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Journal of Pediatric and Adolescent Gynecology

Frank M Biro, Nancy L Bloemer
Complementary and alternative health care approaches are prevalent in the patients and families served by practitioners in pediatric and adolescent gynecology. This paper addresses gaps in knowledge, including new terminology, prevalence of use, rates of and reasons behind nondisclosure, and potential interactions of herbal products with prescribed medication. It closes with practical complementary health approaches to the adolescent with dysmenorrhea.
November 3, 2018: Journal of Pediatric and Adolescent Gynecology
L P Wong, H Alias, I C-Sam, G D Zimet
STUDY OBJECTIVE: To assess the knowledge and beliefs regarding HPV and the HPV vaccine among girls before and after vaccination in the Malaysian HPV Immunisation Programme. DESIGN: A nationwide longitudinal survey. SETTING: Thirty-two randomly selected schools from 13 states and 3 federal territories in Malaysia from February to March 2013, and October to November 2013. PARTICIPANTS: Form One female students (13-year-old)...
November 2, 2018: Journal of Pediatric and Adolescent Gynecology
Kazue Ishitsuka, Kiwako Yamamoto-Hanada, Tadayuki Ayabe, Hidetoshi Mezawa, Mizuho Konishi, Mayako Saito, Yukihiro Ohya
STUDY OBJECTIVE: Few studies have investigated the risky health behaviors and psychosocial characteristics of teenage mothers in countries with a low teenage birth rate, like Japan. We examined the differences in maternal prenatal risky health behaviors and psychosocial characteristics, and birth weight of infants between teenage and adult mothers. METHODS: We identified 1,159 teenage (age <20 years) and 73,547 adult mothers (20-34 years) who participated a nationwide birth cohort study between 2011 and 2014...
November 2, 2018: Journal of Pediatric and Adolescent Gynecology
A F Bryan, J Chor
STUDY OBJECTIVE: To understand the factors that influence individuals' experiences during their first pelvic examination. DESIGN, SETTING, PARTICIPANTS, INTERVENTIONS, AND MAIN OUTCOMES: We conducted semi-structured interviews with adolescents and young adults, aged 18-24, who had received at least one pelvic examination. Interviews explored contextual factors of the first pelvic examination, including visit acuity and clinical setting and individuals' experiences with the pelvic examination itself and elicited recommendations on how to improve the examination experience...
November 2, 2018: Journal of Pediatric and Adolescent Gynecology
Marina Tosi, Sofya Maslyanskaya, Nancy A Dodson, Susan M Coupey
STUDY OBJECTIVE: The Female Athlete Triad is often found in sports that value leanness and aesthetics and can lead to adverse health effects. We aimed to compare knowledge and risk of the Triad among adolescent figure skaters, dancers, and runners. DESIGN, SETTING, PARTICIPANTS, MAIN OUTCOME MEASURES: We advertised our survey on social media platforms: sports-specific forums; Facebook; and Instagram. We received 928 responses. We included female figure skaters, dancers, and runners aged ≤25 years (N=712)...
November 2, 2018: Journal of Pediatric and Adolescent Gynecology
Tazim Dowlut-McElroy, Jeanette Higgins, Karen B Williams, Julie L Strickland
STUDY OBJECTIVE: Although various treatment options have been proposed for the treatment of labial adhesions, there are currently no clearly outlined limits on the duration of topical therapy, amount of lateral traction to apply, and methods to decrease the recurrence. This clinical trial was undertaken to assess the need for estrogen for treatment of prepubertal labial adhesions. DESIGN: Randomized, double-blinded, controlled trial. SETTING: Pediatric and Adolescent Gynecology Clinic at a children's hospital in a metropolitan area...
October 29, 2018: Journal of Pediatric and Adolescent Gynecology
S M Wood, A McGeary, M Wilson, A Taylor, B Aumaier, D Petsis, K Campbell
STUDY OBJECTIVES: To determine the impact of a multi-component quality improvement (QI) intervention on Chlamydia trachomatis screening for young women in primary care. DESIGN: Observational cohort analysis. SETTING: Urban primary care site providing adolescent primary and confidential sexual health care. PARTICIPANTS: Adolescent females aged 15-19 years of age. INTERVENTIONS: From December, 2016-April, 2018, we designed and implemented a multiphase QI intervention...
October 27, 2018: Journal of Pediatric and Adolescent Gynecology
Alejandra Vilanova-Sanchez, Katherine McCracken, Devin R Halleran, Richard J Wood, Carlos A Reck-Burneo, Marc A Levitt, Geri Hewitt
BACKGROUND: Patients born with complex anorectal malformations often have associated Mullerian anomalies, which may impact both fertility and obstetrical outcomes. Other VACTERL associations, such as renal or cardiac anomalies, could also impact pregnancy intention, fertility rates, and recommendations about mode of delivery or obstetrical outcomes. Associated conditions present at birth, like hydrocolpos, could also potentially impact fertility. Depending on the complexity of the anomaly, primary reconstruction may include vaginoplasty, vaginal interposition, perineal body reconstruction, and extensive pelvic dissection...
October 24, 2018: Journal of Pediatric and Adolescent Gynecology
J Tasset, M W Rosen, S Bell, Y R Smith, E H Quint
STUDY OBJECTIVE: To investigate characteristics that differentiate premenarchal girls with ovarian torsion (OT) from those without OT at the time of surgery. DESIGN: Retrospective chart review of 36 premenarchal girls who underwent 42 surgeries for either OT (n=33) or a non-torsed ovarian mass (n=9) from 2006-2017. SETTING: Large, tertiary care academic institution. PARTICIPANTS: Cases were patients aged 0-12 years old with ICD-9 codes for torsion of the ovary, adnexa, ovarian pedicle, or fallopian tube...
October 24, 2018: Journal of Pediatric and Adolescent Gynecology
Fahd A Ahmad, Donna B Jeffe, Christopher R Carpenter, Lauren S Chernick, Kristin S Stukus, Michael Turco, Feliciano B Yu, Thomas C Bailey
STUDY OBJECTIVE: Nearly 20 million adolescents receive emergency department (ED) care each year, many of whom have untreated reproductive health issues. ED visits represent an opportunity to provide appropriate care, however ED physician reproductive healthcare practices and capabilities in the United States have not been described. We sought to characterize pediatric ED director's individual practice and ED system resources for providing adolescent reproductive healthcare. DESIGN, SETTING, PARTICIPANTS, AND INTERVENTION: We invited pediatric ED division and/or medical directors nationally to participate in an anonymous, online survey...
October 16, 2018: Journal of Pediatric and Adolescent Gynecology
Mathew Leonardi, Helena Frecker, Ayden I Scheim, Sari Kives
Disparities exist in the area of reproductive health for lesbian, gay, bisexual (LGB) and transgender and gender non-conforming (TGNC) adolescents when compared to cisgender, heterosexual adolescents, particularly related to pregnancy and pregnancy risk factors. Review of the literature indicates an estimated increased risk of adolescent pregnancy involvement between two and 10 times higher for LGB youth compared to heterosexual youth. This may be explained by a broad spectrum of sexual health risks experienced, including an earlier age of sexual debut, exposure to sexual abuse, and a higher number of sexual partners...
October 11, 2018: Journal of Pediatric and Adolescent Gynecology
Paula J Adams Hillard
No abstract text is available yet for this article.
October 10, 2018: Journal of Pediatric and Adolescent Gynecology
Gianna L Wilkie, Ashley A Taggart, John R Prensner, Amy L Billett, Marc R Laufer
BACKGROUND: Menorrhagia is a common gynecologic complaint among adolescents, which rarely is secondary to malignancy. Burkitt's lymphoma can mimic gynecologic malignancy, however it is rarely seen in adolescents. Burkitt's lymphoma of the gynecologic tract requires early diagnosis and intervention for optimal outcomes. CASE: We report a case of a 15 year old adolescent who had multiple admissions for menorrhagia that was thought to be secondary to anovulatory bleeding until pelvic ultrasound revealed a large 8 centimeter vaginal/cervical mass...
September 29, 2018: Journal of Pediatric and Adolescent Gynecology
Alison H Norris, Nicole Pritt, Elise D Berlan
STUDY OBJECTIVES: In the US, 40% of high-school students have sex; few use highly effective and safe long-acting reversible contraceptives (LARCs): intrauterine devices (IUDs) and implants. Pediatricians are key health providers for many adolescents, yet few provide LARC. Our objective was to understand the pragmatics of provision of LARC (rather than beliefs or attitudes) and identify barriers to and opportunities for LARC provision by community-practicing pediatricians. DESIGN: We conducted a qualitative descriptive study with semi-structured interviews; qualitative methods are valuable for generating conceptual models of complex phenomena...
September 29, 2018: Journal of Pediatric and Adolescent Gynecology
Ana Vetriana Abd Wahab, Leek Mei Lim, M Hatta Tarmizi
Ovotesticular disorders of sex development (OTDSD), formerly known as "true hermaphroditism" is a condition defined as the presence of ovarian tissue containing ovarian follicles and testicular tissue containing seminiferous tubules in the same individual[1]. It is one of the rarest diversity of all inter sex anomalies accounting for 1:100,000 live births[2]. We report a case of 19 year old phenotypically male, 46,XX/ 46,XY mosaicism karyotyping presented later in life with cyclical abdominal pain that resembles menstrual cramps and unilateral undescended testes...
September 21, 2018: Journal of Pediatric and Adolescent Gynecology
K E Brodie, V I Alaniz, E M Buyers, B T Caldwell, E C Grantham, J Sheeder, D T Wilcox, P S Huguelet
BACKGROUND: Adolescent females often present to healthcare providers with concerns about the appearance of their external genitalia. These patients may experience significant distress about their genital appearance and may request surgery to correct a perceived abnormality. Accurate descriptions of normal adolescent female genital anatomy are lacking in the literature. OBJECTIVE: The purpose of this study was to examine a small sample of normal adolescent females to obtain measurements and descriptors of the external genital structures, with a focus on the size and morphology of the labia minora...
September 20, 2018: Journal of Pediatric and Adolescent Gynecology
Manisha Notay, Nasim Fazel, Smita Awasthi
BACKGROUND: Lichen sclerosus is a chronic inflammatory dermatological condition with a predilection for the anogenital area. CASE: We describe a case of iatrogenic Cushing syndrome from the administration of high potency topical steroids for vulvar lichen sclerosus in a six-year-old girl. Her symptoms resolved after the cessation of topical steroids. SUMMARY AND CONCLUSION: This case brings attention to Iatrogenic Cushing syndrome as a potential complication when using high potency topical corticosteroids in the anogenital region...
September 20, 2018: Journal of Pediatric and Adolescent Gynecology
Kathryn Stambough, Angela Hernandez, Sheila Gunn, Oluyemisi Adeyemi-Fowode
BACKGROUND: Placentophagy, or the practice of placental consumption, has grown in popularity over the past decade. Although advocates endorse prevention of postpartum depression, increased breastmilk production, reduction in postpartum bleeding and provision of nutrients postpartum, scientific studies have failed to demonstrate benefit. No studies have explored the impact of placental hormone consumption on the hypothalamic-pituitary-ovarian axis of the offspring. CASE: We present a case of vaginal bleeding and breast budding in a three month old infant whose mother was exclusively breastfeeding...
September 20, 2018: Journal of Pediatric and Adolescent Gynecology
Gabrielle K Steinl, Corrie M Whisner, Eva K Pressman, Elizabeth M Cooper, Susan W Groth, Kimberly O O'Brien
STUDY OBJECTIVE: Regular physical activity (PA) during pregnancy decreases the risk of gestational hypertension and preeclampsia. Currently, little is known about the PA of pregnant adolescents. Our intent was to characterize the PA behaviors of a group of racially diverse, low-income pregnant teens and to identify potential determinants of PA. DESIGN, SETTING, PARTICIPANTS, AND INTERVENTIONS: A cohort of 157 racially diverse pregnant adolescents (13-18 yrs) completed up to three Previous Day Physical Activity Recalls (PDPAR) as part of a larger prospective longitudinal study analyzing determinants of maternal and fetal bone health...
September 14, 2018: Journal of Pediatric and Adolescent Gynecology
Allison P Schelble, Diane F Merritt
BACKGROUND: Castleman's disease (CD) is a rare lymphoproliferative disorder that may present as an adnexal mass. We report a case of pelvic CD in an adolescent girl who presented with abdominal pain. CASE: A 13-year-old girl presented with severe abdominal pain, nausea, and vomiting, and was found to have a solid adnexal mass. Repeat imaging revealed the mass to be retroperitoneal and in the left pelvic sidewall. She underwent surgical removal via open retroperitoneal approach, and pathology revealed CD, hyaline vascular variant (HVV) subtype...
September 14, 2018: Journal of Pediatric and Adolescent Gynecology
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