Between the ages of 11 and 18, a woman may be able to see a pediatrician, family care provider, and/or gynecologist. Many health care needs can be addressed by family therapists or child care providers. However, there are cases where it may be appropriate for a young patient to consult a gynecologist, such as: Delayed puberty (no breast tissue changes before age 14) or menstruation (no menstrual cycle before age 16) Menstrual cycles are painful, especially if you miss school or work because of symptoms.