| Information about cannabis for recreational use | Information about cannabis for recreational use | Information about cannabis for recreational use | I | English | Adolescent | Teen (13-18 years) | NA | NA | Healthy living and prevention | Teen (13-18 years) | NA | | 2022-05-25T04:00:00Z | | | | | | 11.4000000000000 | 42.9000000000000 | 974.000000000000 | | Flat Content | Health A-Z | <p>Learn about cannabis and find out about the short- and long-term effects of using it recreationally.</p> | <h2>What is cannabis?</h2><p>Cannabis (also known as marijuana, weed and pot) refers to a group of plants that are grown around the world, including Canada. The cannabis plant contains many chemical substances, including over 100 "cannabinoids".</p><h2>What is a cannabinoid?</h2><p>Cannabinoids affect cells in the brain and the body. They can change how those cells behave and communicate with each other.</p><h2>What are examples of cannabinoids?</h2><ul><li>THC (delta-9-tetrahydrocannabinol) is a cannabinoid you may hear about the most. It is a "psychoactive" component, meaning that it is responsible for the way your brain and body respond to cannabis, including the "high" or intoxicating effect.</li><li>CBD (cannabidiol) is also a cannabinoid. While it is also psychoactive, it does not produce a high or intoxication and is often used for medicinal purposes.</li></ul><p>Each cannabinoid works on different cannabinoid receptors located in the brain or other parts of the body.
Different formulations of cannabis contain varying amounts of THC and CBD, so the effects of cannabis on your body will depend on this, as well as how the cannabis is used (e.g., smoked, ingested, applied to the skin).</p> | | <h2>Key points</h2><ul><li>Cannabis refers to a group of plants that contain chemical substances, including cannabinoids such as THC and CBD.</li><li>Cannabis can be consumed by smoking or vaping, eating cannabis products such as baked goods and candies, or applying it to the skin in the form of lotions or ointments.</li><li>You must be 19 and older to legally buy, use, possess and grow recreational cannabis in Ontario.</li><li>Short-term effects of cannabis use can include feeling relaxed, being sociable, increased heart rate, difficulty concentrating, delayed reaction time, feeling anxious or panicky, and distorted thoughts and/or paranoia.</li><li>Long-term effects of cannabis use can include: long-term impaired working memory, emotional dysregulation, poor attention and impulse control; increased risk of changes in thoughts, feelings and behaviours; cannabis hyperemesis (severe and repeated bouts of vomiting); and cannabis dependence.</li></ul> | <h2>How is cannabis consumed?</h2><p>Cannabis can be consumed through smoking or vaping the flower of the plant, or plant-based products. The active compounds can be extracted into edible forms (baked goods, candies, oils and beverages) and eaten. They are available both commercially and homemade. Cannabinoids can also be absorbed through the skin from topical cannabis products in the form of lotions or ointments.</p><h2>What is cannabis used for?</h2><h3>Recreation</h3><p>People often use cannabis to experience feelings of relaxation and contentment. <strong>You must be 19 and older to legally buy, use, possess and grow recreational cannabis in Ontario.</strong></p><p>Although recreational cannabis use under the age of 19 is illegal in Canada, cannabis is one of the most frequently used substances by teens. Most teens who have tried cannabis first used it at 14 years of age; and one in five cannabis users (aged 16-19 years) report daily use. Daily use can result in cannabis dependence and greatly increases the risk of longer-term effects on the brain and other areas of health and well-being.</p><h3>Medicine</h3><p>Cannabis has been used for a variety of purposes including appetite stimulation in serious illness, pain relief and anti-seizure therapy for people with rare forms of epilepsy. <strong>There are no age restrictions for the use of medical cannabis in Canada.</strong></p><h2>What is known about the effects of recreational cannabis in teens?</h2><h3>Short-term effects and risks</h3><p>In the short-term, cannabis can cause you to:</p><ul><li>feel more relaxed</li><li>be more sociable</li><li>have an increased heart rate</li><li>have difficulty concentrating, which can impact your learning, problem-solving, and school performance</li><li>have a delayed reaction time in response to changes in your environment (e.g., when you are driving)</li><li>feel anxious or panicky</li><li>experience distorted thoughts and perceptions and/or paranoia</li></ul><p>Depending on your age, weight and how you consume it, cannabis can also affect your balance.</p><h3>Longer-term effects and risks</h3><p>Regular and frequent cannabis use is associated with the risk of a number of long-term effects on your physical and mental health.</p><p>The long-term brain and mental health effects of cannabis use can impact teens in particular because the frontal lobes of their brains are still developing well into their twenties. This region of the brain is responsible for your working memory, emotional regulation, attention and impulse control, and is especially vulnerable to the effects of cannabis (and other drugs, including alcohol).</p><p>Regular <a href="https://teens.aboutkidshealth.ca/Article?contentid=3841&language=English">substance use</a>, including cannabis use, in teens is linked with an increased risk of changes in thoughts, feelings and behaviours. Cannabis use can worsen any existing <a href="https://teens.aboutkidshealth.ca/Article?contentid=3983&language=English">depressive</a> and <a href="https://teens.aboutkidshealth.ca/Article?contentid=3810&language=English">anxiety disorders</a> you may have and has been associated with the development of schizophrenia and psychosis. This risk is higher in people with a family history of the disorder.</p><p>Teens (and adults) who use cannabis regularly can also develop cannabis hyperemesis, a syndrome where you have persistent nausea and vomiting that is only relieved by reducing/stopping your cannabis use. Taking hot showers can relieve the symptoms but will not prevent vomiting from recurring.</p><p>In addition, one in six teens who use cannabis frequently will develop cannabis dependence. Cannabis dependence includes needing to use more cannabis over time to have the same effect, and/or having difficulty sleeping, and being irritable when using less or stopping the use of cannabis.</p><h3>Using cannabis while driving</h3><p>Driving while high on cannabis is against the law in Canada. Cannabis can impair your driving by slowing your reaction time and affecting your ability to concentrate. Because it comes in different potencies and affects each person differently, it is not known how long you should wait to drive after consuming cannabis. It is important to recognize the dangers of driving under the influence of any substance and consider your options for getting home safely.</p> | | | | | | | | | | | | | | | | | | | | | | | | | | <p>
<a href="https://www.canada.ca/en/health-canada/services/canadian-student-tobacco-alcohol-drugs-survey/2018-2019-summary.html">Summary of results for the Canadian Student Tobacco, Alcohol and Drugs Survey (CSTADS) 2018-19</a></p><p>
<a href="https://www.canada.ca/en/health-canada/services/drugs-medication/cannabis/research-data/canadian-cannabis-survey-2021-summary.html">Canadian Cannabis Survey 2021: Summary</a></p> | | | | | | | | | | https://assets.aboutkidshealth.ca/AKHAssets/Info_about_cannabis_rec_use.jpg | Cannabis for recreational use | | Teens | | |
| Trauma: Treatment and coping methods | Trauma: Treatment and coping methods | Trauma: Treatment and coping methods | T | English | Psychiatry | Teen (13-18 years) | NA | NA | Non-drug treatment | Teen (13-18 years) | NA | | 2019-03-22T04:00:00Z | | | | | | 11.7000000000000 | 40.4000000000000 | 413.000000000000 | | Flat Content | Health A-Z | <p>Learn about the different treatment options for coping with trauma including psychotherapy, medication and coping mechanisms.</p> | <h2>What treatments are available?</h2><p>Different treatment options are available to help you better understand and cope after a <a href="/Article?contentid=3781&language=English">traumatic experience</a>. Sometimes, it takes trying a few options before you find the one that is the best fit for you. </p> | | | <h2>Psychotherapy</h2><p>Trauma-focused psychotherapy is often helpful after a traumatic event, even if you have not been diagnosed with PTSD or another condition. This type of psychotherapy can help you to identify, understand and process the feelings, thoughts and physical sensations that come up after a trauma. </p><p>Psychotherapy can take place one-on-one with a therapist such as a psychologist or social worker who is trained in trauma-focused psychotherapy. Sometimes you can attend a trauma-focused group to learn new skills and strategies for coping with your reactions. </p><p>If the trauma you experienced involved other family members, it can be helpful to attend therapy together. However, this may not be a good option if someone in your family caused the trauma, as in the case of abuse or neglect.</p><p>Helpful forms of psychotherapy after a traumatic event include:</p><ul><li>relaxation training</li><li>Trauma-Focused Cognitive Behavioural Therapy (TF-CBT)</li><li>Integrative Treatment of Complex Trauma for Adolescents (ITCT-A)</li><li>Eye Movement Desensitization and Reprocessing (EMDR)</li><li>Child and Family Traumatic Stress Intervention (CFTSI)</li></ul><h2>Medication</h2><p>Medications, on their own, are not usually recommended for treating exposure to trauma. </p><p>If you are diagnosed with a psychiatric condition such as PTSD or major depressive disorder after a trauma, you could discuss possible medications with a psychiatrist or paediatrician. </p><p>Medications tend to be most effective when they are combined with psychotherapy and behaviour changes.</p><h2>How can I help myself if I am dealing with the effects of trauma?</h2><h3>Things you can do when you are feeling distressed</h3><ul><li>Relaxation exercises</li><li>Paced breathing </li><li>Progressive muscle relaxation<br></li><li>Guided imagery</li><li>Grounding exercises – to help you focus on something in the present to give you relief from feeling like the trauma is happening again</li><li>Examining your thoughts – to help you move from extreme thoughts or catastrophizing to more balanced thinking </li><li>Talking to a trusted adult about your thoughts and feelings<br></li></ul><div class="call-out"><div class="asset-video vid-small">
<iframe src="https://www.youtube.com/embed/3cevA6EjCbE?rel=0" frameborder="0"></iframe> <br></div><p>
<strong>How to use:</strong> This audio meditation helps you connect to the present moment using your sense of sight, sound, touch, taste and smell. Use this meditation when you want to ground yourself in the here and now or if you are having unwanted thoughts, feeling physical discomfort or uncomfortable emotions. Follow along with the meditation, bringing your awareness to each of your five senses in the moment.</p></div><h3>Things you can do every day to help your healing</h3><ul><li>
<a href="/Article?contentid=3783&language=English">Physical activity</a> – to reduce anxiety and boost your mood</li><li>Self-care – having a bath, eating a balanced meal or doing something kind for yourself to take care of your basic needs </li><li>Social activities with friends and people you trust – to help prevent feelings of loneliness and isolation</li><li>Daily mindfulness exercises </li><li>Getting
<a href="/Article?contentid=3632&language=English">enough sleep</a> and maintaining a
<a href="/Article?contentid=3633&language=English">regular sleep schedule</a></li><li>Maintaining
<a href="/Article?contentid=3774&language=English">regular, healthy eating habits</a> </li></ul><div class="call-out"><div class="asset-video vid-small">
<iframe src="https://www.youtube.com/embed/gqMu6kFfQcE?rel=0" frameborder="0"></iframe> <br></div><p>
<strong>How to use:</strong> This audio meditation helps you connect to your breath. Use it to steady yourself when you are feeling overwhelmed or have any unwanted thoughts, feelings or sensations. Follow along with the meditation, paying attention to the rhythm of your in-breath and out-breath.<br></p></div><h2>When will I start to feel better?</h2><p>If you are struggling with negative reactions after a trauma, you will likely need to attend regular therapy sessions for six months to a year to recover and learn how to develop long-term coping skills. The good news is that seeking help early and sticking with regular treatment will increase your chances of fully recovering from the effects of trauma.</p> | | | | | | | | | | | | | | | | | | | | | | | | | | <h3>Kids Help Phone –
<a href="https://kidshelpphone.ca/">kidshelpphone.ca</a></h3><p>Kids Help Phone is a 24/7 e-mental health service offering free, confidential support to young people.</p><p>
<a href="https://kidshelpphone.ca/get-info/coping-grief-loss-and-change/">Coping with grief, loss and change</a></p><p>
<a href="https://kidshelpphone.ca/get-info/how-can-i-cope-with-my-feelings-about-the-future/">How can I cope with my feelings about the future?</a></p> | | | | | | | | | | https://assets.aboutkidshealth.ca/AKHAssets/iStock-1331029398.jpg | | | Teens | | |
| What is a menstrual period? | What is a menstrual period? | What is a menstrual period? | W | English | Adolescent | Teen (13-18 years) | Uterus | Reproductive system | Conditions and diseases | Teen (13-18 years) | Abdominal pain;Bleeding;Headache | | 2022-07-19T04:00:00Z | | | | | | 9.40000000000000 | 53.6000000000000 | 1031.00000000000 | | Flat Content | Health A-Z | <p>Learn more about menstrual periods, what is considered normal, and when you should see your doctor about your periods.</p> | <h2>What is a menstrual period?</h2><p>A menstrual period is experienced by people with female reproductive body parts. It is the bleeding that occurs approximately once a month during the <a href="https://teens.aboutkidshealth.ca/Article?contentid=4051&language=English">menstrual cycle</a> when the lining of the uterus sheds. This bleeding is also called a “menses,” and you might also hear people talk about it using other nicknames and phrases like “Aunt Flo,” the “Time of the Month,” a person’s “Moon Time,” being on/having “Your days”, “Little Red Riding Hood is coming,” or the “Little strawberry.”</p><p>A cycle length is measured from the first day of bleeding (Day 1 of one menstrual period) to the first day of the next menstrual period. There is a wide range of normal cycle lengths. For teenagers, a normal menstrual cycle can be anywhere between 21-45 days. The average menstrual cycle length is approximately 28 days. In the first 1-2 years following your first period, it is very common and normal to have irregular cycles.</p><h2>What is normal menstrual bleeding?</h2><p>Just like menstrual cycle length, normal menstrual bleeding also varies in length.</p><p>Normal menstrual bleeding can last between 3-8 days. The amount of blood lost during this time can also vary. Usually, a normal range is 30-80 mL of blood. Because it is difficult to directly measure the amount of blood you are losing (unless using a menstrual cup), you can determine if you are having a normal period by knowing the number of menstrual products you use during your period.</p><h3>Normal bleeding</h3><ul><li>Soaking through up to 10-15 sanitary pads per cycle</li><ul><li>The pads are filled from side to side</li><li>Soaking through up to 3-6 tampons per day during your period</li></ul></ul><h3>Abnormal/heavy bleeding</h3><ul><li>Soaking through and needing to change your menstrual products every 1-2 hours</li><ul><li>The tampons are soaked through</li><li>The sanitary pads are filled from side to side and front to back</li></ul><li>Bleeding for longer than a week</li><li>Passing blood clots larger than a quarter</li></ul> | | <h2>Key points</h2><ul><li>Menstrual periods are experienced by people with female reproductive body parts.</li><li>A period is the bleeding that occurs approximately once a month during the menstrual cycle when the lining of the uterus sheds.</li><li>Normal menstrual bleeding can last between 3-8 days, with 30-80 mL of blood loss.</li><li>Common symptoms of a period can include abdominal cramping, headaches, breast tenderness, changes in appetite, nausea, mood changes and fatigue.</li><li>There are a variety of menstrual products that you can use to help manage bleeding including sanitary pads, tampons, menstrual cups, and period underwear.</li></ul> | <h2>Menstrual symptoms</h2><p>There are a wide variety of symptoms that you might experience during your period, and they can range from very mild to significantly uncomfortable. These symptoms can change from cycle to cycle, and over time.</p><p>As well as during your period, it is also common to have symptoms in the week leading up to your period (premenstrual symptoms or PMS). Common symptoms include, but are not limited to:</p><ul><li>Abdominal cramping and discomfort</li><li>Lower back pain</li><li>Headaches</li><li>Muscle aches</li><li>Breast tenderness</li><li>Changes in appetite</li><li>Nausea</li><li>Constipation</li><li>Diarrhea</li><li>Acne</li><li>Mood changes</li><li>Fatigue/low energy</li></ul><p>These symptoms can occur in the week leading up to your period, and for up to 1-4 days after your period starts.</p><h2>Managing your period</h2><p>There are a variety of menstrual products that you can use to help manage menstrual bleeding. You may find that different products work better for you over time, on different days of your period, or depending on your comfort level, availability of products, and personal preference.</p><p>These products include sanitary pads, tampons, menstrual cups, and period underwear.</p><div class="akh-series"><div class="row"><div class="col-md-12">
<figure><img src="https://assets.aboutkidshealth.ca/AKHAssets/Menstruation_pad.jpg?RenditionID=10" alt="" /> </figure>
<h3>Sanitary pads</h3><p>Sanitary pads range in thickness and absorption. They also come in disposable (single use) forms, or in reusable forms (which can be washed with detergent and reused). Disposable pads often have an adhesive backing or adhesive flaps, which can be applied to your underwear. Reusable pads usually have Velcro or snap button flaps to stay secure. Both types of pads should be changed every 4-6 hours. Reusable pads can be washed, but you should discard disposable pads after a single use.</p></div></div>
<br>
<div class="row"><div class="col-md-12">
<figure><img src="https://assets.aboutkidshealth.ca/AKHAssets/Menstruation_tampon.jpg?RenditionID=10" alt="" /> </figure>
<h3>Tampons</h3><p>Like pads, tampons come in a variety of sizes and absorbability. Tampons have a string attached to help you remove them, and they can come with or without an applicator. Tampons are made of cotton or rayon and are inserted into the vagina to absorb menstrual blood. They must be changed every 4-6 hours and discarded after a single use. For more information, see
<a href="https://teens.aboutkidshealth.ca/Article?contentid=4025&language=English">Using your first tampon</a>.</p></div></div>
<br>
<div class="row"><div class="col-md-12">
<figure><img src="https://assets.aboutkidshealth.ca/AKHAssets/Menstruation_cup.jpg?RenditionID=10" alt="" /> </figure>
<h3>Menstrual cups</h3><p>Menstrual cups come in a variety of sizes and can be disposable or reusable. They are cup-shaped, with a small “stem” to help you remove them. They are inserted into the vagina to collect menstrual blood. Cups should be removed and emptied every 8-12 hours. Disposable cups should be discarded after a single use.</p></div></div>
<br>
<div class="row"><div class="col-md-12">
<figure><img src="https://assets.aboutkidshealth.ca/AKHAssets/Menstruation_underwear.jpg?RenditionID=10" alt="" /> </figure>
<h3>Period underwear</h3><p>Period underwear is underwear designed to absorb menstrual blood without the need for other menstrual products. They are best for times of light bleeding and can be used in combination with other menstrual products during heavier flow. Period underwear looks and feels like regular underwear and is reusable with regular washing. It can be worn all day for up to 24 hours, depending on your flow.</p></div></div><h2>When to see a doctor</h2><p>It is recommended you talk to your doctor if:</p><ul><li>Your menstrual period started early (before the age of nine).</li><li>Your menstrual period has not started by the age of 15, or it has not started and it has been over two years since you started puberty (since your breasts started developing).</li><li>You are experiencing heavy menstrual bleeding (changing menstrual products every 1-2 hours because they are completely soaked through).</li><li>You are consistently bleeding for more than seven days.</li><li>You are noticing significant symptoms (e.g., pain) around the time of your menstrual period that are impacting your ability to participate in school or other daily activities, or symptoms that occur throughout your cycle.</li><li>Your menstrual period has stopped.</li></ul></div> | | | | | | | | | | | | | | | | | | | | | | | | | | <p>LetsTalkPeriod.
<em>Queen’s University</em>. Retrieved from https://letstalkperiod.ca/video-resources/.</p> | | | | | | | | | | https://assets.aboutkidshealth.ca/AKHAssets/What%20is%20menstrual%20period.jpg | | | Teens | | |
| What teens need to know about bullying | What teens need to know about bullying | What teens need to know about bullying | W | English | Developmental;Adolescent | Teen (13-18 years) | NA | NA | Healthy living and prevention | Teen (13-18 years) | NA | | 2022-05-16T04:00:00Z | | | | | | 6.80000000000000 | 72.2000000000000 | 526.000000000000 | | Flat Content | Health A-Z | <p>Find out what the different types of bullying look like and what to do if you’re being bullied or if someone you know is being bullied.</p> | <h2>What does bullying look like?</h2><p>Bullying can take many different forms. It includes:</p><ul><li>Punching, shoving and other acts that hurt people physically</li><li>Spreading rumours about people</li><li>Keeping certain people out of a group</li><li>Teasing people in a mean way</li><li>Getting other people to bully someone else</li><li>Sending harassing or threatening messages online or by text message (cyberbullying)</li><li>Threatening to do any of the above things</li></ul> | | <h2>Key points</h2><ul><li>Bullying can take many different forms including hurting people physically, gossiping, teasing, and cyberbullying.</li><li>Dealing with a bully can be difficult but there are options you can try such as acting brave, ignoring them, standing up for yourself without being aggressive, and hanging out with friends who support you.</li><li>If you have been threatened or assaulted, call the police.</li><li>Never start or repeat rumours, or share messages or posts that could harm someone.</li></ul> | <h2>What can I do if I’m being bullied? </h2><p>You have the right to feel safe at school, at home, and in your community. There is no simple solution for dealing with a bully, but the following ideas can help:</p><ul><li>Act brave, even if you don’t feel it. Bullies want to get a reaction out of you. Just ignore them or smile at them if they’re harassing you. </li><li>Stand up for yourself without being aggressive. Fighting back or being mean back to the bully is not a solution and could end up getting you hurt or into trouble. </li><li>Hang out with friends who support you. If your friends are the ones who are bullying you, they aren’t really your friends, and you should find a group of friends who support you and protect you from bullies.</li><li>Talk to an adult you trust (parent, teacher, coach, guidance counsellor). They may be able to give you advice on how to deal with a bully, or they may be able to step in to help protect you. Call the police if you have been assaulted or threatened. If someone has physically assaulted you or has threatened to hurt you, that’s a crime and you should call the police to intervene.</li></ul><p>Take care of your mental health. If you are experiencing stress, anxiety, depression or other mental health issues, talk to a trusted adult or health-care provider. You can also take a look at these mental health resources to find ways to help you cope: <a href="https://teens.aboutkidshealth.ca/mentalhealth">www.teens.aboutkidshealth.ca/mentalhealth</a></p><h2>What can I do if someone else is being bullied?</h2><ul><li>If a friend or classmate is being bullied, stand up for them. It can help the person being bullied to know that they aren’t alone. </li><li>Never forward text messages, emails, direct messages or photos that could harm someone else.</li><li>Don’t repeat rumours about someone else, especially if they could damage that person’s reputation.</li><li>Find an adult trust who can stop the bullying. If you don’t want anyone to know it was you who reported the bullying, try leaving an anonymous letter with a teacher or guidance counsellor. </li></ul> | | | | | | | | | | | | | | | | | | | | | | | | | | <p>For more information on bullying, visit
<a href="https://www.prevnet.ca/bullying">www.prevnet.ca/bullying</a></p> | | | | | | | | | | https://assets.aboutkidshealth.ca/AKHAssets/Bullying_teen.jpg | | | Teens | | |
| What to expect during a pelvic exam | What to expect during a pelvic exam | What to expect during a pelvic exam | W | English | Adolescent;Developmental | Teen (13-18 years) | Pelvis;Body | Reproductive system | Healthy living and prevention | Teen (13-18 years) | NA | | 2021-10-19T04:00:00Z | | | | | | 9.60000000000000 | 57.4000000000000 | 719.000000000000 | | Flat Content | Health A-Z | <p>To make sure that your reproductive organs are healthy, you should have a pelvic exam every 3 years, starting at age 25, or sooner if you are sexually active or have specific concerns. Find out what you can expect during your first pelvic exam.</p> | <h2>What is a pelvic exam?</h2><p>A pelvic exam (or internal exam) is a test done by a health-care provider to examine your vulva, vagina and cervix for any abnormalities. Sometimes it also involves taking a sample from the vagina or cervix to test for sexually transmitted infections (STIs) or for changes that can lead to cervical cancer.</p> | | <h2>Key points</h2><ul><li>A pelvic exam is a test done to examine the vulva, vagina and cervix for abnormalities and to test for STIs and changes that can cause cervical cancer.</li><li>A pelvic exam should be done once you turn 25 and then every 3 years after that if you are sexually active; however, you may have a pelvic exam before you turn 25 if you are sexually active or if you have any specific concerns.</li><li>A pelvic exam includes external and internal visual exams to check for any abnormalities. In some cases, you may also need a physical exam to check the size, shape and position of your internal reproductive organs.</li></ul> | <h2>Why do I need a pelvic exam?</h2><p>There are several reasons you may need a pelvic exam. Pelvic exams are done to:</p><ul><li>Check that your internal reproductive organs are healthy and inspect your vulva and vagina for any abnormalities</li><li>Test for STIs – this is suggested every year and every new partner</li><li>Take a Pap test to check for early signs of cervical cancer – Paps should start at age 25 and only if you are sexually active</li><li>Diagnose a medical condition if you’re experiencing pelvic pain, or unusual bleeding or discharge</li></ul><p>You should have a pelvic exam once you turn 25, and then every 3 years after that if you are sexually active. You may have a pelvic exam before you turn 25 if you are sexually active or if you have any specific concerns. </p><h2>What happens during a pelvic exam?</h2><p>First, your health-care provider will ask you questions about your health and sexual activity.</p><p>A pelvic exam only takes a few minutes. It’s normal to feel nervous or shy, especially before your first pelvic exam. Remember, if you feel unsafe or uncomfortable, tell your health-care provider to stop. You may also choose to wait to do a pelvic exam at a future visit if you are feeling nervous or uncomfortable.</p><p>You will be asked to undress from the waist down and will be given a sheet to place over your lap for privacy. Then, you will lie down on your back on an exam table, with your knees bent and your feet placed in footrests. You will need to slide your body toward the end of the table and have your knees fall open to the sides.</p><p>This may feel uncomfortable, especially the first time. It’s important to listen to your provider’s instructions on how to position yourself in order to make the exam more comfortable. Don’t be afraid to ask your health-care provider about any questions or concerns you have!</p><h3>External visual exam</h3><p>The health-care provider will look at your vulva and surrounding area to check for redness, irritation, sores and any other abnormalities.</p><h3>Internal visual exam</h3><p>The health-care provider will then gently insert a metal or plastic tool called a speculum into your vagina. This is done to open the vaginal walls so they can see your vagina and cervix. </p><h3>Pap test and STI testing</h3><p>If your physical exam includes a Pap test (Pap smear), the health-care provider will swab your cervix with a small broom to collect cells. These cells are then tested for signs of cervical cancer. Swabs of the vagina or cervix may also be performed to test for STIs such as gonorrhea and chlamydia. </p>
<a href="https://assets.aboutkidshealth.ca/AKHAssets/Pelvic_exam.jpg" target="_blank">
<figure class="asset-small">
<img alt="Click to see pelvic exam image" src="https://assets.aboutkidshealth.ca/AKHAssets/Pelvic%20exam%20click.jpg" /> </figure> </a>
<h3>Bimanual or physical exam</h3><p>Your health-care provider may need to do a bimanual exam to check the size, shape and position of your internal reproductive organs including the ovaries, fallopian tubes and uterus. They will insert two gloved fingers into your vagina and press on the outside of your lower abdomen (belly) with the other hand. They will check for any tenderness or abnormal growths. To see an illustration of what this exam looks like, click the image on the right.</p> | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | https://assets.aboutkidshealth.ca/AKHAssets/iStock-863348696.jpg | | You may need a pelvic exam if you are sexually active or have specific concerns. Find out what you can expect during your first pelvic exam. | Teens | | |
| Gender and identity | Gender and identity | Gender and identity | G | English | Adolescent | Teen (13-18 years);Pre-teen (9-12 years) | NA | NA | Support, services and resources | Pre-teen (9-12 years)
Teen (13-18 years) | NA | | | | | | | | | | | | Landing Page | Learning Hub | <p>Resources to answer questions you may have on sex, gender and sexual orientation as well as how to find support and resources when you need them. </p> | <p>Resources to answer questions you may have on sex, gender and sexual orientation as well as how to find support and resources when you need them. </p> | | | <div class="panel panel-primary"><div class="panel-heading clickable">
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<h2 class="panel-title">Gender and identity</h2></div><div class="panel-body list-group" style="display:none;"><p> Read about sex, gender and sexual orientation to better understand the complete story of who you are on the inside and how you want to present to the world.</p></div><ol class="list-group" style="display:none;"><li class="list-group-item">
<a class="overview-links" href="/Article?contentid=3953&language=English">Gender identity and sexual orientation: An Overview</a></li><li class="list-group-item">
<a class="overview-links" href="/Article?contentid=3961&language=English">Questioning your gender and identifying as transgender</a></li><li class="list-group-item">
<a class="overview-links" href="/Article?contentid=3962&language=English">Transitioning</a></li><li class="list-group-item">
<a class="overview-links" href="/Article?contentid=3963&language=English">Using gender-inclusive language</a></li><li class="list-group-item">
<a class="overview-links" href="/Article?contentid=3964&language=English">Gender and identity: Support and resources</a></li><li class="list-group-item">
<a class="overview-links" href="/Article?contentid=3976&language=English">Sharing personal information, coming out and being outed</a></li><li class="list-group-item">
<a class="overview-links" href="/Article?contentid=3977&language=English">The right to safe spaces</a></li><li class="list-group-item">
<a class="overview-links" href="/Article?contentid=3978&language=English">Finding a primary health-care provider</a></li></ol></div> | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | https://assets.aboutkidshealth.ca/AKHAssets/gender%20transitioning_ContentID3962.jpg | gender | | | | Find answers to the questions you may have on sex, gender and sexual orientation as well as how to find support and resources when you need them. | Teens | | |
| Talking to your friends about cancer | Talking to your friends about cancer | Talking to your friends about cancer | T | English | Oncology | Pre-teen (9-12 years);Teen (13-15 years);Late Teen (16-18 years) | NA | NA | NA | Pre-teen (9-12 years)
Teen (13-15 years)
Late Teen (16-18 years) | NA | | 2019-09-03T04:00:00Z | | | | | | 6.30000000000000 | 79.3000000000000 | 755.000000000000 | | Flat Content | Health A-Z | <p>It's up to you who you talk to about your cancer and what details you choose to share. Find out tips to help you talk to your friends about cancer and what you can say if they have questions.</p> | <p>Some people tell everyone they know that they have cancer. Other people tell only their closest friends. Of course it is up to you who you talk to about your cancer and what you choose to share.</p> | | <h2>Key points</h2><ul><li>There is no right way to tell anyone you have cancer, and you don't need to tell anyone you don't want to or share any details you are not comfortable sharing.</li><li>Staying connected with friends throughout your treatment journey can help you feel supported and less alone.</li></ul> | <h2>How should I talk to my friends about my cancer?</h2><p>You might worry how your friends are going to react or that you’ll get emotional when you talk about cancer. These worries are normal. Cancer is not an easy thing to talk about with your friends. You might find it easier to write your friends a letter or email, tell them on the phone, or tell one close friend who can help you tell other friends. There is no “best” way to tell people you have cancer. You can only do what feels best for you. Your health-care team can help you find ways to talk to friends about your cancer and your treatment.</p><p>For more information on talking to your friends about cancer, check out these tips from
<a target="_blank" href="https://www.canteen.org.au/youth-cancer/treatment/relationships/friends/"> CanTeen</a>, an Australian organization for teens living with cancer. </p><h2>How will my friends respond?</h2><p>When you talk to your friends about your cancer, they may not react the way you hoped or thought they would. Their reaction may make you feel angry or disappointed, or make you feel like they don’t understand what you are going through. Often peoples’ first reaction to new or unexpected information is not how they would normally react to other news. They may need time to process this information, just as you first did.</p><p>On the other hand, their reaction might be surprisingly good! You might be surprised by how much they understand and how much better you feel knowing you still have their friendship. It may seem unfair on top of everything else you’re dealing with right now, but you will likely need to help your friends understand your cancer and how cancer and treatment are affecting you. Remember that before you had cancer, you didn’t understand it either. </p><h2>What can I say to my friends?</h2><p>Even though it might take some extra effort at first, it will be worth it to stay close to your friends through the challenges cancer brings. Try some of these tips to help your friends understand what you’re going through and to help them be the friends you need them to be.</p><ul><li>Tell your friends a few facts about your cancer and your treatment to help them understand what you are going through.</li><li>Let your friends know that you’re still the same person you always were and would like to be treated that way.</li><li>Give your friends ideas of what they can do to support you. Remember, they are probably confused and may not know how to help you. </li><li>When you feel ready to answer friends’ questions, let them know. You can say something like, “I can tell you about my cancer if you want…” And when you don’t feel like talking about cancer, let them know that too.</li><li>Stay in contact with your friends though texts, phone calls, emails, tweets, or any way you feel comfortable. You may need to be the one to contact your friends, since they might be afraid to bother you, especially if you’re in the hospital.</li><li>If you find it difficult to explain cancer and treatment to your friends, give them a link to a website that will help them understand what cancer is and how to support you through it.</li></ul><h2>Friendships are important</h2><p>Your friendships may change throughout your treatment journey. Some friends will be amazing and supportive, and others may become more distant. You might also make new friends with other teens who are going through similar experiences. At this difficult time in your life, try to stay connected to those people who offer you support and help you feel good. Cancer is too much for one person to deal with alone. Remember that the more you can be open with your friends, the more chances they have to understand what you are going through, and to be supportive and accepting.</p><p>Check out any teen support groups or resources that your hospital provides. These can help you make friends with people who understand what you’re going through.</p><p>Here are some links that you could share with your friends to help them understand:</p><ul><li>
<a href="https://www.canteen.org.au/young-people/my-friend-is-affected-by-cancer/">CanTeen: My friend is affected by cancer</a><br></li><li>
<a href="https://www.cancer.net/navigating-cancer-care/young-adults-and-teenagers/cancer-and-relationships/cancer-and-friendships">Cancer.Net: Cancer and Friendships</a></li></ul> | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | https://assets.aboutkidshealth.ca/AKHAssets/Talking_to_your_friends_about_cancer.jpg | | It's up to you who you talk to about your cancer and what details you choose to share. Find tips to help you talk to your friends. | Teens | | |
