
Health at Every Age
A Girl's First Period: What To Expect
Help your daughter prepare for this milestone. When a girl’s menstrual cycle typically begins, what to expect, how to prepare and when to see a gyneco...

Pediatric & Adolescent Gynecology combines the expertise of gynecologists, pediatricians and other specialists to offer a full range of clinical and support services for your child. Gynecologic issues facing adolescents and girls are very different from those affecting adult women.

We advise that girls have their first gynecology appointment between the ages of 13 and 15. These appointments are preventative in nature and generally do not require an exam.

This is the most common reason we see adolescents in the office. From no menses to irregular or lack of menses, we approach patients with evidence-based evaluations and age-focused treatments.

We provide a comprehensive approach to all reproductive needs of adolescents including contraception, STI testing, counseling on safety and HPV vaccination.

Dysmenorrhea is the medical term for painful menstrual periods caused by cramps. Primary dysmenorrhea occurs soon after a girl gets her first period and may be lifelong but can get better with time. Secondary dysmenorrhea starts later and can be caused by a diverse group of medical conditions.

Not every patient can be managed the same, patients with special needs such as Autism or developmental delay need personalized management of their reproductive health. We offer a variety of options to help families and their children as they mature.

Pediatric & Adolescent Gynecology combines the expertise of gynecologists, pediatricians and other specialists to offer a full range of clinical and support services for your child. Gynecologic issues facing adolescents and girls are very different from those affecting adult women.

We advise that girls have their first gynecology appointment between the ages of 13 and 15. These appointments are preventative in nature and generally do not require an exam.

This is the most common reason we see adolescents in the office. From no menses to irregular or lack of menses, we approach patients with evidence-based evaluations and age-focused treatments.

We provide a comprehensive approach to all reproductive needs of adolescents including contraception, STI testing, counseling on safety and HPV vaccination.

Dysmenorrhea is the medical term for painful menstrual periods caused by cramps. Primary dysmenorrhea occurs soon after a girl gets her first period and may be lifelong but can get better with time. Secondary dysmenorrhea starts later and can be caused by a diverse group of medical conditions.

Not every patient can be managed the same, patients with special needs such as Autism or developmental delay need personalized management of their reproductive health. We offer a variety of options to help families and their children as they mature.

At Carilion Children’s Pediatric and Adolescent Gynecology, we specialize in treating gynecologic issues facing children and adolescents. Our office is conveniently located at 3 Riverside Circle in Roanoke, Virginia.


Only pediatric and adolescent gynecologist in SW Virginia

Evidence-based approach to reproductive health

Patient-centered and teen-friendly care

Comprehensive services supported by CRMH

Only pediatric and adolescent gynecologist in SW Virginia

Evidence-based approach to reproductive health

Patient-centered and teen-friendly care

Comprehensive services supported by CRMH
Want more information?
National societies have provided multiple resources for patients to inform them about prevention and care of girls and teens.
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