Version May 2024
| Developmental stage | |||
| Issue | Early adolescence 10 to 14 years old | Middle adolescence 15 to 17 years old | Late adolescence ≥18 years old |
| Puberty | "Has your mom/dad talked to you about puberty and the way your body changes as you become a teenager?" "Do you have odor from your armpits and/or use deodorant now?" "Do you notice that your breasts/penis/testicles or balls are getting bigger?" "Have you experienced something coming out of your penis during the night? We call these nocturnal emissions and they are very normal." "Most girls will get some discharge or fluid and mucous that comes out of the vagina, which is normal and related to hormones." "Do you have any concerns about the changes your body is starting to go through?" | "It looks as if your body is finishing/finished puberty, but that does not mean you have finished all the other tasks and growing of puberty." "Do you have any concerns about your body?" "Do you like your body or do you have strong feelings about any particular body parts?" | "You have completed puberty but still have additional brain, social, and emotional growth ahead." "How do you feel about where you are in your development?" "Do you feel confident and competent to make health decisions?" "Do you have questions about the social and emotional development that occurs as you leave for school or a job?" "As you get older we will start doing regular breast or chest examinations and/or cervical pap screenings to check for or prevent cancer."
|
| Gender | "Most of us learn about being a girl or boy from early on. When you think about your brain and body, do you consider yourself a girl, a boy, somewhere in between? Are you happy and comfortable being a boy or girl, or do you have questions about your gender?" | "I ask all my patients when they come in for check-ups: 'Do you consider yourself a girl, boy, or somewhere in between? How do you describe your gender?'" "There are lots of ways that people experience or express gender. I am open to discussing this or any questions about gender with you." | "How do you identify, regarding gender? That is, do you feel or regard yourself as a woman, man, or something in between, or some other way?" "Do you have any questions or concerns about your gender?" |
| Sexuality | "Have you and your parent(s) talked about sex and how to make decisions about getting involved in a romantic or sexual relationship?" "What have you and your parent(s) talked about so far?" "If you were to have a crush or romantic feelings toward someone, would that someone be a girl, boy, both, or neither?" "Do you have someone that you like or that you would like to talk to or date?" "Do you have any questions about your sexuality?" | "Are you attracted to girls, boys, or both?" "Who have you been romantically and sexually involved with in the past?" "Have you ever had sex?" (See specific questions related to types of sex below.) "Do you feel safe with your partner(s)?" "What do you do for sexually transmitted infection protection?" "What do you use for pregnancy prevention?" "What do you know or what would you like to know about birth control options?" | "Are you attracted to women, men, or both?" "Who have you been romantically or sexually involved with in the past?" "How many sexual partners have you ever had? What types of sexual behaviors have you tried or are currently having?" "Does sex feel good and satisfying for you and your partner? Do you have any concerns about orgasm, ejaculation, or your sexual function?" |
| Sexual behaviors | "Do you have any questions about a common way some young people your age are sexually active, such as masturbation or touching yourself?" "What sorts of things have you been taught or heard about sex?" | "What kinds of sex have you had?
| "What kinds of sex and partners do you have?" "Some people feel uncomfortable talking about sex. I hope this can be a safe and comfortable place for you to talk about sex." "There is a variety of ways to be sexually active. Do you have any questions about different ways to be sexual or have sex?" |
| STI prevention | "Do you have any questions about how to be safe in a sexual relationship?" "What have you heard about ways to protect yourself if you do have sex?" "Do you know about condoms? How we use them? How they can help prevent pregnancy and sexually transmitted infections?" "What do you know about sexually transmitted infections?" | "What do you know about sexually transmitted infections?" "What do you know about how to protect yourself or a partner from sexually transmitted infections?" "Have you ever had: chlamydia, gonorrhea, genital warts, or herpes?" "Have you ever been tested for syphilis or HIV?" "What have your used or tried in order to prevent sexually transmitted infections?" "What has worked for you? What has not worked so well for you in the past?" "Would you like testing for sexually transmitted infections today?" | "Are you currently having sex and/or in a relationship?" "Who do you have sex with?" "Have you and your partner discussed whether your relationship is monogamous or whether you both will also be having other sex partners?" "Are you feeling valued and respected in your relationship? Do you feel safe in your relationship?" "What would or could make your relationship better?" "Until age 26, we recommend at least annual sexually transmitted infection testing; can we do this today?" |
آیا می خواهید مدیلیب را به صفحه اصلی خود اضافه کنید؟
