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Measure parental attitudes toward fertility preservation (FP) in female adolescent cancer patients' in a Middle Eastern country in order to understand barriers to decision making and decisional conflicts.
Transgender and gender diverse youth and their families are increasingly presenting to adolescent gynecological providers for education, care, and referrals. These youth more often face mental health and social disparities that frequently go unrecognized or unaddressed by providers. A gender affirmative approach focuses on providing emotional validation, psychological safety, and support to young patients and their families. With better understanding of the unique needs of transgender and gender diverse pop...
Vaginal dilator therapy is used to increase vaginal length for vaginal agenesis, to increase vaginal width for vaginal narrowing, and to prevent or treat stenosis after vaginal surgery. Although it is an effective therapy, many reproductive health providers have had little training on how to guide patients through this therapy. The purpose of this review is to educate providers how to assess patient readiness and how to support patients through the process of vaginal dilation.
Girls with either hypo- or hypergonadotropic hypogonadism need treatment with estrogens to initiate puberty and maintain normal hormonal mileau. The focus of this review is hormone replacement treatment in girls with hypogonadism, both to initiate and progress through puberty, and to maintain healthy hormonal mileau in women. It also addresses what is known in the literature regarding estrogen levels in girls and women, instructive cases, practical tables for reference and application, and thoughts on futur...
Untreated symptomatic imperforate hymens at birth can result in renal complications and ascending infection. While guidelines recommend incision and drainage (I&D), little is discussed regarding postoperative management and surveillance.
Postpartum depression (PPD) emerges within the first four weeks of the postnatal period and may continue for as long as one year. The aims of this prospective study were to examine the prevalence, severity, and risk factors for PPD among adolescent mothers in Turkey. The study consisted of 84 adolescent mothers between the ages of 15 and 19. The participants were questioned about PPD at three postnatal periods: four weeks, six months and one-year. A 23-item question form, prepared in order to evaluate the r...
Beckwith-Wiedemann syndrome (BWS) is the most common pediatric overgrowth syndrome. BWS has a broad phenotypic presentation along with an increased propensity to develop various embryonal tumors. There are very few reported cases of gonadal hyperplasia in BWS patients in the existing literature.
To determine follow-up rates for adolescent patients undergoing medical abortion in comparison to adult patients, identify patient factors associated with follow-up, and evaluate contraceptive choices at the time of follow-up.
Menstrual suppression (the use of hormonal contraceptive methods to eliminate or significantly decrease the frequency of menstrual cycles) is frequently used in the adolescent population for the management of menstrual symptoms such as heavy or painful periods, premenstrual syndrome, menstrual migraines or even for patient preference. However, in cases of menstrual suppression in special populations additional risks and benefits need to be considered. The purpose of this article is to review the options and...
To compare clinician perspectives for the treatment of pelvic inflammatory disease (PID) with those of adolescent patients and parents.
We present an adolescent with multiple vulvar angiokeratomas within a background of lichen sclerosus.
Complications associated with imperforate hymen include cyclical abdominal pain, acute urinary retention, endometriosis, and even iatrogenic infections.
Epithelial ovarian cancer development before menarche is extremely rare.
Vaginal leech infestation is a rare event with vaginal bleeding being its prominent sign. Few cases have been reported in young children.
There is inconsistent data regarding hormonal contraception and weight. Weight concerns may deter teens from using highly effective contraception such as the etonogestrel subdermal implant (ENG). There is little literature about weight gain and adolescent ENG use, most studies involve adult women. The purpose of this study is to evaluate weight/BMI change in adolescent and young adult ENG users compared to non-users.
Quantitative data suggest that adolescent users of long-acting reversible contraception (LARC), as compared to short-acting methods (pill, patch, ring, depot medroxyprogesterone acetate [DMPA]), may be less likely to use condoms. We qualitatively describe and explain adolescent contraceptive users' motivations for condom use, including variation by contraceptive type.
Complete Androgen Insensitivity (CAIS) is a Difference of Sex Development, where there is complete androgen receptor resistance, leading to a female phenotype, despite the presence of normal testes. There is a recognized risk of testicular germ cell tumor in adulthood as high as 15%, and gonadectomy is usually performed in late adolescence or early adulthood.
Irregular menstrual cycles due to anovulation are well-described in the first few years after menarche, but the normal developmental trajectory from anovulatory to mature ovulatory cycles during adolescence remains undefined. This paper presents our very limited understanding of this final stage of female reproductive axis development and why additional research in this area is critical to the health of women.
We present an adolescent girl with prominent clitoral swelling as the first symptom when presenting to the emergency department, and who was subsequently diagnosed with nephrotic syndrome.
To identify characteristics associated with provider attitudes on the safety of 'Quick Start' initiation of long-acting reversible contraception (LARC) for adolescents.
Heavy menstrual bleeding (HMB) occurs in up to 40 % of adolescent girls, significantly impacting their daily activities. Identifying alternative treatment strategies for HMB is particularly important for adolescents who prefer not to take hormonal contraception. Our objective was to determine the ability of tranexamic acid (TA) to increase health-related quality of life and decrease menstrual blood loss (MBL) in adolescents with HMB. DESIGN, SETTING, PARTICIPANTS, INTERVENTIONS, AND MAIN OUTCOME MEASURES: I...
Existing literature on the prevalence of metabolic syndrome (MBS) in adolescents with polycystic ovary syndrome (PCOS) is inconsistent, likely due to the application of differing diagnostic criteria. The objective was to assess the prevalence of MBS in adolescents with PCOS depending on the PCOS diagnostic criteria utilized.
Adolescent endometriosis typically presents as Stage I with superficial peritoneal disease [SPD] and less commonly as Stage III or IV with deeply infiltrative disease [DIE]. Endometriosis lesions can be destroyed (cautery or laser), cutting out the discrete lesion with excision and destroyed, or radically excised with removal of the lesion and surrounding tissue. It has been shown to be beneficial to excise DIE to improve pain. Radical excision has been promoted by a subset of surgeons and involves removal ...
Although schools should play a crucial role in providing the right health information at the right age, little is known about the knowledge of school pupils in Egypt, especially girls living in rural areas, regarding reproductive health, and their perceptions of violence. This study aimed to assess reproductive health knowledge and perceptions around violence among rural school-attending girls.