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The transition through puberty involves significant biological and psychosocial changes. The American College of Obstetricians and Gynecologists (ACOG) recommends an initial visit to a gynecologist for girls between ages 13 and 15 years to focus on reproductive health guidance, screening and preventive health care services. Specific issues to cover depend on the adolescent's needs, medical history, physical and emotional development, and the level of care being received from other providers. Topics for discussion include pubertal development, normal menses, healthy eating habits, sexually transmitted infections (STIs), pregnancy prevention, and substance use and abuse. An internal pelvic exam is not necessarily indicated at the first visit …