Teen Years

Ages 13-18

Building healthy foundations and establishing care relationships. This is the time for education, prevention, and open conversations.

What to Know

ACOG recommends the first reproductive health visit between ages 13-15. This visit typically does not include a pelvic exam. It's about building a relationship with a healthcare provider and learning about your body.

First OB/GYN Visit

When:Ages 13-15 (first reproductive health visit)

What:General health assessment, menstrual history, BMI check, health education. Usually NO pelvic exam.

Why:Establish care relationship, answer questions, identify any concerns early

Source: ACOG Committee Opinion No. 598

HPV Vaccination

When:Ages 11-12 (can start at age 9); catch-up through age 26

What:2-dose series if started before age 15; 3-dose series if started at 15 or older

Why:Prevents HPV infections that can cause cervical, vulvar, vaginal, and other cancers

Source: CDC Immunization Schedule, ACOG

Mental Health Screening

When:Annually, starting at age 12

What:Screening for depression, anxiety, eating disorders, and substance use

Why:Early identification leads to better outcomes; adolescence is a vulnerable time for mental health

Source: USPSTF, Bright Futures Guidelines

Vision & Hearing

When:Periodically, ages 13-21

What:Vision and hearing screening tests

Why:Detect problems that can affect learning and development

Source: Bright Futures Guidelines

What's NOT Needed Yet

Pelvic Exams

Not routinely needed for teens without symptoms

Cervical Cancer Screening

Pap tests don't start until age 21, regardless of sexual activity

Mammograms

Breast cancer screening not recommended for teens

Bone Density Testing

Not indicated at this age for average-risk individuals

Important Topics to Discuss

Menstrual Health

What's normal, tracking your cycle, when to be concerned

Body Changes

Puberty, breast development, physical changes

Healthy Habits

Nutrition, exercise, sleep, hygiene

Safety

Healthy relationships, consent, personal safety

Contraception

Options available, confidentiality, where to get information

STI Prevention

How to protect yourself, testing, HPV vaccine importance

Next: Your 20s

Medical Disclaimer: This information is for educational purposes only and is not intended as medical advice. Always consult with a healthcare provider for personalized recommendations.