehensive.
The first gynecologic appointment for teens ages 13–15 — a conversation-based visit covering menstrual health, body changes, vaccinations, and any questions the patient wants to ask. No pelvic exam is required without a specific clinical reason.
Heavy periods, severe cramps, irregular cycles, and missed periods in adolescents — evaluated and treated at LWH. Period problems in teens are common but not always normal. Dr. Andrei identifies the cause and provides treatment appropriate for adolescent patients.
Our comprehensive clinical guide to adolescent contraception — LARC as first-line, method-specific guidance, parental consent, confidentiality, and non-contraceptive uses for period problems and PCOS. Published in our Conditions section.
Gardasil 9 administration and catch-up vaccination for adolescents and young adults through age 26 — and for selected patients ages 27–45. The HPV vaccine prevents the cancers caused by the strains it covers. Dr. Andrei discusses the schedule and importance at every relevant visit.
PCOS presenting in adolescence — irregular cycles, acne, hirsutism, and weight changes — evaluated and managed with age-appropriate treatment. Diagnosis in adolescence requires a modified approach distinct from adult PCOS criteria.
When Teens Should See a Gynecologist
A guide for parents and teens on the signs, symptoms, and life stages that prompt a gynecologic visit — from the first recommended appointment at 13–15, through period problems, vaccine needs, and contraception questions that arise through young adulthood.
What Makes an Adolescent Gynecology Visit Different
Adolescent gynecologic care requires a different approach than adult care — in communication style, clinical expectations, and the balance between parental involvement and patient confidentiality. Dr. Andrei is experienced in both.
- No pelvic exam at the first visit without a specific clinical indication — the first visit is a conversation, not a procedure
- Pap smear does not begin until age 21, regardless of sexual activity history
- Confidentiality discussed directly with the teen patient at the start of every visit
- Parents invited to participate in the portion of the visit the patient is comfortable with
- Age-appropriate language used throughout — Dr. Andrei meets the patient where she is
- No judgment about sexual activity, contraception use, or lifestyle choices — clinical information only
- Questions the patient has not been able to ask elsewhere are welcomed and answered directly
“The first gynecologic visit sets the tone for a young woman’s relationship with her reproductive health for the rest of her life. I want that visit to be something she is glad she had — not something she dreaded. That means taking her questions seriously, being honest with her, and making sure she leaves with actual answers.”
- ACOG recommends first visit between ages 13 and 15
- Lapeer office: Mon–Thu in-person · (810) 969-4670
- Rochester Hills office: Fri in-person · (248) 923-3522
- Most major insurance plans accepted — preventive well-woman visits typically covered
- HPV vaccination administered at the office — no separate pharmacy or pediatrician visit required
- Continuity of care — patients who establish care as teens can continue with Dr. Andrei through adulthood
Questions About Adolescent Gynecologic Care at LWH
Start the Conversation.
At the Right Time.
The first gynecologic visit between ages 13 and 15 sets the foundation for a young woman’s long-term reproductive health. Dr. Andrei makes that visit approachable, unhurried, and genuinely useful.
The information on this page is intended for educational purposes only and does not constitute medical advice. Individual symptoms, diagnoses, and treatment options vary significantly. Reading this content does not establish a physician-patient relationship with Dr. Ramona D. Andrei or Lapeer Women’s Health. If you are experiencing a medical emergency, call 911 or go to the nearest emergency room immediately. Please consult a qualified healthcare provider for advice specific to your situation. Content reviewed by Dr. Ramona D. Andrei, MD PhD FACOG.
Gynecologic care for women of every age
Lapeer Women’s Health — Rochester Hills
2710 S Rochester Rd, Suite 2
Rochester Hills, MI 48307
Serving patients in Lapeer, Rochester Hills, and surrounding communities throughout Southeast Michigan.