ABSTRACT
As we become more familiar with the pathology encountered in the pediatric and adolescent patient with gynecological disease, knowledge of normal anatomy and proper technique for the performance of the physical exam becomes an essential part of patient evaluation. During the first visit it is appropriate to explain to the patient and parents that the examination of the external genitalia, although not always required, is an integral part of the routine physical examination. The pediatric assessment of the internal genitalia is indicated in cases of genitourinary complaints or suspected cases of genitourinary pathology ( Table 7.1 ). Utilizing non-traumatizing techniques during an office examination of a child or adolescent affords the opportunity for the clinician to establish an adequate relationship with their patient, and allows for the early diagnosis of common conditions found in this age group. Key components of any examination should be covered to the extent allowed by the patient and in no way should the exam be forced by either the physician or the parent, as it may prevent successful future examinations in these patients.
