Pediatric and Adolescent Gynecology

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

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…

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Postoperative Care for Benign Ovarian Neoplasms
Postoperative Care for Benign Ovarian Neoplasms 150 150 Mary Bates, PhD

Study suggests no benefit from routine imaging and supports symptomatic imaging for postoperative management of benign ovarian neoplasms. In a new study, researchers at Nationwide Children’s Hospital led a collaboration with eight children’s hospitals examining the follow-up care and subsequent outcomes of pediatric patients after surgery for a benign ovarian neoplasm to develop evidence-based recommendations…

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Diagnosing Adolescent Polycystic Ovary Syndrome
Diagnosing Adolescent Polycystic Ovary Syndrome 1024 673 JoAnna Pendergrass, DVM

New adolescent-specific guidelines provide more precise guidance on diagnosing polycystic ovary syndrome in adolescent females. Polycystic ovary syndrome (PCOS), the most common female reproductive endocrine disorder, presents diagnostic challenges in adolescents, highlighting the need for adolescent-specific diagnostic guidelines for PCOS. “We can’t use the adult criteria for diagnosing adolescent PCOS,” says Andrea Bonny, MD, section chief…

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Best Practices for Patient-Centered Contraception Counseling About the Etonogestrel Implant
Best Practices for Patient-Centered Contraception Counseling About the Etonogestrel Implant 1024 683 JoAnna Pendergrass, DVM

Patient-centered, age-appropriate contraception counseling helps health care providers educate adolescents about the etonogestrel implant and other contraceptive methods. Preventing unplanned pregnancies in adolescents with effective and easy-to-use contraception is key to ensuring that adolescents do not become parents before they are ready. Nexplanon, the newest version of the etonogestrel (ENG) implant, is an increasingly popular…

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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

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…

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Worth It: Why Wrestling Through the Logistical Challenges of a Multidisciplinary Colorectal Center Matters
Worth It: Why Wrestling Through the Logistical Challenges of a Multidisciplinary Colorectal Center Matters 150 150 Jeb Phillips

Consider the complex case of a girl born with rectal, vaginal and urinary tracts fused into a common channel – a cloacal malformation. The child needs reconstructive procedures across three different organ systems and three different surgical specialties. It could take months or years to manage the surgeries needed for the colorectal portion, then the…

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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

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…

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Specialists Collaborate to Improve Ovary Preservation
Specialists Collaborate to Improve Ovary Preservation 150 150 Brianne Moore

A weekend case inspires an investigation into how pediatric surgeons and gynecologists treat the same patient differently. When lesions persist on a patient’s ovary, there are two options for treatment: oophorectomy, which removes the entire ovary, and ovarian sparing surgery (OSS). Depending on referral patterns and access to specialists, either a pediatric surgeon or a…

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