dancer67 Posted November 23, 2012 Share Posted November 23, 2012 My daughter is 14 yo. She started her period when she was 11. At 12 she kept getting ovarian cysts. Seemed like every 3 months, then she was getting them every month. The pediatrician put her on the lowest dose of BC,the cysts stopped , but she spotted for about 3 months(normal, I know), then her period came on time on the placebo pill, but then she was starting her period on the third week rather then on the placebos. So she changed her dose to another brand(Chryselle), and that seemed to have worked fine as well until about 8 months into it. Still no cysts, but she once again was starting her period on the third week. At that time, Chryselle was no longer in stock, so she put her on Alta Vera, which is almost identical to Chryselle, just a tad bigger dose. Again, no problems until this month, She was on it about 4 months. Still no cysts, but she got her cycle on the placebo pills on a Tuesday, she stopped on a Friday. Then on Sunday of the first week she spotted for two days, then it stopped. Then again, she started her period yesterday, which again, is in the third week. I called the pediatrician and she gave her a new BC pill. Not sure what it is because I haven't picked it up. She said that it might be time to take her to see a GYN of this one does the same thing. The only reason she is on BC pills is because of her cysts. Here is the problem. She is 14. She has already FIRMLY told me that "NOBODY IS LOOKING DOWN THERE OR PUTTING ANYTHING IN MY V****". There is just NO WAY a GYN is going to be able to examine her if it comes down to it. She doesn't mind the abdominal ultrasounds. But she is never going to let anyone near her, not even a women examine her if she needs to have that done. Do you think that is what they would need to do? How in the world am I going to have her examined if it is medically necessary? I don't want to force her, because that can really damage her and scare her. All the talking in the world does not make one bit of difference to her. She said she would rather put up with the cysts then have Dr., even if it was a woman get near her. I am wondering if any of you have been in this situation and what did you do? Quote Link to comment Share on other sites More sharing options...
Parrothead Posted November 23, 2012 Share Posted November 23, 2012 How about just letting her get off the BC and see if the cysts come back Quote Link to comment Share on other sites More sharing options...
dancer67 Posted November 23, 2012 Author Share Posted November 23, 2012 Actually, I never thought of that. But, before she was on the pill she had really bad cramps. Now she doesn't get any. But that is a thought. The pedi had said that her body was going through hormonal changes. But she has had her period now for about 3 years. I think she has been on the pill for about 18 months. My 14 yo loves the pill because her periods are cramp free and very light. But, I suppose we could take her off if this one doesn't work and see what happens. Thanks. Quote Link to comment Share on other sites More sharing options...
somo_chickenlady Posted November 23, 2012 Share Posted November 23, 2012 If they aren't bothering her, I would just put her on whatever pill worked and just deal with the periods every 3 weeks. That's how I was when I was on BC pills (I also had breakthrough bleeding almost all month long), it's very common, and as far as I know it won't hurt her to do that. Will she not have a Gyn examine her b/c she is embarrassed? I don't see why they would need to, but she should start getting pap smears, and they will have to examine her then. What will the poor girl do once she starts having babies? :/ I was SUPER embarrassed to go to the Gyn when I was younger, so I refused to go until after high school. I didn't even have my own Ob/Gyn when I got pregnant with DS when I was 20 years old. I'm 35 and still super embarrassed about it, but not nearly as bad as I was. Once I started going, though, it wasn't as bad as I had built it up in my mind. Quote Link to comment Share on other sites More sharing options...
Wheres Toto Posted November 23, 2012 Share Posted November 23, 2012 The erratic cycles aren't unusual for younger girls, even on the pill. I had break-through spotting and cycles a few days off on low-dose pills in my 30's. A gyno may be more aware of how the various pills work and if there is a problem with just letting her cycle fall where it does. I know my gyn will not usually do an internal exam until a girl is "active" but it is something you can ask when you call for an appointment. Quote Link to comment Share on other sites More sharing options...
Wheres Toto Posted November 23, 2012 Share Posted November 23, 2012 double post Quote Link to comment Share on other sites More sharing options...
dancer67 Posted November 23, 2012 Author Share Posted November 23, 2012 Well, around here they do not do pap smears until you are 21. Whether you are se*ually active or not.. My 20 yo is on the pill, and she has been on them since she has been 18. She has had a swab for STD'd, even though SHE only has one partner. So my 14 yo would not have a pap smear.Even if she was "active". I don't know if they would do an exam. I guess I figured they would because of her history of ovarian cysts. The pedi said she is giving her a new BC pill, but if this gave her the same problem, that it might be time to see a GYN. I asked her if that was necessary, she said no it wasn't "necessary". But GYN's seem to be more familiar with this sort of thing. I just don't want to traumatize her. And I didn't know that getting your period on the third week was ok. I thought it always had to come on the placebo. So I will try her on this new pill. And I think you have to wait at least 3 months before you think it is going to work? Thanks so much for making me feel better. Quote Link to comment Share on other sites More sharing options...
TravelingChris Posted November 23, 2012 Share Posted November 23, 2012 My older dd was seeing a gynecologist because of menstrual problems and no, an internal exam was not necessary. Which was good, since she would have had to be anestazed for that. Quote Link to comment Share on other sites More sharing options...
Tiramisu Posted November 23, 2012 Share Posted November 23, 2012 We recently had a gynecologist's visit due to an ovarian cyst. She did not examine dd and we just talked over the situation. She had the U/S report, I shared bloodwork results, and completed a medical history ahead of time online, and that was enough for the doctor. I don't think it indicates anything serious for a younger teen to have cycles like you describe, so I can't imagine there would be a need for her to examine your dd that way. I would let the doctor know how your dd feels and go from there. Perhaps you can even call and talk to the doctor first. And you could even send her records ahead of time so the doctor is prepared and the visit is quick for your dd. I have a dd who was traumatized by a medical visit, and I very much worry about what will happen if she ever needs some kind of medical intervention. We have developed a good relationship with our pediatrician, and they have recommended giving any new doctor a heads up for the doctor's sake and the sake of my dd. I think it's very normal to feel how your dd feels, and I think it's good to show her you respect her feelings. Quote Link to comment Share on other sites More sharing options...
dancer67 Posted November 23, 2012 Author Share Posted November 23, 2012 There is a woman Dr in my GYN practice. My 20 will see her in January. I will ask my 20 yo dd GYN when we go in to see her. She is a sweetheart. I will not have her examined if she is dead set against it. She JUST turned 14. My older daughter didn't even get examined until she was 18 when she went on BC, but it was up to her. And that was only a swab test for STD's And no, here even if you are se*ually active, no pap smears until you are 21. I guess it is the new OB/GYN guidelines. Thanks for making me feel so much better. I would have her pedi send over all her ultrasound results from last year . The good thing out of all of this is she has not had any cysts since being on the BC pill. And her cramps are 100% better. And again, her pedi said it wasn't necessary, but it might be prudent if this continues just to get someone who is a specialist. Thanks ladies. Quote Link to comment Share on other sites More sharing options...
dancer67 Posted November 23, 2012 Author Share Posted November 23, 2012 There is a woman Dr in my GYN practice. My 20 yo will see her in January. I will ask my 20 yo dd GYN when we go in to see her. She is a sweetheart. I will not have her examined if she is dead set against it. She JUST turned 14. My older daughter didn't even get examined until she was 18 when she went on BC, but it was up to her. And that was only a swab test for STD's And no, here even if you are se*ually active, no pap smears until you are 21. I guess it is the new OB/GYN guidelines. Thanks for making me feel so much better. I would have her pedi send over all her ultrasound results from last year . The good thing out of all of this is she has not had any cysts since being on the BC pill. And her cramps are 100% better. And again, her pedi said it wasn't necessary, but it might be prudent if this continues just to get someone who is a specialist. Thanks ladies. Quote Link to comment Share on other sites More sharing options...
AngieW in Texas Posted November 23, 2012 Share Posted November 23, 2012 I would think that bloodwork is a lot more likely than a physical examination. I don't think a regular gynecological exam would actually give the doctor any information. An abdominal ultrasound would show if there are more cysts. An internal one would be easier to see, but it wouldn't be necessary, especially since she hasn't had any actual problems. I do think you should probably make an appointment to talk to a gynecologist and shouldn't have any problems with doing that without an actual exam. Quote Link to comment Share on other sites More sharing options...
dbmamaz Posted November 23, 2012 Share Posted November 23, 2012 I think its important for her to be comfortable visiting ob-gyn's and really, an ob-gyn is MUCH more qualified to deal with these issues than a pediatrician is. While i understand how stubborn teen girls are, you also need to help her understand how important it is to take good care of her body. I would maybe see if the Ped has an ob-gyn they recommend - i take my daughter to mine, because i LOVE her, and my daughter likes her too. But she needs to establish a relationship with an ob-gyn, even if she's not emotionally ready for an exam. Hopefully the doctor can establish a trusting relationship with her so that she will eventually feel comfortable with an exam. Quote Link to comment Share on other sites More sharing options...
Ottakee Posted November 23, 2012 Share Posted November 23, 2012 I would at least consult with a GYN. I had other issues when I was a teen and was never able to have kids. I don't know if it would have made a difference or not but I can't help but wonder if I had had medical treatment as a teen if things would be different. Back then it wasn't my refusal it was just that there wasn't health insurance and no one we knew went to the doctor unless you were basically dying. Quote Link to comment Share on other sites More sharing options...
HollyDay Posted November 23, 2012 Share Posted November 23, 2012 has there been any talk of testing her hormones to see what if anything is out of balance? How about a PCOS workup? Quote Link to comment Share on other sites More sharing options...
dancer67 Posted November 24, 2012 Author Share Posted November 24, 2012 Hormone testing and PCOS workup I will ask about. Thanks. Quote Link to comment Share on other sites More sharing options...
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