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A pelvic exam is where a doctor or nurse practitioner looks at a girl's reproductive organs both outside and internally. This includes feeling a girl's uterus and ovaries to be sure everything's normal. Teens don't usually get pelvic exams. Sometimes doctors do pelvic exams if they think there's a problem.

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But now they are wrestling with a third: the pornography talk. There is no set script, and no predictable moment for the conversation. It can happen at as early an age as 6 or 7, when a child may not yet understand the basic mechanics of sex.

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