(photo credit: MCT)
I am 16 and would like to go for a first visit to the gynecologist. My family is
secular, but with conservative views. Can I go alone, or do I have to go with my
mother? I have a boyfriend I really like; can I get contraceptive pills if I
need them without having a gynecological exam? --R.V., Kiryat Bialik
Geist, a gynecologist at Tel Aviv’s Lis Maternity Hospital who heads the clinic
specializing in girls and teens, replies:
There are many scary myths about going
to a gynecologist for the first time. Surveys have shown that the average age
for an Israeli girl to go for the first time is around 17. The earlier puberty
begins, the earlier the girl’s first visit the gynecologist.
It is best
to make an appointment with a specialist in teenagers; beyond her (or his)
professional knowledge, she will be more sensitive to your special needs. You
can go to the gynecologist by yourself, if you choose. The doctor is required to
protect private information. You decide if you want one or both of your parents
to know as well.
You can certainly relate to your gynecologist as a
person to whom you can tell anything. She is not your judge; she is the
source of information and care. All women go to the gynecologist, so don’t be
embarrassed. She has seen and heard everything before.
If you come
to ask for contraceptives, you don’t have to undergo a gynecological
examination. It is your right to ask for advice without such an exam. You also
have the right to ask for another person to be present with you in the doctor’s
It is recommended that you ask the gynecologist for a
full explanation of the way you will be examined, if you choose to do so. It is
important for you to learn, even using a mirror, how your intimate organs are
built. If you agree to undergo a gynecological examination, the more relaxed you
are, the easier it will be.
My husband is 60 and generally healthy,
although he has had an autoimmune disease for around 15 years. He does not
receive steroids. He suddenly had a fever and a red and swollen thigh. I took
him to an urgent medical care facility, where we were told he suffered from
cellulitis and had to get antibiotics by infusion. We were told it was caused by
bacteria that entered the skin. We had never heard of this before. We
knew about cellulosis, which is dimpled skin due to fat and an aesthetic
problem. We presume there is no connection. Who can get cellulitis? How
long does it take to go away? How can one prevent it? What are the complications
if it is not treated rapidly? --S.T., Haifa
Dr. Adi Sasson, medical director of
Herzog (geriatric and psychiatric) Hospital in Jerusalem:
Cellulitis – or as it
is known in Hebrew, shoshana – is an acute infection of the skin and/or
connective tissues under the skin.
The infection is usually caused by a
common type of bacteria such as Staphylococcus aureus, which penetrates the skin
layer via an opening that can be caused by trauma, a local cut, rubbing,
itching, scratches or surgery. The infection can hurt anyone, but patients with
diabetes, vascular disease or edema are at a higher risk of getting
The accepted treatment is antibiotics against the common cause
of infection or others. Failing to give treatment can cause sores on the skin
and the development of disease in the tissues under the skin, and even lead to
sepsis and death. Observing rules of skin hygiene and ensuring that it does not
have openings, as well as treating the background diseases, are the best way to
prevent the infection.
I am a 25-year-old married woman with two young
children. I am now taking a contraceptive pill. But I am so busy at home that I
sometimes forget to take it. Does missing one day really matter? --V.P., Tel Aviv
Dr. Amos Bar, a senior Tel Aviv gynecologist and author, answers:
international study on contraception, called “Choice,” the Israeli part of which
polled 200 Israeli gynecologists and 2,000 patients, found that one out of every
five Israeli women has had an unplanned pregnancy, and 16 percent have had an
abortion. Thus it is important to follow guidelines for use of contraceptive
It is enough to forget to take just one pill to become pregnant.
One should take the whole series each month, but the first pill after one’s
period and the last taken before menstruating again are the most critical, and
many women do not know this.
Rx for Readers welcomes queries from readers
about medical problems. Experts will answer those we find most interesting.
Write Rx for Readers, The Jerusalem Post, POB 81, Jerusalem 91000, fax your
question to Judy Siegel-Itzkovich at (02) 538- 9527, or e-mail it to
email@example.com, giving your initials, age and place of residence.