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Geri Hewitt, MD

What Types of Contraception Are Best Following Early Pregnancy Loss?
 What Types of Contraception Are Best Following Early Pregnancy Loss? 1024 683 Geri Hewitt, MD
By: Geri Hewitt, MD, Elise Berlan, MD, MPH and Johanna Taylor, APN

Following early pregnancy loss (EPL), miscarriage or spontaneous abortion, pregnancy tests remain positive for several weeks often creating a challenge for clinicians initiating contraception. Fertility returns rapidly after EPL and almost all adolescents may use their contraceptive method of choice immediately after the pregnancy. Pregnancy tests detect the presence of human chorionic gonadotropin (HCG), a…

Ask A Specialist: Management of Labial Adhesions in Prepubertal Girls
 Ask A Specialist: Management of Labial Adhesions in Prepubertal Girls 1024 680 Geri Hewitt, MD
By: Geri Hewitt, MD

What is the appropriate management of asymptomatic and symptomatic labial adhesions in a prepubertal girl? The management of labial adhesions has really evolved over time. The most important thing is to make sure you have the correct diagnosis and it’s not some other problem with the vagina opening. Labial adhesions are isolated (not associated with…

When Is It Appropriate to Send Pediatric Patients to an OB/GYN?
 When Is It Appropriate to Send Pediatric Patients to an OB/GYN? 150 150 Geri Hewitt, MD
By: Geri Hewitt, MD

This post was reviewed by Dr. Hewitt and updated on June 4, 2021.  The American College of Obstetrics and Gynecology (ACOG) recommends that young women have their first visit with an obstetrician-gynecologist (OB/GYN) between the ages of 13 and 15. Making sure that first appointment is with a pediatric gynecologist can have added benefits. Specific…

Improving Care for Adolescents and Young Women With Pelvic Pain: Highlights From New ACOG Guidelines
 Improving Care for Adolescents and Young Women With Pelvic Pain: Highlights From New ACOG Guidelines 1024 683 Geri Hewitt, MD
By: Geri Hewitt, MD

Between 50 and 90 percent of adolescents and young women report dysmenorrhea- and endometriosis-related pelvic pain. Pediatricians and primary care doctors have many opportunities to recognize and treat these conditions, leading to enhanced quality of life and better long-term reproductive outcomes for these patients. The recently published guidance from the American College of Obstetrics and…