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hvparent.com n Hudson Valley Parent 33 When a young woman arrives at the OB-GYN for her first visit, she will most likely feel some anxiety. Knowing this, Dr. Karpfen encourages starting off the appointment with information and conversation. A variety of topics will be addressed at your daughter's appointment to spark any primary questions or concerns. Dr. Karpfen acknowledges that subject matter will vary from reproductive health and contraceptives, to even social media and peer pressure. Physical exams will vary depending on the purpose of your daughter's visit. "Breast exams are expected", says Dr. Karpfen. Educating women on self-breast exams is critical to teach at a young age and opens up an opportunity for your daughter to begin asking more in-depth questions about her body. Pelvic exams, however, are not to be expected on the first visit if your daughter expresses no immediate concerns. "The appointment is not about invading," encourages Dr. Karpfen, "It's about starting a conversation." Preparation is key Preparing for your daughter's first appointment days before arriving at the office may significantly ease feelings of anxiety and stress. For professional resources to reference, Dr. Karpfen recommends exploring the American College of Obstetrics and Gynecology website for patient information. This section has several online pamphlets available on a variety of different topics specific to teens. If you're unsure about what resources to review, your physicians will be more than willing to provide pamphlets they have available on subjects your daughter may find helpful for preparation. "We have a ton of information available in the office for patients," states Dr. Karpfen, referring to the Middletown and Goshen locations. (Continued on Page 34) NEW HACKENSACK NURSERY SCHOOL "We encourage, nurture, and teach... They explore, learn, and fl ourish! OPEN HOUSE - January 17 6:30-7:30 Snow Date: January 18 PROGRAMS FOR AGES 3 & 4 Come explore the classrooms with your child & meet the teachers! 1580 Rte. 376 • Wappingers Falls 845-462-0810, ext. 130 NewHackensackNurserySchool.org Like Us On • A happy, safe and caring environment encouraging a child's physical, creative, and intellectual growth • Serving children of all abilities • Early and after care hours available Kathy Masloski, Director 845-883-5151 40 Park Lane, Highland, NY 12528 845-293-5600 228 Ward Street, Montgomery, NY 12528 LearningTogetherInc.com AN INTEGRATED PRESCHOOL PROGRAM Learning Together, where children explore the world the way they learn best, through play! NEW MONTGOMERY LOCATION! Hudson Valley Parent is growing! If you're looking to make a difference in your community while having fun at work, we want to hear from you! See available positions online at Careers.HVParent.com