For most females, the first physical examination they experience is in adolescence, during which time a "physical" is required in order to participate in junior high or high school sports. This is called the PPE, or Preparticipation Physical Exam. It has become the standard care of more than 6 million teenagers and young adults in the United States. Although most females receive examinations as children from their pediatricians and health care providers, the physical examination of adolescence is much more thorough and evaluates the sexual development of the individual for the first time.
Before the Exam
Undergoing a physical exam for the first time can be a nerve-wracking experience, so it may help to have a conversation with the health care professional performing the exam before beginning. For many receiving the exam, it will be the only check up or health evaluation for the year, so it is important to make the most of the opportunity. Use this time to ask any questions about what the exam may entail, and feel free during the exam to continue asking questions. There are a few standard questions that can help prepare for the exam and may help identify or clarify concerns of the patient getting the exam.
During the Exam
The first question a patient may want to ask is, "What happens during the exam?" The physician performing the exam may give a detailed report of the tests, or may sum it up simply with an overarching explanation. If, at any time, the patient wishes to know more about the tests or the details of these test, she should ask without embarrassment. Usually, the physician will measure the health of the patient through height, weight, heart rate, vision and hearing and examine the internal development through applying a light pressure to the midsection with the hands to determine if growth is normal. The rest of the patient's health is determined through a series of questions concerning sexual history, menstruation and any possible symptoms of illness.
Frequently Asked Questions
"How often should I be menstruating?"
"Is my BMI where it should be?"
"Is my heart rate normal for my age?"
"Should I consider birth control?"
"Am I growing like I should?"
"Is my skin in healthy condition? Should I seek treatment from a dermatologist?"
"Are there any additional vitamins or supplements I should take to aid in growth?"
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