Dr. Željka Stevović, a specialist in gynecology and obstetrics, a subspecialist in endocrinology, who also completed a narrow specialization in pediatric endocrinology, is the only one in Montenegro who deals with pediatric and adolescent gynecology.
Every Friday at the Podgorica Health Center is reserved for the problems of girls and adolescents, she pointed out while appearing on Boje jutra on TV Vijesti.
"Pediatric gynecology is from birth to the first menarche, meaning until about the age of ten when we can expect the first menstruation, and adolescents already begin to develop their reproductive organs, from the age of ten to nineteen. These are adolescents, so to speak, until they turn twenty. Every Friday, approximately ten patients are scheduled. We must bear in mind that this first contact with this issue certainly requires a slightly longer processing and approach," she stated.
One of the most common problems is precocious puberty.
"When the first menstruation occurs before the age of nine, it should be a warning sign for parents to bring a child. This person will not have a lesser chance of becoming a parent tomorrow, but there is something much more important. The potential for genetic growth and development, primarily growth, will be stopped with the onset of puberty. Many probably do not know this, it is important that we say something about it today, that we all know that when we enter puberty, with the first menstruation, or menarche, our greater growth potential is limited. And now imagine a girl who got her period at 7-8 years old and who is perhaps tall, a maximum of 40 meters, 50 meters, how much more she can grow after that. That is why it is important that endocrinology specialists get involved, to somehow enable these hormones through therapy to affect the constitution, growth, development and maturation, and in this way enable our patients to reach that potential acceptable height, but of course all within the framework of how much this therapy can be given depending on growth and age. the patient," Stevović pointed out.
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