Pediatric and adolescent gynaecology addresses the gynaecological concerns of girls from early childhood through the teenage years. Concerns commonly include late or early puberty, irregular, heavy or painful periods, vaginal discharge, pelvic pain and worries about growth and development.
Girls and parents often feel uneasy about these visits, so the consultation is gentle and private, and examinations are limited to what is needed. Most issues can be assessed through conversation, a general examination, and an ultrasound of the abdomen.

Irregular periods in the first couple of years after the first period are common and usually settle down. Persistent heavy bleeding, severe pain, missed periods for months or very late puberty deserve evaluation.

Pediatric and adolescent gynaecology services at Apex include:

• Period Problem Assessment: Evaluation of heavy, irregular or painful periods with simple tests, and treatment with medicines and lifestyle advice suited to a growing girl.
• Puberty Concerns: Assessment of delayed or early puberty and of breast or hair changes, with hormone tests and imaging when the pattern is unusual.
• PCOS in Adolescents: Early diagnosis and guidance on weight, activity, skin and cycle regulation can prevent long-term problems.
• Vaginal and Pelvic Complaints: Careful assessment of discharge, itching or pelvic pain in girls, with age-appropriate examination and treatment.