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Journal of Pediatric and Adolescent Gynecology

D L Rofey, N E El Nokali, L J Jackson Foster, E Seiler, H L McCauley, E Miller
STUDY OBJECTIVE: To examine the impact of childhood trauma and family history of psychiatric illness on weight loss trajectories of obese, adolescent females with PCOS. DESIGN: Prospective Study SETTING: PCOS and Adolescent Medicine Outpatient Clinics PATIENTS: Participants were, on average, 15.8 years, 80% Caucasian, and had a BMI of 36.8 ± 8.8 kg/m2 . INTERVENTIONS: Healthy Bodies, Healthy Minds is an evidence-based one-on-one intervention consisting of four weekly sessions, four bi-weekly sessions, and three monthly booster sessions...
March 8, 2018: Journal of Pediatric and Adolescent Gynecology
Tasneem S Alaqzam, Angela C Stanley, Pippa M Simpson, Veronica H Flood, Seema Menon
STUDY OBJECTIVE: This study sought to determine the relationship of bleeding disorders to iron deficiency anemia. Additionally, this study was undertaken to examine all current treatment modalities used in a menorrhagia clinic with respect to heavy menstrual bleeding management to identify the most effective options for menstrual management in the setting of an underlying bleeding disorder. DESIGN, SETTING, PARTICIPANT, INTERVENTION, AND MAIN OUTCOME MEASURES: Retrospective chart review of adolescent <21 years with heavy menstrual bleeding attending a multidisciplinary hematology-adolescent gynecology clinic...
March 7, 2018: Journal of Pediatric and Adolescent Gynecology
Kristl Tomlin, Lucia Mirea, Amy Williamson
STUDY OBJECTIVE: The American Academy of Pediatrics and American College of Obstetricians and Gynecologists have identified the menstrual cycle as essential in assessing overall health of adolescent girls. Menses should be considered a "vital sign" and documentation of last menstrual period (LMP) is recommended at every patient encounter. The aim of this study is to estimate and compare LMP documentation among adolescent and pediatric healthcare providers. STUDY DESIGN, SETTING, AND PARTICIPANTS: A retrospective cohort study identified a random sample of 50 female patients seen in the general pediatrics (PEDS), adolescent medicine (AM), and pediatric and adolescent gynecology (PAG) ambulatory clinics at Phoenix Children's Hospital between January 1, 2016 and March 31, 2016...
March 7, 2018: Journal of Pediatric and Adolescent Gynecology
P S Huguelet, G ChelvaKumar, L Conner, T Dumont, N Fleming, M Abraham, N W Karjane, J Sheeder, H J Talib, K Teelin, C Wheeler, P Kaul
BACKGROUND: Resident education in Pediatric and Adolescent Gynecology (PAG) is challenging. It encompasses patients from neonates to young adults with different disorders involving multiple subspecialties. Residents have inadequate exposure to PAG topics and report lack of knowledge in this area. OBJECTIVE: To determine if the North American Society for Pediatric and Adolescent Gynecology (NASPAG) Short Curriculum improves self-reported knowledge in PAG among Obstetrics and Gynecology (ObGyn), Family Medicine and Pediatric residents...
February 27, 2018: Journal of Pediatric and Adolescent Gynecology
K M Sinning, D C Jude, J L Yoost
STUDY OBJECTIVE: To quantify the "normal" adolescent experience after IUD insertion, in order to provide appropriate counseling for future adolescents. DESIGN: Prospective cohort study. SETTING: Marshall University Department of Obstetrics and Gynecology generalist and adolescent gynecology clinics. PARTICIPANTS: Nulliparous adolescents age 13-18 and parous adults ≥18 years receiving a levonorgestrel intrauterine system (LNG-IUS)...
February 17, 2018: Journal of Pediatric and Adolescent Gynecology
Elina Holopainen, Svetlana Vakkilainen, Outi Mäkitie
BACKGROUND: Cartilage-hair hypoplasia (CHH) is a rare chondrodysplasia, including disproportionate short stature, hypoplastic hair, immunodeficiency and increased risk of malignancies. Absent pubertal growth spurt and absent pubic hair complicate monitoring of pubertal development in these patients. CASES: Two CHH patients with delayed puberty and excessive growth failure are described. One of the girls had hypogonadotropic hypogonadism while the other had hypo-normogonadotropic hypogonadism with no spontaneous pubertal development and slow response to estrogen therapy, both requiring permanent replacement therapy...
February 17, 2018: Journal of Pediatric and Adolescent Gynecology
Pınar Kocaay, Zeynep Siklar, Sema Buyukfirat, Merih Berberoglu
STUDY OBJECTIVE: Polycystic ovarian syndrome (PCOS) is a common endocrine disorder characterized by hyperandrogenism and chronic anovulation, which affects 5-10% of reproductive age females. Diagnosis of adult patients with PCOS is made easily with clinical and laboratory methods and the antimullerian hormone (AMH) level are accepted as a good indicator. However, there is still no complete consensus on the diagnosis of PCOS in adolescents. DESIGN: and Settings: Prospective cohort study, December 2013 to November 2014 PARTICIPANTS: The study was conducted on adolescent girls with oligomenorrhea, with at least two years since menarche...
February 17, 2018: Journal of Pediatric and Adolescent Gynecology
Julie G Thorne, Elizabeth H Russell, Danielle Rumbolt, Mary Anne Jamieson
BACKGROUND: Abdominal pain, secondary amenorrhea and abnormal uterine bleeding (AUB) are common gynecologic presentations in adolescence. Rarely this can be associated with an acquired hematometra. Hematometra is a condition of retained blood or clot within the uterus. High dose progestogenic agents in this age group have been implicated in the accumulation of a hematometra without other explanation. CASES: We present 4 cases of hematometra following depomedroxyprogesterone acetate (DMPA) therapy in previously menstruating adolescents...
February 14, 2018: Journal of Pediatric and Adolescent Gynecology
Aalia Sachedina, Kiri Chan, Duncan MacGregor, Martin Campbell, Sonia R Grover
STUDY OBJECTIVE: To review our local experience with urogenital RMS to determine the most common clinical presentation(s). DESIGN: Retrospective case series of all cases of female urogenital RMS presenting to a tertiary pediatric hospital between 1996 and 2016. All institutional electronic pathology reports were screened for RMS and those that were pelvic in origin and occurring in female patients were included for further analysis. Seventeen cases of urogenital RMS in female patients were identified and reviewed...
February 5, 2018: Journal of Pediatric and Adolescent Gynecology
Krista J Childress, Oluwateniola Brown, Jennifer Bercaw-Pratt
BACKGROUND: Hyperhidrosis (excessive sweating) affects 1-3% of the population. Primary focal hyperhidrosis most commonly affects the axilla, palms, and soles. There are few case reports of hyperhidrosis of the genital region, typically described as inguinal hyperhidrosis or Hexsel's hyperhidrosis. CASE: A17-year-old girl presented with 3 years of copious, clear "vaginal" discharge causing significant emotional distress. After extensive gynecologic and urologic work up was negative, further review of her history was notable for excessive axillary sweating...
February 5, 2018: Journal of Pediatric and Adolescent Gynecology
Risa L Fridy, Sofya Maslyanskaya, Sylvia Lim, Susan M Coupey
OBJECTIVE: A 2014 American Academy of Pediatrics (AAP) Policy Statement identified long-acting reversible contraceptives (LARC) as first-line choices for adolescents, but pediatricians' current knowledge and practices about intrauterine devices (IUDs) and subdermal contraceptive implants (Implants) is unknown. We aimed to characterize pediatricians' knowledge and practices about LARCs for adolescents. DESIGN, SETTING, PARTICIPANTS: Cross-sectional online survey emailed to a convenience sample of AAP member pediatricians in New York, Utah, Illinois, and Kansas in 2015 & 2016...
January 31, 2018: Journal of Pediatric and Adolescent Gynecology
Andrea Huneeus, Andrea Schilling, Mario I Fernandez
STUDY OBJECTIVE: To determine the prevalence of Chlamydia trachomatis, Neisseria gonorrhoeae, and Trichomonas vaginalis infection in sexually active Chilean adolescents and young adults. A comparative analysis was performed between genders in order to identify demographic, clinical, and sexual behavior characteristics to predict the occurrence of C.trachomatis. STUDY DESIGN: Analytical observational study SETTING: Santiago, Chile. PARTICIPANTS: 286 sexually active volunteers aged ≤24 (171 females and 115 males); 82% of them were classified as having high socioeconomic status...
January 31, 2018: Journal of Pediatric and Adolescent Gynecology
Meghna R Sebastian, Constance M Wiemann, Fida Bacha, Sharonda J Alston-Taylor
STUDY OBJECTIVE: A polycystic ovary syndrome (PCOS) diagnosis in adolescence can have significant long-term health implications. The criteria for its diagnosis in adolescents have been subject to much debate. This study aimed to characterize the variability in diagnosis and management among different pediatric specialties. DESIGN, SETTINGS, PARTICIPANTS, AND INTERVENTIONS: This is a retrospective review of electronic medical records of females (11 - 21 years old) who presented to three specialties (adolescent medicine (AM), pediatric endocrinology (ENDO), and gynecology (GYN)), with a post-visit diagnosis of PCOS, menstrual disorders, or hirsutism, at a large tertiary care center, from November 1, 2011- October 31, 2012...
January 31, 2018: Journal of Pediatric and Adolescent Gynecology
Laura K Grubb, Rebecca M Beyda, Mona A Eissa, Laura J Benjamins
OBJECTIVE: To assess the effect of providing standardized counseling to improve the rates of contraception initiation and utilization among detained young women. This was a quality improvement (QI) project conducted at a large urban juvenile short-term detention center. METHODS/DESIGN: The intervention included educating all staff and care providers, counseling detained young women on various contraceptive options, and offering contraception initiation with oral contraceptive pills or depot medroxyprogesterone acetate injection...
January 27, 2018: Journal of Pediatric and Adolescent Gynecology
Katrina Roen, Sarah M Creighton, Peter Hegarty, Lih-Mei Liao
OBJECTIVE: To investigate specialist clinicians' experiences of treating vaginal agenesis. DESIGN: Semi-structured interviews. SETTING: 12 hospitals in Sweden and the UK. SAMPLE: 32 health professionals connected to multidisciplinary teams including medical specialists and psychologists. METHODS: Theoretical thematic analysis of recorded verbatim data. RESULTS: The gynecologist and psychologist interviewees share certain observations including the importance of psychological readiness for and appropriate timing of treatment...
January 12, 2018: Journal of Pediatric and Adolescent Gynecology
Hanyuan Liu, Zhen Shen, Dabao Wu, Ying Zhou
INTRODUCTION: Uterine adenosarcoma with sarcomatous overgrowth (ASSO) is a rare and aggressive disease. A case of a 16-year old girl with uterine ASSO is reported herein. The patient received surgical resection and chemotherapy and remained alive without disease 11 months after the surgery. CASE REPORT: A 16-year-old girl was diagnosed with uterine ASSO, International Federation of Gynecology and Obstetrics (FIGO 2009) stage I c. She underwent total abdominal hysterectomy, bilateral salpingectomy and chemotherapy...
January 6, 2018: Journal of Pediatric and Adolescent Gynecology
Victor M Salinas-Torres, Rafael A Salinas-Torres, Ricardo M Cerda-Flores, Laura E Martínez-de-Villarreal
STUDY OBJECTIVE: To explore the prevalence, mortality, and spatial distribution of gastroschisis using a large population-based sample with cases identified by birth and death certificates (Q79.3) through the General Directorate of Health Information of the Secretary Health of Mexico, over the course of a 15-year period. DESIGN, SETTING, PARTICIPANTS, INTERVENTIONS, AND MAIN OUTCOME MEASURES: A descriptive study examining 10 287 cases of gastroschisis was performed from 2000-2014 using public natality data for denominators (more than 25 million live births)...
January 6, 2018: Journal of Pediatric and Adolescent Gynecology
Beryl L Manning-Geist, Antonio R Perez-Atayde, Marc R Laufer
BACKGROUND: Granular cell tumors (GCTs) are rare soft tissue lesions that can involve the female genital tract, including the vulva. While malignant tumors are aggressive and uncommon, benign and atypical lesions still have associated risks, including recurrence and multi-site development. CASES: Four cases of pediatric vulvar GCT are presented, including one atypical and three benign tumors. The atypical lesion occurred in a 3-year-old girl, the youngest reported patient with GCT of the vulva...
January 3, 2018: Journal of Pediatric and Adolescent Gynecology
Joyce A Adams, Karen J Farst, Nancy D Kellogg
Most sexually abused children will not have signs of genital or anal injury, especially when examined non-acutely. A recent study found that only 2.2% (26/1160) of sexually abused girls examined non-acutely had diagnostic physical findings, while among those examined acutely, the prevalence of injuries was 21.4% (73/340). 1 It is important for health care professionals who examine children who may have been sexually abused to be able to recognize and interpret any physical signs or laboratory results that may be found...
December 30, 2017: Journal of Pediatric and Adolescent Gynecology
Milena Bastos Brito, Fernanda Scoppetta Sampaio Alves, Marlene Quadro Souza, Samara Rezende Requião
STUDY OBJECTIVES: To describe knowledge and use of contraceptive methods among pregnant teens in Brazil. DESIGN: A cross-sectional survey. SETTING: A tertiary care center in Bahia, Brazil. PARTICIPANTS: Pregnant teens 10-19 years old INTERVENTION: Participants were asked about contraceptive knowledge and previous contraceptive use. MAIN OUTCOME MEASURE: Contraceptive knowledge; previous contraceptive use; and contraceptive intentions for after pregnancy...
December 30, 2017: Journal of Pediatric and Adolescent Gynecology
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