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Journal of Pediatric and Adolescent Gynecology

İlknur Girisgen, Selçuk Yüksel, Yücel Pekal, Büşra Pekal
BACKGROUND: 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. CASE: A fourteen-year-old adolescent girl was admitted with painless clitoral swelling. She denied recent masturbation, itching, or discharge. She was within the last few days of menstruation. Physical examination revealed clitoral edema without erythema or genital edema...
February 8, 2019: Journal of Pediatric and Adolescent Gynecology
Sarah H O'Brien, Surbhi Saini, Heidi Ziegler, Myra Christian-Rancy, Sanjay Ahuja, Kerry Hege, Stephanie L Savelli, Sara K Vesely
STUDY OBJECTIVE: 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: In an open label, multi-institutional, single arm, efficacy study, patients ≤18 years of age with HMB were treated with oral TA 1300 milligrams three times daily during the first five days of menses and monitored over the course of four menstrual cycles (1 baseline; 3 treatment cycles)...
February 4, 2019: Journal of Pediatric and Adolescent Gynecology
I A Morgan, L B Zapata, K M Curtis, M K Whiteman
STUDY OBJECTIVE: To identify characteristics associated with provider attitudes on the safety of 'Quick Start' initiation of long-acting reversible contraception (LARC) for adolescents. STUDY DESIGN, SETTING, AND PARTICIPANTS: We conducted a cross-sectional survey of providers in public-sector health centers and office-based physicians (n = 2,056) during 2013-2014. RESULTS: Overall, the prevalence of considering 'Quick Start' initiation of LARC for adolescents as safe was 70...
February 4, 2019: Journal of Pediatric and Adolescent Gynecology
Colin A Walsh
No abstract text is available yet for this article.
February 4, 2019: Journal of Pediatric and Adolescent Gynecology
Sinem Akgül, Andrea E Bonny
STUDY OBJECTIVE: 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. DESIGN, SETTING, AND PARTICIPANTS: A retrospective chart review of female patients (N=37), ages 11-22 years, diagnosed with PCOS between 01/2013-12/2017...
January 30, 2019: Journal of Pediatric and Adolescent Gynecology
Nesreen Mohamed Kamal Elden, Walaa Ahmed Khairy, Eman Hany Elsebay
STUDY OBJECTIVE: 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. DESIGN, SETTING AND PARTICIPANTS: A descriptive cross-sectional study was conducted in 3 randomly selected public schools in a rural district in Fayoum Governorate...
January 29, 2019: Journal of Pediatric and Adolescent Gynecology
Marc R Laufer, Jon I Einarsson
BACKGROUND: 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 of large areas of peritoneum with the promise/proposal of a cure and suggestion of no need for medical suppression of endometriosis...
January 29, 2019: Journal of Pediatric and Adolescent Gynecology
K L O'Flynn O'Brien, A Y Akers, L K Perriera, C A Schreiber, J F Garcia-Espana, S Sonalkar
STUDY OBJECTIVE: Intrauterine device (IUD) utilization in the United States is low among adolescent and young adult women. Longer procedure duration has been proposed as one potential barrier to IUD insertion in this population. We hypothesized that procedure duration would be longer in adolescents compared to young adult women. DESIGN, SETTING, AND PARTICIPANTS: This study was a secondary analysis of a randomized clinical trial comparing the effectiveness of a lidocaine versus sham paracervical nerve block for pain control during levonorgestrel 13...
January 8, 2019: Journal of Pediatric and Adolescent Gynecology
Zeynep Hizli Demirkale, Zehra Yavas Abali, Firdevs Bas, Sukran Poyrazoglu, Ruveyde Bundak, Feyza Darendeliler
STUDY OBJECTIVE: Risks associated with precocious puberty may be observed in the rapidly progressive form of borderline early puberty (BEP). Differentiating the rate of progression is important for deciding treatment with gonadotropin-releasing hormone analog (GnRHa). Aim was to examine the treatment characteristics and effect of treatment on predicted adult height (PAH). DESIGN: Retrospective observational study. SETTING: Single center, a pediatric endocrinology unit...
January 8, 2019: Journal of Pediatric and Adolescent Gynecology
Min Yang, Ying Xin
INTRODUCTION: Yolk sac tumors (YSTs) are rare malignancies that originate from germ cells and rarely present with endocrine symptoms. We report a case of a 13-year-old girl with a YST manifesting as virilization. CASE REPORT: A 13-year-old girl was diagnosed as a YST with endocrine symptoms because of Leydig cells in the stroma, which were identified by HE staining and immunohistochemistry. CONCLUSION: This case suggests that clinicians should consider the possibility of YST when encountering patients with symptoms of virilization...
January 7, 2019: Journal of Pediatric and Adolescent Gynecology
Sydney S Kelpin, Scott G Rusteikas, Nicole W Karjane, Dace S Svikis
STUDY OBJECTIVE: The present study compared results of standardized screening tools for problem alcohol and other drug use in younger (ages 18-24) and older (ages 25+) females attending the same clinic. We looked separately at pregnant and non-pregnant women. DESIGN, SETTING, PARTICIPANTS, INTERVENTIONS, AND MAIN OUTCOME MEASURES: This is a cross-sectional study of women attending an urban, university-affiliated obstetrics and gynecology clinic. Women were recruited while awaiting appointments with their providers...
December 22, 2018: Journal of Pediatric and Adolescent Gynecology
Erin E Hester, Amy B Middleman
BACKGROUND: Cervicitis is most commonly caused by sexually transmitted infections. "Normal vaginal flora" are rarely responsible for inflammation of the cervix. CASE: We describe a 22 year old female patient with chronic cervicitis who had negative test results for bacterial and viral pathogens most commonly responsible for cervicitis. After 21 months of symptoms and multiple courses of empiric antibiotics addressing the most common causes of cervicitis, a course of antibiotics targeting group B streptococcus found on a genital culture resolved the patient's illness...
December 21, 2018: Journal of Pediatric and Adolescent Gynecology
Joanna Dear, Sarah M Creighton, Gerard S Conway, Louise Williams, Lih-Mei Liao
STUDY OBJECTIVE: To summarise the self-reported sexual experiences of women with vaginal agenesis before treatment and interpret the clinical implications. DESIGN: A retrospective review of pre-treatment baseline sexuality data and medical records of women with vaginal agenesis seeking vaginal construction. SETTING: A specialist multidisciplinary centre for women with complex congenital genital anomalies. PARTICIPANTS: 137 women with untreated vaginal agenesis associated with Complete Androgen Insensitivity Syndrome (CAIS) and Mayer-Rokitansky-Kuster-Hauser Syndrome (MRKH) aged 15 to 41 years (mean 20 years)...
December 21, 2018: Journal of Pediatric and Adolescent Gynecology
M C Lardone, A Castro, A Pereira, C Corvalán, E Ortíz, V Mericq
STUDY OBJECTIVE: The Androgen Receptor (AR) harbors a variable repeat of a variable number of glutamine residues [(CAG)n] which seems to affect inversely AR transcriptional activity. We assessed whether (CAG)n affect the sequence of the androgen-sensitive pubertal events and body composition in prepubertal girls. DESIGN: and participants: Nested case-control study within the Growth and Obesity Cohort Study of 1196 low-middle income children (≈50% girls) from Santiago, Chile...
December 11, 2018: Journal of Pediatric and Adolescent Gynecology
King Cp, Kives S
BACKGROUND: The Mirena levonorgestrel intrauterine system (IUS) is frequently used for menstrual suppression in adolescents with special needs. However, the presence of a uterine anomaly is generally considered a contraindication to IUS insertion, thereby excluding a potentially highly effective option for this patient population. CASE: A Mirena IUS was utilized in a medically and surgically complex special needs 14-year-old adolescent with a didelphys uterus and obstructed hemivagina...
December 8, 2018: Journal of Pediatric and Adolescent Gynecology
Anna Torres, Magdalena Horodeńska, Grzegorz Witkowski, Tomasz Bielecki, Kamil Torres
STUDY OBJECTIVE: To describe a hybrid simulation model for PAG examination teaching and to evaluate if it would be feasible to be conducted as a part of the PAG training and to find out how it would be perceived by the trainees. DESIGN: development process and conduction of a 2-day workshop is presented SETTING: An academic 2-day PAG simulation training at the Medical University of Lublin Centre of Medical Simulation PARTICIPANTS: 22 obstetrics and gynaecology and paediatrics residents from the various hospitals of the Lublin county region INTERVENTION: Participants took part in a 2-day simulation-based workshop consisting of a theoretical part and three high-fidelity PAG simulation scenarios, followed by an anonymous feedback survey investigating their opinions about the hybrid model teaching strategy...
December 7, 2018: Journal of Pediatric and Adolescent Gynecology
Arielle H Spellun, Christopher J Moreland, Poorna Kushalnagar
STUDY OBJECTIVE: Describe knowledge and risk perception of Human Papillomavirus (HPV) among deaf adults who use American Sign Language (ASL) in comparison to hearing adults in the United States. DESIGN: Secondary HPV knowledge data for the deaf subset sample were drawn from the Health Information National Trends survey in ASL that was administered between 2015 and 2018. HPV knowledge data for the hearing subset sample were drawn from Cycle 5 of the Health Information National Trends survey in English that was administered in 2017...
December 7, 2018: Journal of Pediatric and Adolescent Gynecology
Mikaela A Kelly, Eraka P Bath, Sarah M Godoy, Laura S Abrams, Elizabeth S Barnert
STUDY OBJECTIVE: Given the high reproductive health risks that commercially sexually exploited youth (CSEY) face, we sought to understand facilitators and barriers related to their utilization of both condoms and hormonal contraception. DESIGN: We conducted semi-structured interviews with 21 females identified as CSEY. Interviews were audio-recorded, transcribed, and coded for emergent themes. Participants were enrolled through group homes and a juvenile specialty court serving CSEY...
December 7, 2018: Journal of Pediatric and Adolescent Gynecology
S Paige Hertweck, David H Rothstein
The transition from adolescence to young adulthood in patients with reproductive health care needs such as disorders of sexual development (DSDs) and congenital anomalies is a complex process occurring over several years. The transition process for these patients has is still poorly understood. The patients with DSDs and reproductive issues have specific and unique issues regarding timing of disclosure of diagnosis, genital examinations, gonadectomy, vaginal treatments, surgical procedures hormone replacement therapy, use of long term medication and potential cancer screening...
December 5, 2018: Journal of Pediatric and Adolescent Gynecology
Janeen L Arbuckle, Alison M Parden, Kimberly Hoover, Russell L Griffin, Holly E Richter
OBJECTIVE: To determine the prevalence and awareness of pelvic floor disorder (PFD) symptoms among adolescent females. DESIGN: Cross-sectional study via a written, anonymous survey of adolescents. The survey was composed of validated measures for determination of symptom prevalence. SETTING: Pediatric and adolescent gynecology clinic in the southeast United States. PARTICIPANTS: Female adolescents ages 14-21 Interventions:None Main Outcome Measures:Chi-square analyses were used for categorical variables and t-test was used for continuous variables...
December 5, 2018: Journal of Pediatric and Adolescent Gynecology
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