The examiner should evaluate the patient and try to explain to him or her about the body changes that are related to normal puberty.
If an internal pelvic examination is necessary for a female adolescent, an extremely gentle approach is required. Use of a Pedersen speculum often renders the examination less uncomfortable. If the examiner is a man, a female nurse must be present; if the examiner is a woman, it is ideal if a female nurse is present.
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