Before the examination, the medical team (doctor, nurse and medical case manager) will meet with you to talk about your child and your concerns, review the child’s medical history, answer any questions, and explain the examination. After the exam, the medical team will again meet with you to discuss the results and to answer any questions.
The exam is similar to the physical exam your child gets with his/her primary care provider, including height, weight, and blood pressure; listening to the heart and lungs; and looking into the ears, mouth, and eyes. For girls who have not reached puberty, the genital examination is only a look at the outside of the genitals; speculums will not be used. In adolescents, sometimes a speculum is needed to see inside the vagina, but usually it is not used. For boys, only the outside is examined. During the genital portion of the examination, a digital camera is used to document the exam. The camera is used to magnify the area and to document the examination so that your child will not have to have another exam.